title: Impact of geriatric assessment and self-management support on community-dwelling older adults with chronic illnesses.
abstract: OBJECTIVE
  The purpose of this study was to assess the effectiveness of interdisciplinary geriatric home-based assessment and self-management support services to community-dwelling older adults.
  
  
  METHODS
  A quasi-experimental, pre-post test design tested two types of service delivery models. The first protocol included geriatric assessment services, with a brief self-management care plan intervention. The second protocol added a telephone support intervention.
  
  
  RESULTS
  All participants showed significant progress in improved self-efficacy, self-rated health, functional status and physical mobility (specifically lower extremity muscle strength), mental health (specifically reduced depression) and in reduced fall hazards in their physical home environment. The telephone support intervention protocol did not provide additional value to the first protocol.
  
  
  CONCLUSIONS
  This study demonstrates the value of non-medical intervention strategies for community dwelling older adults with chronic illnesses.
authors.affiliation: Kent School of Social Work, University of Louisville, Louisville, Kentucky 40202, USA. acfaul01@louisville.edu
authors.forename: Anna C
authors.initials: AC
authors.lastname: Faul
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Yankeelov
authors.forename: Noell L
authors.initials: NL
authors.lastname: Rowan
authors.forename: Patricia
authors.initials: P
authors.lastname: Gillette
authors.forename: Lori D
authors.initials: LD
authors.lastname: Nicholas
authors.forename: Kevin W
authors.initials: KW
authors.lastname: Borders
authors.forename: Stacy
authors.initials: S
authors.lastname: Deck
authors.forename: David
authors.initials: D
authors.lastname: Pariser
authors.forename: Mark
authors.initials: M
authors.lastname: Wiegand
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000203:Activities of Daily Living; D000368:Aged; D002908:Chronic Disease; D005260:Female; D015577:Geriatric Assessment; D006299:Health Services for the Aged / Q000458:organization & administration*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008603:Mental Health; D053580:Muscle Strength; D012648:Self Care; D020377:Self Efficacy; D013689:Telephone