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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Caregiving, Dementia Care August 19, 2019 REACH-TX Background and Objectives Family caregiving interventions have been proven efficacious at reducing dementia caregiver’s stress and burden, yet translation of evidence-based interventions into community-based support service programs requires modification to the original intervention pr... Read More
Care Management/Care Coordination, Medication Management June 6, 2021 HomeMeds and MedSafety Scan Objectives  Both social and medical factors can negatively affect health outcomes, especially in vulnerable populations. To address these 2 types of factors in a postdischarge population, 2 nonprofit organizations collaborated to combine their novel decision support programs and addres... Read More
Care Management/Care Coordination March 25, 2021 Health-Related Supports in Senior Housing Objectives 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 bu... Read More
Home Modification, Social Engagement January 24, 2019 Seniors Optimizing Community Integration to Advance Better Living with ESRD (SOCIABLE) Rationale & Objective Older adults with end-stage kidney disease have increased morbidity, fatigue, and decreased physical function, which can inhibit self-care and social engagement. We pilot tested a home-based program to improve physical and social functioning of low socioec... Read More
Meals and Nutrition May 18, 2011 Home-Delivered Meals It is critical to use convincing research methodology to demonstrate the benefits of nutrition assistance programs targeted to vulnerable older adults. We examined the impact of Older Americans Act Nutrition Program (OAANP) participation on food security in participants and waitlisted p... Read More
Home Modification January 30, 2015 Community Aging in Place, Advancing Better Living for Elders (CAPABLE) Abstract Current medical models frequently overlook functional limitations and the home environment even though they partially determine healthcare usage and quality of life. The Centers for Medicare and Medicaid Services (CMS) Innovation Center funds projects that have potential to af... Read More
Dementia Care, Fall Prevention/Mobility November 18, 2015 The Healthy Habits Program (HHP) Objectives There is a growing demand to reduce ethnic health disparities. The Healthy Habits Program (HHP) was implemented to provide a community-based physical activity and education intervention for Chinese older adults living in Boston, Massachusetts. This study evaluated the HHP by... Read More
Fall Prevention/Mobility August 14, 2017 On the Move Program Importance Timing and coordination exercises may be an important addition to community-based health promotion exercise programs to improve walking in older adults. Objective To compare the effectiveness of the On the Move group exercise program, which focuses on the timing and coordi... Read More
Meals and Nutrition, Medication Management June 24, 2015 Medication Management, HomeMeds/Home-delivered Meal Program Meals On Wheels, Inc. of Tarrant County (MOWI) collaborated with local community-based organizations and hospitals to provide home-delivered meals and an evidence-based medication management intervention as a care transition service. The model program was designed to address risk factor... Read More
Meals and Nutrition June 3, 2013 Meals and Medical Nutrition Therapy Abstract Chronically ill populations have a strong need for quality public health nutrition services to aid in disease management and improve health outcomes. Evidence suggests that neglecting the importance of adequate nutrition in chronically ill patients has far-reaching implication... Read More
Fall Prevention/Mobility July 12, 2016 Tai Ji Quan: Moving for Better Balance (TJQMBB) in Community Senior Centers Objectives To evaluate the impact of implementing an evidence-based fall prevention intervention in community senior centers. Methods We used a single-group design to evaluate the Tai Ji Quan: Moving for Better Balance (TJQMBB) program’s adoption, population reach, implementation, ef... Read More
Telemedicine April 17, 2019 Telehealth Intervention Programs for Seniors (TIPS) Background Chronic disease in older adults is estimated to account for 84% of annual health care spending in the United States, with many preventable costs expected to rise as the population continues to age. Introduction Telehealth Intervention Programs for Seniors (TIPS) is a commu... Read More
Transportation January 29, 2018 Ride Share Background Transportation to primary care is a well-documented barrier for patients with Medicaid, despite access to non-emergency medical transportation (NEMT) benefits. Rideshare services, which offer greater convenience and lower cost, have been proposed as an NEMT alternative. Obj... Read More
