The need for evidence-based non-pharmacological community programs to improve care of older adults with dementia is self-evident, considering the sheer numbers of affected individuals; the emotional, physical, and financial toll on affected individuals and their caregivers; the impact on our health care system; and the growing availability of…

Purpose of the Study: The objectives of this study were to evaluate a community-based basic computer and Internet training program designed for older adults, provide recommendations for program refinement, and gather preliminary information on program sustainability. Design and Methods: The program was developed by the OASIS Institute, a nonprofit…

Purpose of the Study: The Exercise Assessment Screening for You (EASY) tool was developed to encourage older adults at every functional level to be more physically active. The purposes of this study were to examine characteristics of older adults who participated in an evidence-based falls prevention program by their entry to EASY tool scores,…

Purpose: This article describes early efforts of four community partnerships in Boston, El Paso, Houston, and Milwaukee to address governance and management structures in ways that promote the sustainability of innovative community-based long-term care system improvements. The four communities are grantees of the Community Partnerships for Older…

Analysis of the enrollment procedure for a study of an intensive, community-based diabetes management program revealed that persons who declined initially were slightly older and lived further away from the study site. Recruitment strategies were compared, revealing that press releases and newspaper advertisements were the most effective. (JPS)

Investigated the processes of developing services for the aged in rural communities, using grounded theory methodology. Examination revealed a grassroots model of advocacy which involved the emergence of local leadership and typical motivational, needs defining, goal-setting, and organizational processes. (Author/NRB)

Purpose: This study assessed the effectiveness of Active Start, a community-based behavior change and fitness program, designed to promote physical activity among sedentary community-dwelling older adults. Design and Methods: A quasi-experimental design was used. Data were analyzed using a within-group pretest-post-test design to calculate changes…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

Purpose: There is little empirical translation of multimodal cognitive activity programs in "real-world" community-based settings. This study sought to demonstrate in a short-term pilot randomized trial that such an activity program improves components of cognition critical to independent function among sedentary older adults at greatest risk.…

The position of the "home for the aged" in the total social support network of West Germany is controversial. Senior citizen housing provides a more favorable atmosphere for older adults. Old age homes will have to offer better conditions and more independence. (JAC)

A network model for the organization of the elderly for self-help and the development of leadership is described. The model is recommended as the most appropriate for those concerned with organizing all types of elderly, even if only minimally, on a large scale, for a sustained period of time. (Author)

Develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. Offers a contextual approach for understanding individual autonomy and discusses its relevance to community long-term care. Illustrates how current financing, organization, and delivery of care provide clients with…

Focuses on the effect of the Community Long Term Care project on nursing home utilization. Over an 18-month period of participation, experimental group clients experienced significantly fewer admissions and a 38 percent reduction in nursing home use. (Author/BL)

Surveyed elderly persons (N=l,224) aged 60+ to determine social network ties and awareness of available services. Found following factors predictive of service awareness: having nonkin advisors; club membership; other community agency contacts; and availability of transportation, education, and moderate-sized kin networks. Found following…

Discusses how Dallas, Texas, Area Agency on Aging met requirement of 1987 amendments to Older Americans Act of 1965 that State Offices on Aging identify agencies involved in identifying and treating abused, neglected, and exploited elders and determine their need for services. Describes impact of Elder Abuse Task Force on state law, adult…