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

https://doi.org/10.1136/ebn.2.3.86

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    Leveille SG, Wagner EH, Davis C, et al.Preventing disability and managing chronic illness in frail older adults: a randomized trial of a community-based partnership with primary care.J Am Geriatr Soc 1998Oct; 46:1191–8.OpenUrlCrossRefPubMedWeb of Science

    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?

    Design

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

    Setting

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

    Patients

    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.

    Intervention

    Adults allocated to the intervention group (n=101) met individually with the GNP to develop a targeted healthcare plan …

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    Footnotes

    • Sources of funding: Retirement Research Foundation, Chicago, IL; Group Health Foundation; and SAFECO, Seattle, WA.

    • For correspondence: Dr S Leveille, Epidemiology, Demography, and Biometry Program, National Institute on Aging, 7201 Wisconsin Ave, Suite 3C-309, Bethesda, MD 20892, USA. Fax +1 301 496 4006.

    • A modified version of this abstract appears in Evidence-Based Medicine.