Kaplan-Meier survival curves for new LTCI service requirements are presented to compare the disability incidence in robust (A), pre-frail (B), and frail older adults (C). In the frail older adults but not in the robust or pre-frail older adults, the participation group had a significantly lower risk of needing LTCI services than the control group. In the frail older adults, the hazard ratios for new LTCI service requirements in the participation group compared with the control group in two- and four-year follow-up periods were 0.90 (95% CI = 0.67–1.20) and 0.65 (95% CI = 0.51–0.82), respectively.