Achieving self-management goals among low income older adults with functional limitations

Janiece L. Taylor; Laken Roberts; Melissa D. Hladek; Minhui Liu; Manka Nkimbeng; Cynthia M. Boyd; Sarah L. Szanton

doi:10.1016/j.gerinurse.2019.01.003

Achieving self-management goals among low income older adults with functional limitations

Janiece L. Taylor, Laken Roberts, Melissa D. Hladek, Minhui Liu, Manka Nkimbeng, Cynthia M. Boyd, Sarah L. Szanton

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Although self-management interventions can improve symptoms and disease among older adults, there is a dearth of literature on how self-management behaviors may improve factors related to the older adults’ physical function. To fill this gap in the literature, we describe the patient-directed self-management goals in nursing visits that relate to physical function as part of a multi-component program. We analyze the self-management goals and outcomes of 367 low- income older adults with functional limitations who participated in the CAPABLE program: a program to reduce the health effects of impaired physical function in low-income older adults. We focus on the following self-management goals that participants chose with the nurses: pain management, depressive symptoms, incontinence, fall prevention, and communication with healthcare providers. The majority of participants chose pain (50%) or fall prevention (51%) as goals and partially or fully met their goals. Improvements across these areas may lead to improved physical function.

Original language	English (US)
Pages (from-to)	424-430
Number of pages	7
Journal	Geriatric Nursing
Volume	40
Issue number	4
DOIs	https://doi.org/10.1016/j.gerinurse.2019.01.003
State	Published - Jul 1 2019
Externally published	Yes

Bibliographical note

Funding Information:
For this paper, we used data from the treatment arm of two CAPABLE trials: 1) a randomized controlled trial (RCT) funded by the National Institute on Aging (R01- AG040100) and 2) a one-armed trial funded by the Centers for Medicare and Medicaid Services (CMS, 1C1CMS330970) in which all participants received the treatment. This paper is about the process and goal-setting outcomes, we did not include the overall study outcomes. These are presented in other research reports. 11,24This study was funded by National Institute on Aging (R01- AG040100, PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970, PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program. CB the six author's time was supported by a NIH grant (K24AG056578, PI: Cynthia Boyd).

Funding Information:
This study was funded by National Institute on Aging ( R01- AG040100 , PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970 , PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program . CB the six author's time was supported by a NIH grant ( K24AG056578 , PI: Cynthia Boyd).

Funding Information:
For this paper, we used data from the treatment arm of two CAPABLE trials: 1) a randomized controlled trial (RCT) funded by the National Institute on Aging (R01- AG040100) and 2) a one-armed trial funded by the Centers for Medicare and Medicaid Services (CMS, 1C1CMS330970) in which all participants received the treatment. This paper is about the process and goal-setting outcomes, we did not include the overall study outcomes. These are presented in other research reports.11,24 This study was funded by National Institute on Aging (R01- AG040100, PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970, PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program. CB the six author's time was supported by a NIH grant (K24AG056578, PI: Cynthia Boyd).

Publisher Copyright:
© 2019 Elsevier Inc.

Keywords

Goal Setting
Low Income Older Adults
Physical Function
Self-Management

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10.1016/j.gerinurse.2019.01.003

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title = "Achieving self-management goals among low income older adults with functional limitations",

abstract = "Although self-management interventions can improve symptoms and disease among older adults, there is a dearth of literature on how self-management behaviors may improve factors related to the older adults{\textquoteright} physical function. To fill this gap in the literature, we describe the patient-directed self-management goals in nursing visits that relate to physical function as part of a multi-component program. We analyze the self-management goals and outcomes of 367 low- income older adults with functional limitations who participated in the CAPABLE program: a program to reduce the health effects of impaired physical function in low-income older adults. We focus on the following self-management goals that participants chose with the nurses: pain management, depressive symptoms, incontinence, fall prevention, and communication with healthcare providers. The majority of participants chose pain (50%) or fall prevention (51%) as goals and partially or fully met their goals. Improvements across these areas may lead to improved physical function.",

keywords = "Goal Setting, Low Income Older Adults, Physical Function, Self-Management",

author = "Taylor, {Janiece L.} and Laken Roberts and Hladek, {Melissa D.} and Minhui Liu and Manka Nkimbeng and Boyd, {Cynthia M.} and Szanton, {Sarah L.}",

note = "Funding Information: For this paper, we used data from the treatment arm of two CAPABLE trials: 1) a randomized controlled trial (RCT) funded by the National Institute on Aging (R01- AG040100) and 2) a one-armed trial funded by the Centers for Medicare and Medicaid Services (CMS, 1C1CMS330970) in which all participants received the treatment. This paper is about the process and goal-setting outcomes, we did not include the overall study outcomes. These are presented in other research reports. 11,24This study was funded by National Institute on Aging (R01- AG040100, PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970, PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program. CB the six author's time was supported by a NIH grant (K24AG056578, PI: Cynthia Boyd). Funding Information: This study was funded by National Institute on Aging ( R01- AG040100 , PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970 , PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program . CB the six author's time was supported by a NIH grant ( K24AG056578 , PI: Cynthia Boyd). Funding Information: For this paper, we used data from the treatment arm of two CAPABLE trials: 1) a randomized controlled trial (RCT) funded by the National Institute on Aging (R01- AG040100) and 2) a one-armed trial funded by the Centers for Medicare and Medicaid Services (CMS, 1C1CMS330970) in which all participants received the treatment. This paper is about the process and goal-setting outcomes, we did not include the overall study outcomes. These are presented in other research reports.11,24 This study was funded by National Institute on Aging (R01- AG040100, PI: Sarah L. Szanton), Center for Medicare and Medicaid Services (CMS, 1C1CMS330970, PI: Sarah L. Szanton), the first author JT is supported by the Robert Wood Johnson Harold Amos Medical Faculty Program. CB the six author's time was supported by a NIH grant (K24AG056578, PI: Cynthia Boyd). Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",

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Achieving self-management goals among low income older adults with functional limitations

Abstract

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