SYMPTOM BURDEN AND HEALTH CARE UTILIZATION AMONG OLDER ADULTS LIVING WITH MULTIMORBIDITY: THE COORDINATE PROGRAM
2024

Managing Symptoms and Healthcare for Older Adults with Multiple Chronic Conditions

Sample size: 25 publication Evidence: moderate

Author Information

Author(s): Benjasirisan Chitchanok, Lim Arum, Tebay Jordan, Himmelfarb Cheryl Dennison, Davidson Patricia, Koirala Binu

Primary Institution: Johns Hopkins University

Hypothesis

The COORDINATE program will improve symptom management and reduce healthcare utilization among older adults with multimorbidity.

Conclusion

The COORDINATE program showed promising results in improving energy levels and reducing hospitalizations among older adults with multiple chronic conditions.

Supporting Evidence

  • The program was developed using experience-based co-design and human-centered principles.
  • 83% of measurable goals were fulfilled during the program.
  • Participants showed significant improvement in energy levels at the 3-month follow-up.
  • There were significant decreases in hospitalization and critical care admissions after the program.

Takeaway

This study helps older people with multiple health problems feel better and go to the hospital less often.

Methodology

The program involved 5 visits over 6 weeks, including assessments and discussions about goals and symptoms.

Limitations

The study had a small sample size and was preliminary in nature.

Participant Demographics

Participants were aged 55 and older, with a mean age of 67, 52% women, 72% Black, and 92% retired/unemployed.

Statistical Information

P-Value

p = .032; p = .01; p < .01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3023

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