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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Madalina C. Chirieac, MD, Monroe County Long Term Care Program, Inc., 349 W. Commercial St., Suite 2250, E. Rochester, NY 14445, 5852488770, mchirieac@mcltcp.org, Yeates Conwell, MD, Department of Psychiatry, University of Rochester, 300 Crittenden Blvd., Room 1-9016, Rochester, NY 14642, and Gerald M. Eggert, PhD, Executive Director, Monroe County Long Term Care Program, Inc./ACCESS, 349 West Commercial Street, Suite 2250, East Rochester, NY 14445.
Older people represent the fastest growing segment of the population with high demands for social and health services. Depression and pain are among the most common comorbidities in older people, and both have a significant impact on daily physical and emotional functioning. The conceptual relationship linking chronic pain and depression has been approached in various adult samples.
This study will explore the relationship between pain, depression and functional status in a sample of 864 cognitively intact frail Medicare beneficiaries, age 65 and over, living in the community, enrolled in a multi-site Medicare demonstration project. Participants were randomly assigned to one of four groups: 1.A consumer-directed Voucher for home care services, 2. A Primary Care Health Promotion Nurse, 3. Combination of Consumer-directed Voucher and Health Promotion Nurse, and 4. A Control group that receives usual community care.
An interviewer-administered self-reported battery of measures including the SF-36, Geriatric Depression Scale, Activities of Daily Living, and Independent Activities of Daily Living were used to measure functional status and health status.
We will report baseline, 12-month data, and change scores over time that tests the hypothesis that: 1. Women experience greater levels of pain and depression compared to men, and this association persists over time. 2. In each of the intervention groups, women will show better improvement in pain/depression scores than men compared to controls.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to
Keywords: Depression, Frail Elderly
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.