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Research activities focus on the impact of secondary conditions and barriers to health care access; testing the feasibility of community-based health and wellness intervention to promote healthy aging in persons with SCI, MS, PPS, and MD; testing the efficacy of an existing telephone-based community intervention aimed at promoting happiness and resilience in individuals with multiple sclerosis; enhancing understanding of the effect of federal programs such as Medicaid Managed Care on receipt of and satisfaction with health care services; and serving as a national resource center on aging with long-term physical disabilities. Four interrelated scientific studies on healthy aging and disability make up this project and are conducted with the full involvement of consumers and key stakeholder groups.