Format

Send to

Choose Destination
J Gerontol A Biol Sci Med Sci. 2011 May;66(5):591-8. doi: 10.1093/gerona/glr021. Epub 2011 Feb 24.

A randomized trial of effects of health risk appraisal combined with group sessions or home visits on preventive behaviors in older adults.

Author information

1
Albertinen-Haus Geriatrics Center, Scientific Department at the University of Hamburg, Germany.

Abstract

BACKGROUND:

To explore effects of a health risk appraisal for older people (HRA-O) program with reinforcement, we conducted a randomized controlled trial in 21 general practices in Hamburg, Germany.

METHODS:

Overall, 2,580 older patients of 14 general practitioners trained in reinforcing recommendations related to HRA-O-identified risk factors were randomized into intervention (n = 878) and control (n = 1,702) groups. Patients (n = 746) of seven additional matched general practitioners who did not receive this training served as a comparison group. Patients allocated to the intervention group, and their general practitioners, received computer-tailored written recommendations, and patients were offered the choice between interdisciplinary group sessions (geriatrician, physiotherapist, social worker, and nutritionist) and home visits (nurse).

RESULTS:

Among the intervention group, 580 (66%) persons made use of personal reinforcement (group sessions: 503 [87%], home visits: 77 [13%]). At 1-year follow-up, persons in the intervention group had higher use of preventive services (eg, influenza vaccinations, adjusted odds ratio 1.7; 95% confidence interval 1.4-2.1) and more favorable health behavior (eg, high fruit/fiber intake, odds ratio 2.0; 95% confidence interval 1.6-2.6), as compared with controls. Comparisons between intervention and comparison group data revealed similar effects, suggesting that physician training alone had no effect. Subgroup analyses indicated favorable effects for HRA-O with personal reinforcement, but not for HRA-O without reinforcement.

CONCLUSIONS:

HRA-O combined with physician training and personal reinforcement had favorable effects on preventive care use and health behavior.

PMID:
21350242
DOI:
10.1093/gerona/glr021
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Silverchair Information Systems Icon for Zurich Open Access Repository and Archive
Loading ...
Support Center