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Publications by Anne Wilkinson for Health Policy Center

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A Framework For Identifying High-Impact Interventions To Promote Reductions In Late-Life Disability (Research Report)
Vicki Freedman, Nancy Hodgson, Joanne Lynn, Brenda C. Spillman, Timothy Waidmann, Anne Wilkinson, Douglas A. Wolf

Considerable evidence suggests that disability prevalence among older Americans has fallen, but less is known about how to promote further declines. This report develops and begins to demonstrate a framework for comparing population-level effects of interventions. We reviewed the literature for seven interventions and conducted simple modeling exercises. Evidence is strongest for exercise programs that increase strength, balance, and physical activity; depression screening with referral and feedback and therapy with pharmacologic treatment; and multi-factor fall prevention programs. Little evidence exists about the long-term effects of such interventions. Both short and long-term effects are critical when evaluating the population-level impact of such interventions.

Posted: August 04, 2008Availability: HTML

Promoting Declines in the Prevalence of Late-Life Disability: Comparisons of Three Potentially High-Impact Interventions (Article)
Vicki Freedman, Nancy Hodgson, Joanne Lynn, Brenda C. Spillman, Timothy Waidmann, Anne Wilkinson, Douglas A. Wolf

Although the prevalence of late-life disability has been declining, how to promote further reductions has been unclear. We developed an analytical framework that compares the effects of different interventions on the prevalence of late-life disability. We considered three potentially high-impact intervention strategies: physical activity programs, depression screening and treatment, and fall prevention. We conclude that in the short run multi-component fall-prevention efforts have the greatest impact. At present, longer-term impacts cannot be assessed based on the current literature and may differ from short-run conclusions, since increases in longevity may temper the effect intervention strategies have on prevalence of late-life disabilities. (Milbank Quarterly 84(3): 493-520, 2006.)

Posted: October 13, 2006Availability: HTML


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