Home care providers can add another item to their toolbox, proving how beneficial the service can be both clinically and financially. A new study published in JAMA Internal Medicine outlines the impact of a program (termed “CAPABLE”) delivering “up to 10 home visits over 5 months by occupational therapists, registered nurses, and home modifiers to address self-identified functional goals by enhancing individual capacity and the home environment,” according to the abstract by Johns Hopkins researchers. In comparison to a control group that received 10 social home visits by a research assistant, the test group reported a 30 percent reduction in “disability scores,” the abstract says. The details: The randomized clinical trial involved 300 low-income community-dwelling adults with a disability in Baltimore, between March 2012 and April 2016, age 65 years or older, cognitively intact, and with self-reported difficulties in activities of daily living and instrumental ADLs. Participants were interviewed in their homes at baseline, five months (end point), and 12 months (follow-up). “Low-income community-dwelling older adults who received the CAPABLE intervention experienced substantial decrease in disability,” the authors concluded. “Disability may be modifiable through addressing both the person and the environment.” See the study and a link to an invited commentary at https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2720136.