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

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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 …

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  • 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.