TY - JOUR
T1 - PlanYourLifeSpan.org − an intervention to help seniors make choices for their fourth quarter of life
T2 - Results from the randomized clinical trial
AU - Lindquist, Lee A.
AU - Ramirez-Zohfeld, Vanessa
AU - Sunkara, Priya D.
AU - Forcucci, Chris
AU - Campbell, Dianne S.
AU - Mitzen, Phyllis
AU - Ciolino, Jody D.
AU - Gregory, Dyanna
AU - Kricke, Gayle
AU - Cameron, Kenzie A.
N1 - Funding Information:
This work was supported through a Patient-Centered Outcomes Research Institute (PCORI) Award ( IH-12-11-4259 ). Drs. Lindquist and Ciolino had access to all study data and are responsible for the integrity of the data and the accuracy of the data analysis.
Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/11
Y1 - 2017/11
N2 - Objective Few older adults contemplate their home support and health needs that may be required for aging-in-place. We sought to assess the efficacy of PlanYourLifespan.org (PYL), in influencing seniors’ planning behaviors, perception of the importance of planning, and confidence accessing services. Method Randomized controlled trial, of adults, age ≥65 years in urban, suburban, rural areas of Texas, Illinois, Indiana. Results Among 385 participants, mean age was 71.9 years, 79.5% female. Between baseline and one-month follow-up, average planning behavior score increased 0.22 points in the PYL arm when compared to the attention control (AC) arm. After controlling for baseline, mean one-month planning behavior score was significantly higher in the PYL arm than in the AC arm (1.25 points, CI 0.37–2.12, p = 0.005). Secondary analyses via longitudinal linear mixed modelling suggested a study arm-by-time interaction effect for both planning behavior (p = 0.047 and perception of importance (p = 0.05). Significant baseline covariates included self-efficacy, education, perceived social support, power of attorney, and history of stroke. Conclusions and Practice Implications : PlanYourLifespan.org demonstrated efficacy in helping seniors plan for and communicate their health support needs. This free, nationally available tool may help individuals understand, plan, and communicate their options for their future support needs.
AB - Objective Few older adults contemplate their home support and health needs that may be required for aging-in-place. We sought to assess the efficacy of PlanYourLifespan.org (PYL), in influencing seniors’ planning behaviors, perception of the importance of planning, and confidence accessing services. Method Randomized controlled trial, of adults, age ≥65 years in urban, suburban, rural areas of Texas, Illinois, Indiana. Results Among 385 participants, mean age was 71.9 years, 79.5% female. Between baseline and one-month follow-up, average planning behavior score increased 0.22 points in the PYL arm when compared to the attention control (AC) arm. After controlling for baseline, mean one-month planning behavior score was significantly higher in the PYL arm than in the AC arm (1.25 points, CI 0.37–2.12, p = 0.005). Secondary analyses via longitudinal linear mixed modelling suggested a study arm-by-time interaction effect for both planning behavior (p = 0.047 and perception of importance (p = 0.05). Significant baseline covariates included self-efficacy, education, perceived social support, power of attorney, and history of stroke. Conclusions and Practice Implications : PlanYourLifespan.org demonstrated efficacy in helping seniors plan for and communicate their health support needs. This free, nationally available tool may help individuals understand, plan, and communicate their options for their future support needs.
KW - Aging-in-Place
KW - Home support needs
KW - Seniors
UR - http://www.scopus.com/inward/record.url?scp=85021832210&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021832210&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2017.06.028
DO - 10.1016/j.pec.2017.06.028
M3 - Article
C2 - 28689855
AN - SCOPUS:85021832210
SN - 0738-3991
VL - 100
SP - 1996
EP - 2004
JO - Patient education and counseling
JF - Patient education and counseling
IS - 11
ER -