Effectiveness of a community-based integrated service model for older adults living alone: A nonrandomized prospective study

Geriatr Nurs. 2021 Nov-Dec;42(6):1488-1496. doi: 10.1016/j.gerinurse.2021.10.006. Epub 2021 Oct 24.

Abstract

Objective: Older adults living alone face physical, emotional, and social health problems, and prefer to age in place (AIP) in their homes. A community-based integrated model for AIP is needed and few studies have identified its impact on older adults living alone.

Methods: This was a non-randomized prospective study. Participants were 877 community-dwelling older adults living alone, aged above 65 years, in S* city in South Korea. The intervention group (n = 331) received a community-based integrated service (CBIS) model based on AIP for six months from October 2019 to April 2020.

Results: Scores on frailty (β = -0.377, p < .001), loneliness (β = -1.897, p = .018), and health-related quality of life (β = 4.299, p = .021) significantly improved in the intervention group. Among the intervention group, loneliness scores significantly improved among participants aged under 80 years than those aged over 80 years.

Conclusion: The CBIS model improved frailty, loneliness, and quality of life in community-dwelling older adults living alone.

Keywords: Aged; Aging in place; Community-based integrated service; Quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Community Health Services
  • Home Environment*
  • Humans
  • Independent Living
  • Prospective Studies
  • Quality of Life*