Author: Sarah L. Szanton PhD, RN, Bruce Leff MD, MHS, Qiwei Li PhD, Jill Breysse MHS, Sandra Spoelstra PhD, RN, Judith Kell MPA, James Purvis MSW, Qian-Li Xue PhD, Jonathan Wilson MPP, Laura N. Gitlin PhD

Publication Date: July 27, 2021

Description: Programs to reduce disability are crucial to the quality of life for older adults with disabilities. Reducing disability is also important to avert unnecessary and costly hospitalizations, relocation, or nursing home placements. Few programs reduce disability and few have been replicated and scaled beyond initial research settings. CAPABLE is one such program initially tested in a randomized control trial and has now been tested and replicated in multiple settings. CAPABLE, a 10-session, home-based interprofessional program, provides an occupational therapist, nurse, and handyworker to address older adults' self-identified functional goals by enhancing individual capacity and home environmental supports. We examine evidence for the CAPABLE program from clinical trials embedded in different health systems on outcomes that matter most to older adults with disability.

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Keywords: disability, health disparities, implementation