Evidence Bank

The Evidence Bank is a collection of research studies on common services provided by CBOs that demonstrate outcomes attractive to a health care partner. This collection is updated on a bimonthly basis. For more information, read our Explanations and Instructions page.

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Home Modification February 10, 2024 Examining the effects of home modifications on perceptions of exertion and safety among people with mobility disabilities Background People with mobility disabilities often have reduced stamina and limited energy, making daily activities physically demanding. Home modifications, such as installing grab bars and optimizing the environment, have the potential to reduce exertion and enhance safety in the h... Read More
Caregiving May 1, 2024 Caring for Caregivers Model Caregivers play a critical role in the long-term care system, but often experience significant stress and anxiety, with many showing signs of depression. The Caring for Caregivers model is designed to change the way that health systems identify and address caregiver needs, while providi... Read More
Caregiving, Participant-directed Care May 21, 2024 Participant-Direction–Caregiving Outcomes Background and Objectives Self-direction is an approach that allows older adults and people with disabilities to determine the home- and community-based services they receive, including the ability to hire caregivers of their choice. Self-direction has been shown to improve outcome... Read More
Disease Management, Fall Prevention/Mobility June 13, 2024 Remote Evidence-Based Programs for Health Promotion Background Evidence-based programs (EBPs) for health promotion were developed to reach older adults where they live, work, pray, and play. When the COVID-19 pandemic placed a disproportionate burden on older adults living with chronic conditions and the community-based organizations ... Read More
Care Management/Care Coordination June 4, 2024 Primary care and community partnerships to promote age-friendly care for Hispanic older adults Background Healthcare and community collaborations have the potential to address health-related social needs. We examined the implementation of an educational initiative and collaborative intervention between a geriatric clinic and Area Agency on Aging (AAA) to enhance age-friendly c... Read More
Person-Centered Planning February 28, 2024 Outcomes of Person-Centered Planning in Medicaid Home- and Community-Based Services Background and Objectives Person-centered planning (PCP) allows recipients of home- and community-based service (HCBS) to plan services and supports according to their preferences and needs. The extent to which HCBS systems engage in PCP and evidence for the relationship between PCP an... Read More
Person-Centered Planning February 28, 2024 Person-Centered Planning Background and Objectives Person-centered planning (PCP) allows recipients of home and community-based service (HCBS) to plan services and supports according to their preferences and needs. The extent to which HCBS systems engage in PCP and evidence for the relationship between PCP a... Read More
Meals and Nutrition March 4, 2024 Home-delivered meals Abstract Little is known about how participation in home-delivered meal programs (known as Meals on Wheels), financed in part through the Older Americans Act, relates to the use of health services and the ability to age in place for elder Medicare beneficiaries. Using 2013–20 dat... Read More
Home care, Participant-directed Care October 8, 2019 Veteran-Directed Care The Veteran-Directed Care (VDC) program facilitates independent community living among adults with multiple chronic conditions and functional limitations. Family caregivers value the choice and flexibility afforded by VDC, but rigorous evidence to support its impact on health care costs... Read More
Disease Management, Mental Health May 26, 2023 PEARLS Program Depression remains a major public health issue for older adults, increasing risk of costly health services utilization. While home-based collaborative care models (CCM) like PEARLS have been shown to effectively treat depression in low-income older adults living with multiple chronic co... Read More
Caregiving, Fall Prevention/Mobility, Interdisciplinary Team Care, Meals and Nutrition, Medication Management, Primary Care August 9, 2023 Home-Based Primary Care Introduction:  Home-based primary care (HBPC) has shown promise in the management of multiple chronic conditions for patients who are homebound or who have limited mobility. The objective of this study was to implement and evaluate an HBPC program that integrates the services of clinic... Read More
Transportation April 21, 2022 Non-emergent medical transportation: a systematic review and meta-analysis Abstract Introduction Transportation is an important social determinant of health. We conducted a systematic review of the associations on health and health care utilization of interventions aimed at reducing barriers to non-emergency transportation and non-medical transportation.... Read More