Care Management/Care Coordination March 12, 2021 Connecting Provider to Home program Objective Patients with multiple medical conditions and complex social issues are at risk for high utilization and poor outcomes. The Connecting Provider to Home program deployed teams of a social worker and a community health worker (CHW) to support patients with social issues and acc... Read More
Fall Prevention/Mobility October 11, 2016 Project Healthy Bones Background Project Healthy Bones (PHB) is a 24-week, peer-led exercise and education program for older adults at risk of osteoporosis. Method Residents from an assisted living and senior community program were enrolled after medical clearance. Participant demographics, geriatric fit... Read More
Fall Prevention/Mobility September 10, 2018 Tai Ji Quan: Moving for a Better Balance Importance Falls in older adults are a serious public health problem associated with irreversible health consequences and responsible for a substantial economic burden on health care systems. However, identifying optimal choices from among evidence-based fall prevention interventions i... Read More
Fall Prevention/Mobility July 12, 2016 Tai Ji Quan: Moving for a Better Balance Objectives To evaluate the impact of implementing an evidence-based fall prevention intervention in community senior centers. Methods We used a single-group design to evaluate the Tai Ji Quan: Moving for Better Balance (TJQMBB) program’s adoption, population reach, implementation, ef... Read More
Fall Prevention/Mobility August 8, 2018 Bingocize Objective A significant barrier to improving the health and well-being of older adults is that they often do not adhere to health-promoting programs. The present study examined whether Bingocize®, a game-centered mobile app that can combine bingo with healthy activities such as exercis... Read More
Fall Prevention/Mobility April 27, 2015 A Matter of Balance/Volunteer Lay Leader Model (MOB/VLL) Purpose of the Study The current study was designed to examine changes in falls efficacy and physical activities among oldest-old and young-old participants in a falls risk-reduction program called a matter of balance/volunteer lay leader model. Design and Methods An oldest-old group... Read More
Fall Prevention/Mobility March 21, 2015 A Matter of Balance Abstract This pre/posttest study investigated the effect of A Matter of Balance: Managing Concerns about Falls (MOB) on balance confidence in older adults. MOB is an evidence-based program designed to decrease fear of falling and increase activity in older adults. Thirty-three particip... Read More
Disease Management January 3, 2018 Living Better Beyond Pain/Vivir Mejor Más Allá del Dolor Background Patients with chronic pain often lack the skills and resources necessary to manage this disease. Objective To develop a chronic pain self-management program reflecting community stakeholders’ priorities and to compare functional outcomes from training in two settings. Des... Read More
Disease Management October 26, 2010 Informatics for Diabetes Education and Telemedicine project Objectives Adherence to diabetes self care is poor for Hispanic American and African-American patients. This study examined the change in adherence over time and in response to a telemedicine intervention for elderly diabetes patients in these groups compared to white diabetes patients... Read More
Disease Management June 22, 2018 Better Choices Better Health Diabetes (BCBH-D) Background An estimated 30.3 million Americans have diabetes mellitus. The US Department of Health and Human Services created national objectives via its Healthy People 2020 initiative to improve the quality of life for people who either have or are at risk for diabetes mellitus, and h... Read More
Disease Management August 16, 2011 Seniors Taking Charge of Your Health Abstract The purpose of this study was to explore the relationship of a history of depression with moderate physical activity and physical function before and after a physical activity intervention of congregate meal participants in senior centers from all 12 Georgia Area Agencies on A... Read More
Dementia Care, Disease Management April 10, 2014 Project Learn MORE (Missouri Outreach and Referral Expanded) (PLM) Purpose In a collaborative effort between the Missouri Department of Health, Area Agencies on Aging (AAA), Alzheimer Association, and academic researchers, we tested whether early dementia detection and comprehensive care consultations would improve health outcomes in care receivers (C... Read More