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Member Research & Reports

Member Research & Reports

Columbia: Study Examines a New Model for Older Adult Wellness

Community-based wellness instructors can provide tailored wellness care to older adults, according to researchers at Columbia University Mailman School of Public Health. A randomized controlled trial assessing whether community self-management with wellness coaching could improve participants’ overall wellbeing was the foundation to outline the components of a new model of community-based wellness called the Person-Centered Wellness Home (PCWH). The PCWH helps patients manage chronic diseases and maintain wellness. Findings were published in a special issue on aging and public health in Innovation in Aging, a publication of the Gerontological Society of America.

The researchers enrolled 121 participants over the age of 55 with two or more chronic diseases from New York City (NYC) Housing Authority communities in the South Bronx. All participants completed a six-week workshop in which trained community lay leaders encouraged self-management skills for diseases such as arthritis, diabetes, human immunodeficienty virust (HIV), chronic pain, and cancer that are highly prevalent in the South Bronx. Participants in the treatment arm received a wellness self-coaching program that guided them to set health goals.

“There was an improvement in self-reported physical functioning by the wellness coaching group,” says first author Dr. Thelma J. Mielenz, assistant professor of epidemiology.

The study also examined the benefits of patient health information availability in wellness care. Researchers found this measure encourages patients to familiarize themselves with their health information so they can set goals.

“In underserved areas, the PCWH model may start to provide the needed support for a patient in the community and improve overall health outcomes,” says Mielenz.

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