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Centre for Policy on Ageing | |
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| Outcomes of community-based social service interventions in homebound elders | | Author(s) | Mary E Charlson, Janey C Peterson, Beth L Syat |
| Journal title | International Journal of Geriatric Psychiatry, vol 23, no 4, April 2008 |
| Pages | pp 427-432 |
| Source | http://www.interscience.wiley.com |
| Keywords | Housebound ; Quality of life ; Self care capacity ; Community care ; Longitudinal surveys ; United States of America. |
| Annotation | Of 56 newly housebound clients (mean age 82) that had been referred to social services in this US study, 33% had depressive symptoms (>7 on the Geriatric Depression Scale - GDS). At baseline, clients were at or below the 25th percentile for five of eight domains of the SF-36, and mental and physical summary scores. Further, at baseline, 90% had difficulties with mobility and instrumental activities of daily living (IADLs); 61% had ADL limitations. At 6-month follow-up overall, 26% had depressive symptoms. Greater comorbidity was associated with more depressive symptoms at both baseline and follow-up. By 6 months, 18% had deteriorated on the Functional Autonomy Scale (FAS), while 11 improved. More clients had changes in quality of life, regarding the physical component score, 13% had important deterioration, while 63% improved. Similarly, 33% declined on the mental component while 27% improved. Among newly housebound older people, those with significant depressive symptoms are more likely to experience deterioration in function and quality of life over 6 months. However, those with more support showed significant improvement in the SF-36 mental component scale at 6 months. (RH). |
| Accession Number | CPA-080430212 A |
| Classmark | C6: F:59: CA: PA: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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