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VA Boston Healthcare System developed Choose Home, an interdisciplinary, home-based program providing intensive short-term telephone and in-home medical and psychosocial case management. Anonymous surveys at discharge (n=68) and semi-structured interviews with 12 Veterans (including 8 caregivers) assessed impact and acceptability. Results showed most participants felt they were doing better at home, managing care more independently, and were satisfied. Thematic analysis identified independence and aging in place, holistic coordinated crisis support, and caregiver empowerment through education, respite, and practical assistance. Findings inform program mechanisms and support sustainment and scalability.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/choose-home-effectiveness-and-acceptability-of-a-novel-geriatric-home-based-program-abstract/424403/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/choose-home-effectiveness-and-acceptability-of-a-novel-geriatric-home-based-program-abstract/424403.png","ImageObject",300,407,{"name":92,"@type":93},"4398046744996","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the Choose Home program address?","Question",{"text":112,"@type":113},"It targets risks to older Veterans related to chronic conditions and limited resources that can lead to avoidable acute care and long-term institutionalization.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is Choose Home delivered?",{"text":117,"@type":113},"Choose Home provides intensive short-term support using telephone and in-home medical and psychosocial case management to stabilize high-risk Veterans at home.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main outcomes reported by Veterans and caregivers?",{"text":121,"@type":113},"Most Veterans/caregivers reported doing better at home, managing care more independently, and being satisfied with the program.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},424403,1790963411,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":66,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":142,"read_time":24,"preview_page_count":4},4398046744996,"1298 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.4327  \nCHOOSE HOME: EFFECTIVENESS AND  \nACCEPTABILITY OF A NOVEL GERIATRIC  \nHOME-BASED PROGRAM  \nCaroline Madrigal1, Rebecca Howe2, James Rudolph3, Meghan Makela4, Alexandra Nothern1, Wendy Abrams1, and Jane Driver5, 1. VA Boston Healthcare System, Boston, Massachusetts, United States, 2. VA Providence Healthcare System, Providence, Rhode Island, United States, 3. VA Providence, Providence, Rhode Island, United States, 4. VA Boston Healthcare System, West Roxbury, Massachusetts, United States, 5. VA Boston Healthcare System, Brockton, Massachusetts, United States  \nOlder Veterans prefer to ‘age in place’ in their homes/communities. However, complex, chronic medical conditions and limited resources put Veterans at risk for avoidable acute care use and long-term institutionalization. VA Boston Healthcare System developed Choose Home, an interdisciplinary, home-based program that provides intensive, short-term support via telephone and in-home medical and psychosocial case management. The program is designed to stabilize high-risk Veterans in their homes, promoting independence and connecting them to needed services. To evaluate the program’s impact from Veterans’ and their caregivers’ perspectives, we collected anonymous surveys at program discharge (n = 68) and conducted in-depth, semi-structured interviews with 12 Veterans (including 8 caregivers) . 84%(n = 57) of Veterans/caregivers felt they were doing better at home after program participation, 90%(n = 61) felt better able to manage their care independently, and 88%(n = 60) felt satisfied with the program. We used thematic analysis to identify key programmatic outcomes from Veterans’ viewpoints, including: 1) independence/aging in place, via providing supports that allow Veterans to maintain autonomy and dignity; (2) holistic care during health crises, by offering coordinated support to help Veterans and families navigate overwhelming medical events;  \n(3) caregiver empowerment, through education, respite, and practical assistance to mitigate burnout. Veterans’ perceptions of how Choose Home impacted their trajectory provide important insights into the program’s mechanisms of success which are essential for sustainment and scalability. Findings reflect the perceived effectiveness and acceptability of the program and highlight the value of integrated, community-based  \nInnovation in Aging, 2025, Vol. 9, No. S2 1299  \ncare models in enhancing the well-being and autonomy of Veterans and their caregivers.","cbCaifEhHt3oaoaf","https://ap.wps.com/l/cbCaifEhHt3oaoaf","pdf",2273668,"English","# Background\n# Program Design\n# Evaluation Methods\n# Outcomes and Themes\n## Independence and Aging in Place\n## Holistic Crisis Support\n## Caregiver Empowerment\n# Implications","[{\"question\":\"What problem does the Choose Home program address?\",\"answer\":\"It targets risks to older Veterans related to chronic conditions and limited resources that can lead to avoidable acute care and long-term institutionalization.\"},{\"question\":\"How is Choose Home delivered?\",\"answer\":\"Choose Home provides intensive short-term support using telephone and in-home medical and psychosocial case management to stabilize high-risk Veterans at home.\"},{\"question\":\"What were the main outcomes reported by Veterans and caregivers?\",\"answer\":\"Most Veterans/caregivers reported doing better at home, managing care more independently, and being satisfied with the program.\"}]","CHOOSE HOME: EFFECTIVENESS AND ACCEPTABILITY OF A NOVEL GERIATRIC HOME-BASED PROGRAM - Abstract | PDF",1790634086]