Community Mental Health Journal

, Volume 53, Issue 6, pp 688–694 | Cite as

Impact of a Community-Based Frailty Intervention Among Middle-Aged and Older Prefrail and Frail Homeless Women: A Pilot Randomized Controlled Trial

  • Benissa E. Salem
  • Jennifer Ma-Pham
  • Stephanie Chen
  • Mary-Lynn Brecht
  • Anna Liza Antonio
  • Masha Ames
Original Paper

Abstract

Interventions are needed to address frailty and other behaviors (e.g., drug and alcohol use) among prefrail and frail homeless women (P/FHW). The purpose of this pilot randomized controlled trial (RCT) was to compare the efficacy of a Frailty Intervention (FI) versus a Health Promotion (HP) program among P/FHW (N = 32). Structured instruments assessed sociodemographics, individual, situational, health-related, and behavioral factors. While program differences were not statistically significant with the main outcome variables, medium-to-large effect sizes were found in favor of the HP program as it relates to physical and overall frailty, as well as, any drug use, alcohol use, and drug dependency. Based on these findings, it is critical to strengthen the HP program to optimize all domains of frailty (e.g., physical, psychological, and social) and substance use for P/FHW.

Keywords

Homeless Pre-frail/frail Middle-aged/older women Community health workers 

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Benissa E. Salem
    • 1
  • Jennifer Ma-Pham
    • 2
  • Stephanie Chen
    • 3
  • Mary-Lynn Brecht
    • 4
  • Anna Liza Antonio
    • 4
  • Masha Ames
    • 5
  1. 1.UCLA School of NursingUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Coherence Consulting IncLos AngelesUSA
  3. 3.Los Angeles County Department of Health Services (LACDHS)Los AngelesUSA
  4. 4.University of California, Los AngelesLos AngelesUSA
  5. 5.Glendale Adventist Medical CenterGlendaleUSA

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