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OBJECTIVES: To test the efficacy of a multicomponent intervention to reduce functional difficulties, fear of falling, and home hazards and enhance self‐efficacy and adaptive coping in older adults with chronic conditions.

DESIGN: A prospective, two‐group, randomized trial. Participants were randomized to a treatment group or no‐treatment group.

SETTING: Urban community‐living older people.

PARTICIPANTS: Three hundred nineteen community‐living adults aged 70 and older who reported difficulty with one or more activities of daily living.

INTERVENTION: Occupational and physical therapy sessions involving home modifications and training in their use; instruction in strategies of problem‐solving, energy conservation, safe performance, and fall recovery techniques; and balance and muscle strength training.

MEASUREMENTS: Outcome measures included self‐rated functional difficulties with ambulation …