Article ; Online: Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial.
2019 Volume 27, Issue 12, Page(s) 1299–1313
Abstract: Objective: To test the acceptability and effectiveness of a disability prevention intervention, Positive Minds-Strong Bodies (PMSB), offered by paraprofessionals to mostly immigrant elders in four languages.: Design: Randomized trial of 307 ... ...
| Abstract | Objective: To test the acceptability and effectiveness of a disability prevention intervention, Positive Minds-Strong Bodies (PMSB), offered by paraprofessionals to mostly immigrant elders in four languages. Design: Randomized trial of 307 participants, equally randomized into intervention or enhanced usual care. Setting: Community-based organizations in Massachusetts, New York, Florida, and Puerto Rico serving minority elders. Data collected at baseline, 2, 6, and 12 months, between May 2015 and March 2019. Participants: English-, Spanish-, Mandarin-, or Cantonese-speaking adults, age 60+, not seeking disability prevention services, but eligible per elevated mood symptoms and minor to moderate physical dysfunction. Interventions: Ten individual sessions of cognitive behavioral therapy (PM) concurrently offered with 36 group sessions of strengthening exercise training (SB) over 6 months compared to enhanced usual care. Measurements: Acceptability defined as satisfaction and attendance to >50% of sessions. Effectiveness determined by changes in mood symptoms (HSCL-25 and GAD-7), functional performance (SPPB), self-reported disability (LLFDI), and disability days (WHODAS 2.0). Results: Around 77.6% of intervention participants attended over half of PM Sessions; 53.4% attended over half of SB sessions. Intent-to-treat analyses at 6 months showed significant intervention effects: improved functioning per SPPB and LLFDI, and lowered mood symptoms per HSCL-25. Intent-to-treat analyses at 12 months showed that effects remained significant for LLFDI and HSCL-25, and disability days (per WHODAS 2.0) significantly decreased 6-month after the intervention. Conclusions: PMSB offered by paraprofessionals in community-based organizations demonstrates good acceptability and seems to improve functioning, with a compliance-benefit effect showing compliance as an important determinant of the intervention response. |
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| MeSH term(s) | Activities of Daily Living ; African Americans ; Aged ; Asian Americans ; Cognitive Behavioral Therapy ; Community Health Workers ; Disability Evaluation ; Emigrants and Immigrants ; European Continental Ancestry Group ; Exercise ; Feasibility Studies ; Female ; Health Status ; Hispanic Americans ; Humans ; Male ; Mental Health ; Middle Aged ; Minority Groups ; Patient Acceptance of Health Care ; Patient Health Questionnaire ; Patient Satisfaction ; Physical Functional Performance ; Preventive Medicine | |||||
| Language | English | |||||
| Publishing date | 2019-08-13 | |||||
| Publishing country | England | |||||
| Document type | Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural | |||||
| ZDB-ID | 1278145-9 | |||||
| ISSN | 1545-7214 ; 1064-7481 | |||||
| ISSN (online) | 1545-7214 | |||||
| ISSN | 1064-7481 | |||||
| DOI | 10.1016/j.jagp.2019.08.008 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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