Age-Friendly Integrative Mobile Services: A 4Ms Pilot for Community-Dwelling Older Adults.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of gerontological nursing Pub Date : 2026-03-01 Epub Date: 2025-12-18 DOI:10.3928/00989134-20251210-03
Kimberly Posey, Gina Alexander, Amanda Sease, Bekki McKintosh, Marcus Zavala, Francesca Gentea, Kevin Knight
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引用次数: 0

Abstract

Purpose: To evaluate the feasibility and preliminary outcomes of Age-Friendly Integrative Mobile Services (AIMS), a community-based model guided by the 4Ms Framework to address complex needs of underserved older adults aging in place.

Method: This longitudinal pilot enrolled adults aged ≥65 years who received in-home assessments, a mobile health unit visit, and follow-up encounters at 1 and 3 months. Nurse practitioner-pharmacist collaboration supported medication reviews and personalized care planning.

Results: Seven participants enrolled (mean age = 70 years). Frequent needs included transportation, home modifications, food insecurity, and legal aid. Three participants showed possible cognitive impairment and four were at risk for falls. All received social prescriptions aligned with goals. Interprofessional collaboration resulted in deprescribing and tailored education to improve adherence. Follow up showed increased engagement with services.

Conclusion: The AIMS pilot demonstrated feasibility and acceptability of a nurse-led, person-centered model. Community-based, age-friendly care may address disparities and promote safe aging in place.

“长者友好”综合流动服务:为社区居住的长者提供4Ms试验服务
目的:评估老年人友好型综合移动服务(AIMS)的可行性和初步结果,这是一种以社区为基础的模式,以4Ms框架为指导,解决服务不足的老年人的复杂需求。方法:这项纵向试验招募了年龄≥65岁的成年人,他们在1个月和3个月时接受了家庭评估、流动卫生单位访问和随访。护士执业药师协作支持药物审查和个性化护理计划。结果:7名参与者入组(平均年龄70岁)。常见的需求包括交通、房屋改造、食品安全以及法律援助。三名参与者表现出可能的认知障碍,四名参与者有跌倒的风险。所有人都收到了与目标一致的社会处方。跨专业合作导致了处方化和量身定制的教育,以提高依从性。后续调查显示,与服务机构的接触有所增加。结论:AIMS试点证明了护士主导、以人为本模式的可行性和可接受性。以社区为基础的老年人友好型护理可以解决差距问题,促进安全老龄化。
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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