outputs were identified by the study’s key personnel as those that would best reflect their grant’s achievements. Grantees selected the outputs to be reviewed from among outputs they had produced under the grant. These outputs included one manuscript and one abstract. The following table shows the project carried out under this grant and lists the corresponding outputs that were nominated by the grantees and reviewed by the NRC committee. The reviewed outputs are briefly described following the table.

Project/Research Domains* Outputs
A. Physical and Social Environmental Factors That Influence Health and Participation Outcomes for Chronically Ill Older Adults

Participation and Community Living
A1. Prvu Bettger, J A. (2009, November). System of support and services and the relationship with hospital utilization. Paper presented orally at the 137th American Public Health Association Annual Meeting, Gerontological Health Section, Philadelphia, PA.
  A2. Prvu Bettger, J.A. (2010, February). What aspects of the social environment are associated with physical activity post-stroke? Paper presented at International Stroke Conference, San Antonio, TX.

*The column also shows the key NIDRR research domain(s) that were being addressed by each project.

Brief Description of the Outputs: Prvu Bettger (A1) explored the relationship between hospital utilization and each level of social support and environment. The study assessed hospital utilization among 2,286 nonworking adults aged 60 or older reporting at least one chronic condition or condition requiring regular medical treatment in the 2006 Southeastern Pennsylvania Household Health Survey. Several person-level factors were found to be strongly associated with hospital utilization, such as older age, low income, poor-to-fair perception of health, and use of an assistive device. Social environment factors found to be significantly associated with hospital utilization were receipt of formal care, receipt of meal services, and absence of a regular source of care. Findings highlight the relationship between specific social supports and services and hospital utilization, but further investigation into the interaction between social factors and hospital utilization is needed.

The second output was an abstract (A2) presented at the International Stroke Conference 2010. It describes a study of stroke survivors’ activity and factors that prevent them from being physically active. Prvu Bettger analyzed the responses of 214 stroke survivors who participated in the 2004 Southeastern Pennsylvania Household Health Survey. Absence of depression, good-to-excellent health status, community participation, and use of transportation services were positively correlated with physical activity. Findings highlight the need for social environmental supports to facilitate physical activity poststroke and for greater attention to environmental influences on health behavior in health promotion research and practice.

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