The wellness in senior housing (W.I.S.H.) project: Its impact on perceived health status of older adults residing in a government subsidized housing community
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Robert A. Wade Koch, DNS, MSN, RN, NE-BC, OCN
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The purpose of this longitudinal study was to examine the effectiveness of a health promotion program in a federally funded senior housing facility. The researcher explored the differences in perceived health status in older adults that had high or low attendance levels at various health promotion activities over time (6 months and 18 months). The health promotion activities in this investigation included: (1) exercise/movement, (2) social/supportive, and (3) screening/teaching. The study analyzed whether specific health promotion interventions produced optimum perceived health status, and if the presence of specific health conditions (arthritis, hypertension, visual disturbances, and fall incidents) predicted attendance to health promotion interventions.
The sample consisted of 80 individuals (65 years and older) who resided in the housing community from May 1998 until December 1999. Data was collected through a record review of eligible residents' health files that included scores from the “Medical Outcome Trust SF-12 Health Status” instrument. The SF-12 yields a perceived physical health score (PCS) and perceived mental health score (MCS).
The results of the analysis revealed a significant decline in perceived physical health status within the low attendance exercise/movement group from pre-intervention to the 18-month measure. Within the social/supportive groups, improved mental health status was evident for the high attendees from pre-intervention to 18-months time point with a corresponding decline in perceived mental health status for the low attendee in the same time frame. High attendees in the screening/teaching intervention also increase in perceived mental health status from pre-intervention to 18 months.
In examining which intervention (or combination of interventions) produced the greatest gain scores, individuals categorized in the “exercise/movement plus screening/teaching” category exhibited the greatest gain in perceived physical health status. Whereas, individual categorized in the “social/supportive plus screening/teaching” category demonstrated the greatest gain scores in perceived mental health status.
The selected health variables failed to produce statistically significant separations among either the high attendee group from the low attendee group in the health promotion activities. However, the presence of arthritis approached statistical significance in predicting the low attendees to all the health promotion interventions.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3028641; ProQuest document ID: 304774427. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Retrospective Longitudinal |
Research Approach | Secondary Analysis |
Keywords | Elderly Adults; Government-Subsidized Housing; Health Status; Senior Housing |
Grantor | Louisiana State University Health Science Center |
Advisor | Roussell, Linda; Beare, Patricia; Stranek, Linn |
Level | Doctoral-Other |
Year | 2001 |
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