%0 Journal Article %T A Community %A Alaina P. Boyer %A Consuelo H. Wilkins %A Jeannine S. Skinner %A Judith M. Smith %A Nancy Morrow-Howell %A Stanley J. Birge %J Journal of Aging and Health %@ 1552-6887 %D 2019 %R 10.1177/0898264317731427 %X Objective: Examine the effects of a 6-month health multidimensional intervention on physical function, bone density, and mood in a diverse sample of community-dwelling older adults at risk for frailty and excess disability. Method: A quasi-experimental, pre- post-program design was implemented. Adults aged 55 years and older (n = 337, 60% African American) participated in the intervention and received assessments at baseline, 6 months, and 12 months. Results: Physical function was maintained during the intervention for both African American and White elders but declined at 12 months for both groups (p < .0001). Symptoms of depression improved during the intervention (M = 0.65 ¡À 0.07, M = 0.15 ¡À 0.04, M = 0.68 ¡À 0.07, p < .001, respectively) but worsened at 12 months (M = 0.68 ¡À 0.07, p < .001). Bone density scores remained stable from baseline (distal: £¿1.62 ¡À 1.17, proximal: £¿2.73 ¡À 1.85) to 12 months (distal: £¿1.72 ¡À 1.21, proximal: £¿3.11 ¡À 1.85, ps > .05) for both groups. Discussion: Program findings may serve as a basis for the development of a randomized, controlled study to provide empirical evidence of intervention efficacy. Such findings may help inform the development of community-based programs to identify vulnerable older adults and provide vital preventative care to decrease frailty and excess disability %K frailty %K disability %K prevention %K collaborative care %U https://journals.sagepub.com/doi/full/10.1177/0898264317731427