The community-based LIVE WELL Initiative: Improving the lives of older adults.

The community-based LIVE WELL Initiative: Improving the lives of older adults.
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以社区为基础的 LIVE WELL Initiative:改善老年人的生活。

DOI:
10.1080/10852352.2021.1930821
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发表时间:
2023
影响因子:
1.1
通讯作者:
Smith,DonaldR
Smith,DonaldR
中科院分区:
--
文献类型:
--
作者:
Stevens,AlanB;Cho,Jinmyoung;Thorud,JenniferL;Abraham,Sitara;Ory,MarciaG;Smith,DonaldR

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社区组织 (CBO) 之间的合作伙伴关系可以加强当地服务,提高社区提供服务并满足老年人多样化需求的能力。塔兰特县联合之路 (United Way) 制定了“健康生活”倡议,与六个社区组织合作,提供九项基于证据或以证据为依据的健康干预措施,以改善面临健康状况不佳风险的弱势群体的健康状况并降低医疗费用。这九个项目包括具体的目标领域,例如跌倒预防、慢性病自我管理、药物管理以及糖尿病筛查和教育。通过该计划,共有 63,102 名客户获得了服务,其中近 70% 是老年人。在接受服务的客户中观察到自我报告的健康状况显着改善。报告自我健康状况良好、非常好和优秀的客户比例从基线时的 47.5% 增加到后续评估时的 61.1%。平均健康天数从基线的 16.9 天改善到随访评估的 20.6 天。特定项目成果的进一步改善表明,有针对性的干预重点对项目所服务的客户产生了重大影响。这项研究的结果强调,与多个社区组织的合作伙伴关系可以促进老年人的健康和福祉。
A collaborative partnership among community-based organizations (CBOs) could strengthen local services and enhance the capacity of a community to provide services as well as meet the diverse needs of older adults. The United Way of Tarrant County developed the LIVE WELL Initiative, partnering with six CBOs to provide nine evidence-based or evidence-informed health interventions to improve the health and lower healthcare costs of vulnerable individuals at risk for poor health. The nine programs include specific target areas, such as falls prevention, chronic disease self-management, medication management, and diabetes screening and education. A total of 63,102 clients, nearly 70% of whom were older adults, were served through the Initiative. Significant improvements in self-reported health status were observed among served clients. The percentage of clients reporting self-rated health as good, very good, and excellent increased from 47.5% at baseline to 61.1% at follow-up assessment. The mean healthy days improved from 16.9 days at baseline to 20.6 days at follow-up assessment. Additional improvements in program-specific outcomes demonstrated significant impacts of targeted intervention focus among served clients by program. The findings of this study emphasize that the impact of a collaborative partnership with multiple CBOs could promote health and well-being for older adults.
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