Home care September 17, 2021 Medicaid home care Abstract Importance More than 17 million people in the US provide uncompensated care for adults with physical or cognitive limitations. Such caregiving is associated with worse mental and physical health, yet little research has investigated how publicly funded home care might ame... Read More
Care Management/Care Coordination, Care Transitions September 12, 2023 Health Care Hotspotting Importance   Variability in intervention participation within care management programs can complicate standard analysis strategies. Objective   To evaluate whether care management was associated with reduced hospital readmissions among individuals with higher participation probabilit... Read More
Fall Prevention/Mobility February 20, 2023 In-Person and Remote Delivery Formats of Walk with Ease This descriptive study retrospectively evaluates the reach and impact of cohorts enrolled in Group (in-person, 2017-2020) and Self-Directed (remote, 2019-2020) delivery formats of the evidenced-based health promotion program, Walk with Ease, implemented statewide in North Carolina. An e... Read More
Disease Management, Mental Health February 2, 2023 PEARLS delivered by community health workers/promotores Background:  While depression is a leading cause of poor health, less than half of older adults receive adequate care. Inequities in both access and outcomes are even more pronounced for socially disadvantaged older adults. The collaborative care model (CCM) has potential to reduce thi... Read More
Care Management/Care Coordination, Home Modification January 1, 2023 A Pilot Randomized Controlled Trial of CAPABLE in Permanent Supportive Housing for Formerly Homeless Adults Abstract Background:  CAPABLE is a time-limited, evidence-based intervention that helps older adults live independently. It has not been previously tested for use among formerly homeless adults in permanent supportive housing (PSH) who experience accelerated aging that can jeopardiz... Read More
Home care September 8, 2022 Paid Care Services and Transitioning out of the Community Among Black and White Older Adults With Dementia Abstract Objectives Paid care provided in the home includes important support services for older adults with dementia such as cleaning and personal care assistance. By reducing unmet needs, these services could delay the transition to residential long-term care, but access may dif... Read More
Home care August 6, 2012 In-Home Care Objective: The purpose of this study was to determine whether the volume of Home- and Community-Based Services (HCBS) that target Activities of Daily Living disabilities, such as attendant care, homemaking services, and home-delivered meals, increases recipients’ risk of transitioning ... Read More
Mental Health, Participant-directed Care January 19, 2019 Mental Health Self-Directed Care Abstract Objective: Self-directed care allows individuals with disabilities and elderly persons to control public funds to purchase goods and services that help them remain outside institutional settings. This study examined effects on outcomes, service costs, and user satisfaction ... Read More
Fall Prevention/Mobility, Home Modification August 31, 2021 Home Hazard Removal Program (HARP) Importance   Falls are the leading preventable cause of morbidity, mortality, and premature institutionalization for community-dwelling older adults. Objective   To test the effectiveness of a behavioral intervention on fall risk among older adults receiving services from an Area Age... Read More
Home care, Participant-directed Care February 1, 2007 Cash and Counseling Objective To examine how a new model of consumer-directed care changes the way that consumers with disabilities meet their personal care needs and, in turn, affects their well-being. Study Setting Eligible Medicaid beneficiaries in Arkansas, Florida, and New Jersey volunteere... Read More
Caregiving January 2, 2020 Annotated Bibliography of Respite and Crisis Care Studies, 5th Edition The literature demonstrates that respite care is widely recognized as a crucial element of a comprehensive plan to help family caregivers and care recipients. This the 4th edition of the annotated bibliography which was first published by the ARCH National Respite Network and Resource C... Read More
Disease Management August 19, 2022 Take Heart Background and Objectives To assess the impact of an evidence-based self-management intervention adapted through a community-engaged process for African American midlife and older adults with heart disease and/or cardiovascular risk factors. Research Design and Methods Adults... Read More
Housing Plus Services October 1, 2018 Selfhelp Active Services for Aging Model (SHASAM) Background/objectives: There is strong evidence that housing conditions affect population health, but evidence is limited on the extent to which housing with supportive social services can maintain population health and reduce the use of expensive hospital services. Purpose: To asses... Read More