Age-Friendly Integrative Mobile Services: A 4Ms Pilot for Community-Dwelling Older Adults
Posey, Kimberly; Alexander, Gina; Sease, Amanda; McKintosh, Bekki; Zavala, Marcus; Gentea, Francesca; Knight, Kevin
Why this matters
Aging services planners weighing a nurse-led mobile model should read this as a feasibility signal rather than evidence of effect. The pilot enrolled seven adults aged 65 and older for in-home assessment, a mobile health unit visit and follow-up at one and three months, finding frequent needs for transportation, home modifications, food and legal aid, with three participants showing possible cognitive impairment and four at risk for falls.
Abstract
To evaluate the feasibility and preliminary outcomes of Age-Friendly Integrative Mobile Services (AIMS), a community-based model guided by the 4Ms Framework to address complex needs of underserved older adults aging in place. This longitudinal pilot enrolled adults aged ≥65 years who received in-home assessments, a mobile health unit visit, and follow-up encounters at 1 and 3 months. Nurse practitioner-pharmacist collaboration supported medication reviews and personalized care planning. Seven participants enrolled (mean age = 70 years). Frequent needs included transportation, home modifications, food insecurity, and legal aid. Three participants showed possible cognitive impairment and four were at risk for falls. All received social prescriptions aligned with goals. Interprofessional collaboration resulted in deprescribing and tailored education to improve adherence. Follow up showed increased engagement with services. The AIMS pilot demonstrated feasibility and acceptability of a nurse-led, person-centered model. Community-based, age-friendly care may address disparities and promote safe aging in place.