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


Autoria(s): Dapp, Ulrike; Anders, Jennifer A M; von Renteln-Kruse, Wolfgang; Minder, Christoph E; Meier-Baumgartner, Hans Peter; Swift Cameron, G; Gillmann, Gerhard; Egger, Matthias; Beck, John C; Stuck, Andreas E
Data(s)

2011

Resumo

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.

Formato

application/pdf

Identificador

http://boris.unibe.ch/2254/1/Dapp%20JGerontolABiolSciMedSci%202011.pdf

Dapp, Ulrike; Anders, Jennifer A M; von Renteln-Kruse, Wolfgang; Minder, Christoph E; Meier-Baumgartner, Hans Peter; Swift Cameron, G; Gillmann, Gerhard; Egger, Matthias; Beck, John C; Stuck, Andreas E (2011). A randomized trial of effects of health risk appraisal combined with group sessions or home visits on preventive behaviors in older adults. Journals of gerontology. Series A - biological sciences and medical sciences, 66(5), pp. 591-598. Cary, N.C.: Oxford University Press 10.1093/gerona/glr021 <http://dx.doi.org/10.1093/gerona/glr021>

doi:10.7892/boris.2254

info:doi:10.1093/gerona/glr021

info:pmid:21350242

urn:issn:1079-5006

Idioma(s)

eng

Publicador

Oxford University Press

Relação

http://boris.unibe.ch/2254/

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

Dapp, Ulrike; Anders, Jennifer A M; von Renteln-Kruse, Wolfgang; Minder, Christoph E; Meier-Baumgartner, Hans Peter; Swift Cameron, G; Gillmann, Gerhard; Egger, Matthias; Beck, John C; Stuck, Andreas E (2011). A randomized trial of effects of health risk appraisal combined with group sessions or home visits on preventive behaviors in older adults. Journals of gerontology. Series A - biological sciences and medical sciences, 66(5), pp. 591-598. Cary, N.C.: Oxford University Press 10.1093/gerona/glr021 <http://dx.doi.org/10.1093/gerona/glr021>

Tipo

info:eu-repo/semantics/article

info:eu-repo/semantics/publishedVersion

PeerReviewed