title: Community-Based Healthy Aging Interventions for Older Adults with Arthritis and Multimorbidity.
abstract: Examine the impact of programs led by community health workers on health and function in older adults with arthritis and other health conditions. We conducted a cluster-randomized trial of the Arthritis Foundation Exercise Program (AFEP) enhanced with the "10 Keys"™ to Healthy Aging compared with the AFEP program at 54 sites in 462 participants (mean age 73 years, 88 % women, 80 % white). Trained Community health workers delivered the 10-week programs. Outcomes assessed after 6 months included physical performance [Short Physical Performance Battery (SPPB)], Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, and preventive health behaviors. Both groups experienced improvements. Performance improved by 0.3 SPPB points in the AFEP/"10 Keys"™ group and 0.5 in AFEP alone; WOMAC scores declined by 3.0 and 3.9 points respectively. More participants had controlled hypertension at 6 months in both groups (60.1 % baseline to 76.7 % in AFEP/10 Keys and from 76.5 to 84.9 % in AFEP alone) and greater diabetes control (from 15.0 to 34.9 and 15.5 to 34.1 %, respectively). These community-based programs showed similar improvements in preventive health, mobility and arthritis outcomes.
authors.affiliation: Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, USA.
authors.forename: Janice C
authors.initials: JC
authors.lastname: Zgibor
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Lei
authors.initials: L
authors.lastname: Ye
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Boudreau
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.|Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Molly B
authors.initials: MB
authors.lastname: Conroy
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Joni
authors.initials: J
authors.lastname: Vander Bilt
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Rodgers
authors.affiliation: School of Nursing, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Schlenk
authors.affiliation: Boston University, Boston, USA.
authors.forename: Mini E
authors.initials: ME
authors.lastname: Jacob
authors.affiliation: Arthritis Foundation, Great Lakes Region, Pittsburgh, PA, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Brandenstein
authors.affiliation: Department of Behavioral, Health and Community Science, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Albert
authors.affiliation: Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, USA. newmana@edc.pitt.edu.|Department of Epidemiology, Center for Aging and Population Health, Graduate School of Public Health, University of Pittsburgh, A527 Crabtree Hall, 130 DeSoto Street, Pittsburgh, PA, 15261, USA. newmana@edc.pitt.edu.
authors.forename: Anne B
authors.initials: AB
authors.lastname: Newman
mesh_terms: D000368:Aged; D000375:Aging; D001168:Arthritis / Q000150:complications / Q000628:therapy*; D003153:Community Health Services; D003150:Community Health Workers; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D006299:Health Services for the Aged; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D000076322:Multimorbidity
keywords: Arthritis; Behavioral interventions; Cluster randomization; Community health workers; Comorbidity; Healthy aging; Multimorbidity