{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:17:49Z","timestamp":1791238669391,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["U1QHP28716"],"award-info":[{"award-number":["U1QHP28716"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND\/OBJECTIVES<\/jats:title>\n                    <jats:p>To describe a screening and intervention program for geriatric syndromes instituted at a rural healthcare system that utilizes the 4Ms of an age\u2010friendly health system, and to provide exercise and cognitive stimulation therapy (CST) as part of an age\u2010friendly health program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Retrospective evaluation of clinical data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Rural primary healthcare system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Older adults aged 65\u2009years and older in Perry County, Missouri.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>Screening for geriatric syndromes was done using the Rapid Geriatric Assessment (RGA), which includes the FRAIL, SARC\u2010F, Simplified Nutritional Appetite Questionnaire (SNAQ), and Rapid Cognitive Screen (RCS). Outcomes for exercise and CST included the Five Times Sit to Stand (FTSS) and Timed Up and Go (TUG) tests, Cornell Scale for Depression in Dementia (CSDD), Saint Louis University Mental Status Examination (SLUMS), and Quality of Life in Alzheimer's Disease (QoL\u2010AD) measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The RGA was administered to 1,326 individuals of which 36.5% were frail, 42.1% were sarcopenic, 26.1% were at risk for anorexia, and 20.8% had dementia. Of these receiving exercise therapy, both the FTSS and the TUG were improved at 3 months and 12 to 24\u2009months. In the CST group, SLUMS, QoL\u2010AD, and CSDD were improved at 7\u2009weeks and 6 to 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>It is feasible to introduce a screening program for geriatric syndromes and respond to the results with successful exercise and cognitive stimulation therapy programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16959","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T17:08:13Z","timestamp":1607101693000},"page":"806-812","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["An\n                    <scp>Age\u2010Friendly<\/scp>\n                    Health System"],"prefix":"10.1111","volume":"69","author":[{"given":"Janice","family":"Lundy","sequence":"first","affiliation":[{"name":"Department of Social Work and Geriatric Care Management Perry County Memorial Hospital  Perryville Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Hayden","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Perry County Memorial Hospital  Perryville MO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Pyland","sequence":"additional","affiliation":[{"name":"Department of Social Work and Geriatric Care Management Perry County Memorial Hospital  Perryville Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marla","family":"Berg\u2010Weger","sequence":"additional","affiliation":[{"name":"School of Social Work Saint Louis University  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore K.","family":"Malmstrom","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience Saint Louis University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Morley","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, Department of Internal Medicine Saint Louis University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Active Ageing: A Policy Framework","author":"World Health Organization","year":"2002"},{"key":"e_1_2_6_3_1","volume-title":"Integrated Care for Older People: Guidelines on Community\u2010Level Interventions to Manage Declines in Intrinsic Capacity","author":"World Health Organization","year":"2017"},{"key":"e_1_2_6_4_1","unstructured":"The John A. 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