{"doi":"10.1093/geront/gnaf079","title":"Can We Borrow Your Intervention? Randomized Controlled Trial of an Older Adult Telehealth Wellness Promotion Program Adapted for Middle-Aged Adults With Physical Disability","abstract":"BACKGROUND AND OBJECTIVES: The widespread availability of evidence-based, community-embedded health promotion programs for older adults represents a major achievement in gerontology. Many of these programs may also be suitable for younger adults with early-acquired disability, creating an opportunity to leverage existing resources and networks. However, the evidence base supporting these programs has often excluded people with early-acquired or long-term disability. RESEARCH DESIGN AND METHODS: This project represented a \"bridging\" partnership among a group of academic disability researchers and a community service organization serving older adults. The team identified an existing health coaching program for older adults (EnhanceWellness), engaged in a formal adaptation process, and conducted a 3-arm randomized controlled trial in 505 middle-aged adults with long-term, physical disability. Participant-reported outcomes (mood, community participation, and self-efficacy) were assessed at baseline, mid-intervention (3 months), postintervention (6 months), and 12 months, utilizing PROMIS measures. EnhanceWellness was compared to health education or treatment as usual. RESULTS: Participants were middle-aged (M = 55.8 years) and primarily women (79%), who had lived with a disability-associated health condition for an average of 23 years. Linear mixed-effects modeling suggested superiority of EnhanceWellness in increasing participation outcomes, and effects were maintained at the 12-month follow-up. Intervention effects were partially mediated by improvements in disease management self-efficacy. There were no significant treatment effects on depression. DISCUSSION AND IMPLICATIONS: Results emphasize the potential for adaptation as a strategy to extend the existing network of older adult interventions to serve those living with long-term disability.","journal":"The Gerontologist","year":2025,"id":520604,"datarank":0.30061122327480033,"base_score":1.791759469228055,"endowment":1.791759469228055,"self_citation_contribution":0.26876392038420827,"citation_network_contribution":0.03184730289059208,"self_endowment_contribution":0.26876392038420827,"citer_contribution":0.03184730289059208,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":2,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9507,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03653390"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1390529,"name":"Katie Singsank","orcid":null,"position":1,"is_corresponding":false},{"id":1390530,"name":"Nova Rivera","orcid":null,"position":2,"is_corresponding":false},{"id":1390138,"name":"Leah Munroe","orcid":"0009-0008-2854-1868","position":3,"is_corresponding":false},{"id":1390531,"name":"Aaron Flaster","orcid":null,"position":4,"is_corresponding":false},{"id":656902,"name":"Andrew Humbert","orcid":"0000-0003-3512-2780","position":5,"is_corresponding":false},{"id":1390532,"name":"Deidre Daymon","orcid":null,"position":6,"is_corresponding":false},{"id":635725,"name":"Meghan Thompson","orcid":null,"position":7,"is_corresponding":false},{"id":1390139,"name":"Bishan Yang","orcid":"0009-0002-2924-3228","position":8,"is_corresponding":false},{"id":1259956,"name":"Paige Denison","orcid":null,"position":9,"is_corresponding":false},{"id":1390137,"name":"Ivan Molton","orcid":"0000-0002-5298-2793","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":null,"created_at":"2026-07-19T02:49:28.470782Z","pmid":"39969182","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}