Healthy Lifetime - Sustainability and Quality Study

HL seeks to intervene early in the aging process when individuals have the best chance for longer term benefits of changing their health behavior, as a means to stave off functional decline, and minimize the onset or exacerbation of chronic conditions. And, for individuals who are experiencing any of the barriers described above, our HL program's Nurse Coaches are prepared and experienced in helping them achieve their highest level of functioning and self-care capacity, while integrating and collaborating with, but not duplicating, their medical services such as primary care, specialty care, and case management or medical social services. While the latter medically oriented services support clinical management, they do not focus on helping older adults maximize health and function by building self-care capacity, long term health behavior change capacity and the functional resilience necessary to sustain or regain independent living.

Inclusion criteria

• Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
• Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
• Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
• Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.

Exclusion criteria

• People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
• Are not verified users of Medicaid Home Help services [we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number];
• Have a new major health problem that they are seeing a doctor about more than once per month;
• Have been told their illness is not curable;
• Cannot remember their name, date of birth or their health problems;
• Cannot use glasses or a hearing aid to see or hear well enough to read materials on the computer or talk to the nurse easily; and,
• Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming).