eprintid: 7979
rev_number: 4
userid: 6
dir: disk0/00/00/79/79
datestamp: 2011-11-10 19:46:09
lastmod: 2016-11-15 13:44:05
status_changed: 2011-11-10 19:46:09
type: thesis_degree
metadata_visibility: show
contact_email: jslever@gmail.com
item_issues_count: 0
eprint_status: archive
creators_name: Lever, Jonathan Scott
creators_email: jslever@gmail.com
title: Outcomes Evaluation of Support and Timely Attention for You
ispublished: unpub
divisions: sch_gsph_behavioralcommhealthsci
full_text_status: public
keywords: Aging in Place
abstract: Background: Older adults prefer to maintain an independent lifestyle even though there are physical, psychological, and social factors that sometimes affect their ability to maintain this style of living. Support and Timely Attention for You (STAY) is an aging in place program that helps older adults remain independent and delays their movement to higher levels of care such as those offered in assisted living or skilled nursing facilities. To determine whether STAY increased the number of days in independent living and decreased the number of hospital admissions, an outcomes evaluation was conducted. Methods: Independent living residents were divided into two groups, those receiving STAY services, (STAY), and those not receiving STAY services (nSTAY). The number of falls, hospital admissions, number of days in independent living, and scores from the Senior LIFEsteps assessment were analyzed before and after the program began.Results: A number of findings suggested STAY was having a positive impact. For example, return to independent living (IL) following a hospital admission increased. Nearly 70% of hospital admissions in 2010 involved a STAY resident, and of these, 72.7% of the residents were able to return to IL. The percentage of STAY residents admitted to the hospital decreased from 44.7 % in 2009 to 33% in 2010. Interpretation of the Senior LIFEsteps data indicates the health status of STAY residents did not decline over the years. The majority of falls and illnesses involved STAY residents. Conclusions: The STAY program provides a high quality of care to the residents. Due to the difficulties in obtaining a control group, it was impossible to determine whether the STAY program increases the number of days in independent living. However, there appears to be a number of positive findings relative to program impact. A stronger design would be needed to demonstrate these outcomes are due to STAY. Public Health Significance: The STAY program provides a unique way for older adults to maximize their quality of life as they age in place. This type of program has the potential to decrease healthcare cost by reducing hospital admissions caused by medication non-adherence, falls, and illnesses.
date: 2011-09-22
date_type: completed
institution: University of Pittsburgh
refereed: TRUE
etdcommittee_type: committee_chair
etdcommittee_type: committee_member
etdcommittee_type: committee_member
etdcommittee_name: Ricci, Edmund
etdcommittee_name: Lin, Michael Ken-Kou
etdcommittee_name: Albert, Steven
etdcommittee_email: emricci@pitt.edu
etdcommittee_email: linm@pitt.edu
etdcommittee_email: smalbert@pitt.edu
etdcommittee_id: EMRICCI
etdcommittee_id: LINM
etdcommittee_id: SMALBERT
etd_defense_date: 2011-06-06
etd_approval_date: 2011-09-22
etd_submission_date: 2011-05-30
etd_access_restriction: immediate
etd_patent_pending: FALSE
assigned_doi: doi:10.5195/pitt.etd.2011.7979
thesis_type: thesis
degree: MPH
committee: Edmund Ricci (emricci@pitt.edu) - Committee Chair
committee: Michael Ken-Kou Lin (linm@pitt.edu) - Committee Member
committee: Steven Albert (smalbert@pitt.edu) - Committee Member
etdurn: etd-05302011-185049
other_id: http://etd.library.pitt.edu/ETD/available/etd-05302011-185049/
other_id: etd-05302011-185049
citation:   Lever, Jonathan Scott  (2011) Outcomes Evaluation of Support and Timely Attention for You.  Master's Thesis, University of Pittsburgh.    (Unpublished)  
document_url: http://d-scholarship-dev.library.pitt.edu/7979/1/Lever_Jonathan_2011_06_11.pdf