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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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
Care Management/Care Coordination, Home Modification, Meals and Nutrition, Social Engagement, Transportation September 1, 2022 Guide to Evidence for Health-Related Social Needs Interventions: 2022 Update The Commonwealth Fund released a review of evidence regarding health-related social needs interventions, which is intended to help inform users of its Return on Investment (ROI) Calculator for Partnerships to Address the Social Determinants of Health. It summarizes the authors’ assessme... Read More
Caregiving, Home care, Home Modification, Institutional Transition, Meals and Nutrition April 26, 2022 CalAIM Community Supports: Promoting Independent Living Among Older Adults and People with Disabilities Through CalAIM (California Advancing and Innovating Medi-Cal), a multiyear initiative to transform California’s Medi-Cal, or Medicaid, program, managed care plans (MCPs) now have the option to offer any of 14 Community Supports that provide person-centered services to address a variety ... Read More
Meals and Nutrition April 2, 2018 Medically Tailored Meals Participants: The participants were members of Commonwealth Care Alliance (CCA), a not-for-profit community-based health plan that manages and administers care for adults older than age twenty-one who are dually eligible for Medicaid and Medicare. All CCA members with at least six mont... Read More
Care Management/Care Coordination, Home Modification November 22, 2017 Community Aging in Place, Advancing Better Living for Elders (CAPABLE) Background/objectives: Little is known about cost savings of programs that reduce disability in older adults. The objective was to determine whether the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program saves Medicaid more money than it costs to provide. D... Read More
Care Management/Care Coordination, Dementia Care January 4, 2014 Maximizing Independence at Home (MIND) Objectives To assess whether a dementia care coordination intervention delays time to transition from home and reduces unmet needs in elders with memory disorders. Design 18-month randomized controlled trial of 303 community-living elders. Setting 28 postal code areas of Baltimore,... Read More
Care Management/Care Coordination July 1, 2011 The Arkansas Community Connector Program Background: Identifying people at risk of entering nursing homes and connecting them with the home and community-based services they need could reduce long-term care spending. Design: The authors used a longitudinal, quasi-experimental research design that used propensity score match... Read More
Home care April 1, 2013 Personal Care and Homemaking programs This study of the Area Agency on Aging 1-B Personal Care and Homemaking programs documented exceptional dedication, quality, value and outcomes: The majority of home care workers donate extra personal time and resources to consumers.  24/7 access to home care agencies helps preven... Read More
Transportation April 22, 2022 Non-Emergency Medical Transportation 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. Methods We ... Read More
Home Modification August 28, 2021 Home Usability Program Background Community participation has become a key outcome measure for people with disabilities. This has resulted in a shift in researchers focus from the individual to the environment. However, research has focused primarily on participation barriers in the community with limited re... Read More
Disease Management February 12, 2016 Living Well with a Disability Approximately 56.7 million persons in the United States have functional impairments that can lead to disability. As a group, persons with disabilities show disparities in measures of overall health when compared with the general population. Much of this can be attributed to secondary co... Read More
Meals and Nutrition July 24, 2017 Supplemental Nutrition Assistance Program (SNAP) Background Although it has long been known that a broad range of factors beyond medical diagnoses affect health and health services use, it has been unclear whether additional income can decrease health service use. We examined whether Supplemental Nutrition Assistance Program (SNAP) r... Read More
Care Management/Care Coordination March 25, 2021 The Right Care, Right Place, Right Time Project: Health-Related Supports in Senior Housing Objective To test the impact of placing a wellness team (nurse and social worker) in senior housing on ambulance transfers and visits to emergency departments over 18 months. Data sources/study setting Intervention sites included seven Boston-area buildings, with five buildings at co... Read More
Care Management/Care Coordination May 31, 2021 Community Care Connections Program Background Integration of social services in health care delivery is increasingly recognized as a potential strategy for improving health and reducing the use of acute care services. Collaborative models that provide older adults with case management, linkages to social services, and a... Read More