Trial reportJournal of the American Geriatrics Society2009
Long-term effect on mortality of a home intervention that reduces functional difficulties in older adults: results from a randomized trial.
Trial report in Journal of the American Geriatrics Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Pooled it
- Barriers and facilitating factors influencing implementation of occupational therapy home assessment recommendations: A mixed methods systematic review.Australian occupational therapy journal · 2022Pooled it
- Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.The Cochrane database of systematic reviews · 2021Pooled it
- Accessible Home Environments for People with Functional Limitations: A Systematic Review.International journal of environmental research and public health · 2016Pooled it
- Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.The Cochrane database of systematic reviews · 2016Pooled it
- Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Managing patients with multimorbidity: systematic review of interventions in primary care and community settings.BMJ (Clinical research ed.) · 2012Pooled it
- Effect of a Biobehavioral Environmental Approach on Disability Among Low-Income Older Adults: A Randomized Clinical Trial.JAMA internal medicine · 2019Trial
- Development of a complex intervention aimed at reducing the risk of readmission of elderly patients discharged from the emergency department using the intervention mapping protocol.BMC health services research · 2018Trial
- E pluribus unum: Harmonization of physical functioning across intervention studies of middle-aged and older adults.PloS one · 2017Trial
- For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently.BMC geriatrics · 2016Trial
- CAPABLE trial: a randomized controlled trial of nurse, occupational therapist and handyman to reduce disability among older adults: rationale and design.Contemporary clinical trials · 2014Trial
- Community aging in place, advancing better living for elders: a bio-behavioral-environmental intervention to improve function and health-related quality of life in disabled older adults.Journal of the American Geriatrics Society · 2011Trial
- Readiness to use compensatory strategies among older adults with functional difficulties.International psychogeriatrics · 2010Trial
- Associations among pain, depression, and functional limitation in low-income, home-dwelling older adults: An analysis of baseline data from CAPABLE.Geriatric nursing (New York, N.Y.)Trial
- Adaptation Outcomes of a CAPABLE-Family Open-Label Pilot Study for Community-Dwelling Older Adults With Mild Cognitive Impairment/Early Dementia and Disability.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Utilization of Occupational and Physical Therapy Home Health Visits Among People Living With Dementia With Varying Social Determinants of Health.Journal of the American Medical Directors Association · 2025Article
- Effectiveness of Robot Care Intervention and Maintenance for People with Dementia: A Systematic Review and Meta-Analysis.Innovation in aging · 2025Review
- Rehabilitation interventions at senior day centres for older adults: a scoping review.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate the long-term mortality effect of a home-based intervention previously shown to reduce functional difficulties and whether survivorship benefits differ according to initial mortality risk level.
designTwo-group randomized trial with survivorship followed up to 4 years from study entry.
settingHomes of urban community-living elderly people.
participantsThree hundred nineteen adults aged 70 and older with difficulties performing daily activities.
interventionOccupational and physical therapy sessions to instruct participants in compensatory strategies, home modifications, home safety, fall recovery techniques, and balance and muscle strength exercises. MEASUREMENTS: Survival time was number of days between baseline interview and date of death, as determined using data from the National Death Index or December 31, 2005. Participants were stratified according to baseline mortality risk (low, moderate, high) using a prognostic indicator.
resultsAt 2 years, intervention participants (n=160) had a 5.6% mortality rate (n=9 deaths) and controls (n=159) a 13.2% rate (n=21 deaths; P=.02). Mortality rates remained lower for intervention participants up to 3.5 years from study entry. At 2 years, intervention participants with moderate mortality risk had a 16.7% mortality rate (n=16 deaths/96), compared with 28.2% for equivalent control group participants (n=24 deaths/85; P=.02). By 3 years, mortality rates were not statistically significantly different between the experimental and control groups.
conclusionsThe intervention extended survivorship up to 3.5 years and maintained statistically significant differences for 2 years. Subjects at moderate mortality risk derived the most intervention benefit. Findings suggest that the intervention could be a low-cost clinical tool to delay functional decline and mortality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.