The Healthy Moves for Aging Well program piloted a home-based, low-intensity strength exercise program that targeted a nursing home certifiable, ethnically diverse sample of community-residing adults aged 65 and older. This study examined the effectiveness of the Healthy Moves program in reducing participants' number of falls, fear of falling, depression, and pain. Results indicated that participants (n = 338) had statistically significant declines in the number of falls and level of pain. These declines were found among participants who improved their exercise performance. This pilot suggests that a modest intervention that couples behavior change with seated exercise can have a positive outcome on a sample of older adults who have high levels of functional impairment and lack a regular exercise regime.

Prevalence of potential medication problems in MSSP was markedly higher than reported in the original home healthcare sample used to test the Home Health Criteria. The prevalence rate for older adults at risk for nursing home placement necessitates expanded screening and medication therapy management interventions, especially upon initial enrollment and for those taking multiple medications. Interventions are needed to increase medication problem identification and resolution while promoting collaboration among physicians, consultant pharmacists, and waiver service providers.

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