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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?
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 …