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The purpose of this preliminary study was to examine associations between leaving home to engage in bingo or gambling activity and indices of physical and mental health and social support among a representative community cohort of 1016 elderly people. Cross-sectional and longitudinal data gathered from a prospective epidemiological study in a rural, low(More)
OBJECTIVES To identify characteristics of older primary care patients who were cognitively impaired and who underwent mental status testing by their physicians. DESIGN Cross-sectional and retrospective analysis. SETTING Seven small-town primary care practices. PARTICIPANTS A total of 1,107 patients with a mean+/-standard deviation age of 76.3+/-6.6,(More)
OBJECTIVE The aim of this study was to explore associations between 2 specific cognitive domains and aspects of medication management among older primary care patients. METHODS A sample of patients aged >or=65 years drawn from several small-town primary care practices was carefully characterized by cognitive testing and use of prescription medications.(More)
OBJECTIVE : A key component of successful aging is the ability to independently perform instrumental activities of daily living (IADL). We examined the ability to perform multiple IADL tasks in relation to mild cognitive impairment (MCI) defined on purely neuropsychological grounds. DESIGN : Cross-sectional study. SETTING : Population-based cohort in(More)
BACKGROUND Neuropsychological tests, including tests of language ability, are frequently used to differentiate normal from pathological cognitive aging. However, language can be particularly difficult to assess in a standardized manner in cross-cultural studies and in patients from different educational and cultural backgrounds. This study examined the(More)
BACKGROUND Preventive services offered to older Americans are currently under-utilized despite considerable evidence regarding their health and economic benefits. Individuals with low self-efficacy in accessing these services need to be identified and provided self-efficacy enhancing interventions. Scales measuring self-efficacy in the management of chronic(More)
Older adults with arthritis or joint pain were targeted for a pilot program enhancing the Arthritis Foundation Exercise Program with the 10 Keys™ to Healthy Aging Program. Using a one-group, pre-post design, feasibility was examined and improvements in preventive behaviors, arthritis outcomes, and cardiometabolic outcomes were explored. A 10-week program(More)
BACKGROUND Evidence-based interventions exist for prevention of chronic disease in older adults. Partnering with community organizations may provide a mechanism for disseminating these interventions. OBJECTIVE To describe the partnership and program implementation by the Arthritis Foundation (AF) and the University of Pittsburgh. METHODS The AF Exercise(More)
In the community at large, many older adults with minimal cognitive and functional impairment remain stable or improve over time, unlike patients in clinical research settings, who typically progress to dementia. Within a prospective population-based study, we identified neuropsychological tests predicting improvement or worsening over 1 year in cognitively(More)
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(More)
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