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Improving measurement of functional status among older adults in primary care: A pilot study — Europe PMC PMID:38739582

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/38739582
DOI: 10.1371/journal.pone.0303402
License (as archived): CC0-1.0
Archived: 2026-10-06T18:31:29.569Z
SHA-256 of the archived text: 7770c12e5edcb2ed92cc7cdced566bd0a0c8d083df95c245b5d445b869784503
Stable URL of this page: https://metraipolis.com/documento/dc_052d461dcd0d

How to cite

Improving measurement of functional status among older adults in primary care: A pilot study — Europe PMC PMID:38739582 — Europe PMC (en), https://europepmc.org/article/MED/38739582 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_052d461dcd0d (Metraipolis archive dc_052d461dcd0d, sha256 7770c12e5edcb2ed92cc7cdced566bd0a0c8d083df95c245b5d445b869784503)

BibTeX

@misc{dc052d461dcd0d,
  title = {Improving measurement of functional status among older adults in primary care: A pilot study — Europe PMC PMID:38739582},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/38739582},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_052d461dcd0d; sha256 7770c12e5edcb2ed92cc7cdced566bd0a0c8d083df95c245b5d445b869784503},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/38739582. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Despite its importance for clinical care and outcomes among older adults, functional status-the ability to perform basic activities of daily living (ADLs) and instrumental ADLs (IADLs)-is seldom routinely measured in primary care settings. The objective of this study was to pilot test a person-centered, interprofessional intervention to improve identification and management of functional impairment among older adults in Veterans Affairs (VA) primary care practices. The four-component intervention included (1) an interprofessional educational session; (2) routine, standardized functional status measurement among patients aged ≥75; (3) annual screening by nurses using a standardized instrument and follow-up assessment by primary care providers; and (4) electronic tools and templates to facilitate increased identification and improved management of functional impairment. Surveys, semi-structured interviews, and electronic health record data were used to measure implementation outcomes (appropriateness, acceptability and satisfaction, feasibility, fidelity, adoption/reach, sustainability). We analyzed qualitative interviews using rapid qualitative analysis. During the study period, all 959 eligible patients were screened (100% reach), of whom 7.3% (n = 58) reported difficulty or needing help with ≥1 ADL and 11.8% (n = 113) reported difficulty or needing help with ≥1 IADL. In a chart review among a subset of 50 patients with functional impairment, 78% percent of clinician notes for the visit when screening was completed had content related to function, and 48% of patients had referrals ordered to address impairments (e.g., physical therapy) within 1 week. Clinicians highly rated the quality of the educational session and reported increased ability to measure and communicate about function. Clinicians and patients reported that the intervention was appropriate, acceptable, and feasible to complete, even during the COVID pandemic. These findings suggest that this intervention is a promising approach to improve identification and management of functional impairment for older patients in primary care. Broader implementation and evaluation of this intervention is currently underway.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: PloS one, 2024 (prima pubblicazione 2024-05-13).
Identificativi: PMID 38739582 · PMCID PMC11090365 · DOI 10.1371/journal.pone.0303402.
Descrittori MeSH principali: Activities of Daily Living; Primary Health Care.
Pagina: https://europepmc.org/article/MED/38739582 — https://doi.org/10.1371/journal.pone.0303402. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
Letto il 2026-10-06T16:55:36.199Z tramite l'API REST ufficiale di Europe PMC (EMBL-EBI), nel rispetto del robots.txt e del crawl-delay.