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HEALTH SYSTEM ADOPTION OF COMMUNITY-BASED EXERCISE FOR OLDER ADULTS TO ADDRESS LONELINESS AND SOCIAL ISOLATION
Allison Moser Mays, Alexander Lawton, Melissa Mandujano, L. Caballero Martinez, Nathalie Guevara, Jonathan Vickburg, Sonja L. Rosen. Innovation in Aging, 2024-12-01
Topic: Risk, prevention and care in population studies
Abstract Transitioning the delivery of evidence-based programs (EBPs) for older adults from research to community-based settings potentially alters programs’ reach. We compared the demographics of our research participants to our referred community participants after the program’s adoption by Cedars-Sinai, Community Health Improvement (CHI). Research participants enrolled in Falls Prevention EBPs reported decreased levels of loneliness and social isolation and were referred by physicians, social workers, and pharmacists using an order in the electronic medical record (EMR). Clinicians referred 1355 in-person participants (July 2017-March 2020) and 283 virtual (April 2020- May 2021). Enrolled research participants (in-person (n=382) /virtual (n=214)) had an average age of 76.6 / 76.5 years; were 83.4% / 82.5 % female; and non-Hispanic white 42 % / 70.4%; and non-Hispanic Black 43.5% / 8.2%. CHI retained the relationship with the non-profit partner who ran the study’s EBPs and the EMR order remained active and received 391 referrals (July 2021 – March 2024). Referred patients had an average age of 79.5 years, 79.3% female, 59.5% non-Hispanic white, 21.5% Black, 8.2% Hispanic, 5.9% Asian, 3.1% Other; 68.5% had Medicare and 31.7% Medicare Advantage. Referral orders were associated with diagnoses for preventative visits (18.7%), falls (15.6%), and cognitive changes (13.6%). Compared to research participants, community referrals included those with cognitive impairment, were older, more male, and more racially diverse than virtual study participants. Community implementation of EBPs may reach a more diverse population than research participants and successful transition of programs can be facilitated through preserving prior community partnerships and referral pathways.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Mays, A. M., Lawton, A., Mandujano, M., Martinez, L. C., Guevara, N., Vickburg, J., et al. (2024). HEALTH SYSTEM ADOPTION OF COMMUNITY-BASED EXERCISE FOR OLDER ADULTS TO ADDRESS LONELINESS AND SOCIAL ISOLATION. Innovation in Aging. https://doi.org/10.1093/geroni/igae098.1069
Vancouver
Mays AM, Lawton A, Mandujano M, Martinez LC, Guevara N, Vickburg J, et al. HEALTH SYSTEM ADOPTION OF COMMUNITY-BASED EXERCISE FOR OLDER ADULTS TO ADDRESS LONELINESS AND SOCIAL ISOLATION. Innovation in Aging. 2024. doi:10.1093/geroni/igae098.1069.
BibTeX
@article{mays2024-b8ac7a41,
author = {Mays, Allison Moser and Lawton, Alexander and Mandujano, Melissa and Martinez, L. Caballero and Guevara, Nathalie and Vickburg, Jonathan and Rosen, Sonja L.},
title = {{HEALTH SYSTEM ADOPTION OF COMMUNITY-BASED EXERCISE FOR OLDER ADULTS TO ADDRESS LONELINESS AND SOCIAL ISOLATION}},
journal = {Innovation in Aging},
year = {2024},
doi = {10.1093/geroni/igae098.1069},
url = {https://doi.org/10.1093/geroni/igae098.1069}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Referral orders were associated with diagnoses for preventative visits (18.7%), falls (15.6%), and cognitive changes (13.6%).
- Compared to research participants, community referrals included those with cognitive impairment, were older, more male, and more racially diverse than virtual study participants.
Why it matters
This study describes how a community exercise program for older adults was adopted by a health system and who was referred to it, including some people with cognitive changes. It reports on program reach and participant characteristics, not on any treatment, cure, or prevention of Alzheimer's disease.
Study details
- Participants382
- Effect size83.4%; 70.4%; 43.5%
- Evidence strengthLow
How this study scored 34/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Innovation in Aging) |
| Journal's citation record | 0 / 4 | Innovation in Aging: journal h-index 48 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2024 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 382 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 4 year(s) since 2024 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Sonja L. Rosen: h-index 9 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Cedars-Sinai Medical Center: institution h-index 866 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 34 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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