Evid Based Nurs 2:86 doi:10.1136/ebn.2.3.86
  • Treatment

A nurse led programme improved physical function in older adults with chronic disease

 Question Can a multicomponent, senior centre (day hospital) programme led by a geriatric nurse practitioner (GNP) reduce disability, increase activity, and improve management of chronic disease in older adults?


Randomised controlled trial (RCT) with 1 year of follow up.


A senior centre associated with 2 health maintenance organisations in northwest USA.


891 older adults were screened and 201 (mean age 77 y, 56% women) were included. Inclusion criteria were age ≥70 years, treatment for ≥1 chronic condition excluding dementia or terminal illness, ability to walk independently and perform activities of daily living, non-participation in the senior centre programmes, and no cognitive impairment.


Adults allocated to the intervention group (n=101) met individually with the GNP to develop a targeted healthcare plan that addressed risk factors for disability and self management of their illness. The GNPs met with participants at the centre and made follow up telephone calls; volunteer mentors provided …

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