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This study tested an adapted CAPABLE intervention for older Veterans (CAPABLE-VA) within a hybrid effectiveness-implementation trial, providing one year of facilitation across VA sites. RE-AIM assessed implementation outcomes, while health, ADLs, IADLs, falls self-efficacy, depressive symptoms, and pain were evaluated pre- and post-intervention, with qualitative insights via PRISM interviews. Across four sites (n=30), many received full clinical dose and critical home repairs. Significant improvements were observed in health status, ADL performance, depressive symptoms, and pain, with interviews noting safer homes and reduced barriers despite administrative burden.",{"@graph":69,"@context":126},[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":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/implementation-of-the-capable-program-plus-critical-home-repairs-among-older-veterans-research-report/426613/",{"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/implementation-of-the-capable-program-plus-critical-home-repairs-among-older-veterans-research-report/426613.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does CAPABLE-VA address for older Veterans?","Question",{"text":112,"@type":113},"It targets causes of disability at home to help low-income, community-dwelling older adults age in place, especially when functional decline is present.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was CAPABLE-VA implemented and facilitated in VA sites?",{"text":117,"@type":113},"Sites received one year of implementation facilitation, including training and implementation team meetings, as part of the adapted CAPABLE-VA program.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes improved after CAPABLE-VA, and how were they measured?",{"text":121,"@type":113},"Veterans reported significant improvements in overall health status, ADL performance, depressive symptoms, and pain. Effectiveness outcomes were assessed with pre- and post-intervention measures, while implementation outcomes used the RE-AIM framework and interviews used PRISM.",{"name":123,"@type":110,"acceptedAnswer":124},"What challenges were reported regarding scale-up of the multi-component intervention?",{"text":125,"@type":113},"Interviews noted that CAPABLE-VA made homes safer and aging in place easier, but the program’s administrative burden was highlighted as a barrier to reaching Veterans at scale.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},426613,1790790168,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":24},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","Innovation in Aging, 2025, Vol. 9, No. S2 1237  \nAbstract citation ID: igaf122.4137  \nIMPLEMENTATION OF THE CAPABLE PROGRAM PLUS CRITICAL HOME REPAIRS AMONG OLDER VETERANS  \nConnor Mitchell1, Laura Ellen Ashcraft2, Amanda Peeples3, Octavia Goodman4, Robert Burke5, Allyson Evelyn-Gustave6, Sarah Szanton7, and Rebecca Brown2, 1. Department of Veterans Affairs, Philadelphia, Pennsylvania, United States, 2. University of Pennsylvania, Philadelphia, Pennsylvania, United States, 3. Veterans Health Administration, Philadelphia, Pennsylvania, United States, 4. Corporal Michael J. Crescenz VAMC | U.S. Department of Veterans Affairs, Philadelphia, Pennsylvania, United States, 5. Center for Healthcare Evaluation, Research, and Promotion, Philadelphia, Pennsylvania, United States, 6. Johns Hopkins School of Nursing, Johns Hopkins School of Nursing, Maryland, United States, 7. Johns Hopkins University, Baltimore, Maryland, United States  \nEffective programs are needed to facilitate aging in place, particularly among the growing number of older adults with functional decline. The Community Aging in Place-Advancing Better Living for Elders (CAPABLE) intervention, delivered by  \n1238 Innovation in Aging, 2025, Vol. 9, No. S2  \nan interdisciplinary team, helps low-income, community-dwelling older adults to address causes of disability at home. We tested the implementation of CAPABLE among older Veterans in The Safer Aging Though Geriatrics-Informed Evidence-Based Practices Quality Enhancement Research Initiative hybrid type III effectiveness-implementation trial. We adapted CAPABLE to fit the Veterans Affairs (VA) context (CAPABLE-VA) and provided one year of implementation facilitation (e.g., training, implementation team meetings) to sites. Implementation outcomes were measured using the RE-AIM framework, effectiveness outcomes (general health status, ADLs, IADLs, falls self-efficacy, depressive symptoms, pain) using pre- and post-intervention assessments, and qualitative outcomes through post-intervention interviews using the PRISM framework. Four sites enrolled 30 Veterans: 53%(n = 16) received the full clinical dose of CAPABLE-VA; 90%(n=27) received home modifications (e.g., grab bars, walk-in showers, entryway ramps); and 73%(n = 22) received critical home repairs (e.g. repairing or replacing plumbing, flooring, staircases) . Veterans reported significant improvements in overall health status (p \u003C 0.001), ADL performance (p = 0.002), depressive symptoms (p = 0.03), and pain (p = 0.01) . Interviews with Veterans and staff indicated that CAPABLE-VA made homes safer and aging in place easier, though the program’s administrative burden was noted. These findings underscore the need to pair CAPABLE with critical home repairs for low-income older Veterans, while highlighting the challenges of reaching Veterans at scale with a complex, multi-component intervention within the VA.","cbCaijVrwPDW2Xoo","https://ap.wps.com/l/cbCaijVrwPDW2Xoo","pdf",2126451,"English","# Study Background and Adaptation\n## CAPABLE Intervention and CAPABLE-VA\n# Trial Design and Facilitation\n## Effectiveness-Implementation Framework\n# Outcomes and Measures\n## RE-AIM and PRISM Approaches\n# Results and Interpretation\n## Quantitative Improvements and Qualitative Feedback","[{\"question\":\"What problem does CAPABLE-VA address for older Veterans?\",\"answer\":\"It targets causes of disability at home to help low-income, community-dwelling older adults age in place, especially when functional decline is present.\"},{\"question\":\"How was CAPABLE-VA implemented and facilitated in VA sites?\",\"answer\":\"Sites received one year of implementation facilitation, including training and implementation team meetings, as part of the adapted CAPABLE-VA program.\"},{\"question\":\"What outcomes improved after CAPABLE-VA, and how were they measured?\",\"answer\":\"Veterans reported significant improvements in overall health status, ADL performance, depressive symptoms, and pain. Effectiveness outcomes were assessed with pre- and post-intervention measures, while implementation outcomes used the RE-AIM framework and interviews used PRISM.\"},{\"question\":\"What challenges were reported regarding scale-up of the multi-component intervention?\",\"answer\":\"Interviews noted that CAPABLE-VA made homes safer and aging in place easier, but the program’s administrative burden was highlighted as a barrier to reaching Veterans at scale.\"}]","IMPLEMENTATION OF THE CAPABLE PROGRAM PLUS CRITICAL HOME REPAIRS AMONG OLDER VETERANS - Research Report | PDF",1790641151]