chronic conditions (3.6 vs 3.5, p=0.67) or in the number hospitalized in the year prior to enrollment (20 vs 19, p=0.71) between completers and non-completers. At enrollment, completers reported less difficulty with ADLs, better mobility, and lower severity of disability risk factors compared with non-completers. Physical activity/exercise readiness (PACE) scores did not differ between completers and non-completers. Disability risk factors Table 2 shows reductions in numbers of participants with each disability risk factor targeted by HEP and reduction in the severity of each disability risk factor, during one year of HEP participation. Health status, functional status, and hospitalizations Table 3 shows the health and functional status and hospitalization of participants at enrollment and after twelve months of participation in HEP. More participants rated their health as good or better at twelve months than initially. The number of participants with one or more bed days and restricted activity days decreased, though not significantly so. There was no change in the number reporting difficulty with either ADLs or mobility. The number of participants Table 2 Number of participants with and severity (mean score) of disability risk factors at enrollment and after one year of program participationa,b Risk factor At At one year p-value enrollment follow-up Depression (n=113) Number (%) GDS score, mean+SD Physical inactivity (n=114) Number (%) PACE score, mean+SD Nutritional risk (n=111) Number (%) DETERMINE score, mean+SD 18 (15.9) 9.0+3.2 44 (38.6) 2.8+1.0 49 (44.1) 6.0+2.1 10 (8.8) 6.1+2.8 18 (15.8) 5.0+2.2 27 (24.3) 5.5+2.4 0.004 0.004 0.001 <0.001 0.001 <0.001 Abbreviations: ADL, activities of daily living: including bathing, dressing, toileting, transferring, and feeding; DETERMINE, disease, eating poorly, tooth loss or mouth pain, economic hardship, reduced social contact, multiple medications, involuntary weight loss or gain, need for assistance in self-care, elderly; GDS, 15- item Yesavage Geriatric Depression Scale; scores >5 (range 0–15) suggest depression; SD, standard deviation; PACE, Physician-based Assessment and Counseling for Exercise; scores ≤4 (range 1–11) indicate physical inactivity. Note: aFor persons with complete data at enrollment and follow-up. Numbers vary due to variation in the number of persons who answered each set of items completely at both enrollment and follow-up; bNumber (percent) and mean scores for those with disability risk factor at time of enrollment. Clinical Interventions in Aging 2006:1(3) Five state HEP dissemination Table 3 Health and functional outcomes and utilization at enrollment and after one year of program participationa Outcome At enrollment At one year p-value variable follow-up Self-rated health, number (%) (n=112) Good, very good, or excellent 77 (69) Fair or poor 35 (31) Number (%) with ≥1 bed day (n=102) 32 (31) Number (%) with ≥1 restricted activity day (n=104) 48 (46) Number (%) any ADL difficulty (n=113) 37 (33) Number (%) any mobility difficulty (n=113) 87 (77) Number (%) hospitalized (n=107) 19 (18) Hospital days, mean+SD (n=107) 0.86+3.0 87 (78) 25 (22) 24 (24) 35 (34) 37 (33) 85 (75) 19 (18) 0.92+3.1 0.09b 0.13 0.06 1.00 0.82 1.00 0.89 Abbreviations: ADL, activities of daily living; SD, standard deviation. Note: aFor persons with complete data at enrollment and follow-up. Numbers vary due to variation in the number of persons who answered each question completely at both enrollment and follow-up; bResponses dichotomized by grouping good, very good, or excellent responses together and fair or poor responses together. hospitalized and the mean number of hospital days did not substantially change from enrollment to twelve months. PCP awareness and perceptions of HEP Questionnaires were returned by 94 PCPs. Of those returning a questionnaire, approximately 60% reported that they were aware of HEP, and about 60% reported that they believed their patients had benefited from participating in the program. About 58% stated that they would recommend HEP to their patients and colleagues, although only about 45% understood the purpose of HEP. Discussion Community-dwelling adults who participated in a chronic disease self-management, disability prevention intervention for one year improved their health and reduced their disability risk factors. Specifically, fewer participants were depressed, physically inactive, and/or at nutritional risk after one year of program participation. The number of depressive symptoms declined, the level of physical activity and exercise readiness improved, and nutritional risk diminished for participants who screened positive for these risk factors at enrollment. Self-perceived health improved, fewer 271