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Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: Long-term results of the three-armed RCT Elderly Persons in the Risk Zone.

Behm, Lina LU ; Wilhelmson, Katarina; Falk, Kristin; Eklund, Kajsa; Zidén, Lena LU and Dahlin-Ivanoff, Synneve LU (2014) In Archives of Gerontology and Geriatrics 58(3). p.376-383
Abstract
The aim of this study was to analyze the long-term effect of the two health-promoting and disease-preventive interventions, preventive home visits and senior meetings, with respect to morbidity, symptoms, self-rated health and satisfaction with health. The study was a three-armed randomized, single-blind, and controlled trial, with follow-ups at one and two years after interventions. A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. An intention-to-treat analysis was performed. The result shows that both interventions delayed a progression in morbidity, i.e. an increase in CIRS-G score (OR=0.44 for the PHV and... (More)
The aim of this study was to analyze the long-term effect of the two health-promoting and disease-preventive interventions, preventive home visits and senior meetings, with respect to morbidity, symptoms, self-rated health and satisfaction with health. The study was a three-armed randomized, single-blind, and controlled trial, with follow-ups at one and two years after interventions. A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. An intention-to-treat analysis was performed. The result shows that both interventions delayed a progression in morbidity, i.e. an increase in CIRS-G score (OR=0.44 for the PHV and OR=0.61 for senior meetings at one year and OR=0.60 for the PHV and OR=0.52 for the senior meetings at two years) and maintained satisfaction with health (OR=0.49 for PHV and OR=0.57 for senior meetings at one year and OR=0.43 for the PHV and OR=0.28 for senior meetings after two years) for up to two years. The intervention senior meetings prevented a decline in self-rated health for up to one year (OR=0.55). However, no significant differences were seen in postponing progression of symptoms in any of the interventions. This study shows that it is possible to postpone a decline in health outcomes measured as morbidity, self-rated health and satisfaction with health in very old persons at risk of frailty. Success factors might be the multi-dimensional and the multi-professional approach in both interventions. Trial registration: NCT0087705. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Archives of Gerontology and Geriatrics
volume
58
issue
3
pages
376 - 383
publisher
Elsevier
external identifiers
  • pmid:24462053
  • wos:000332409200013
  • scopus:84896703322
ISSN
1872-6976
DOI
10.1016/j.archger.2013.12.010
language
English
LU publication?
yes
id
33fc8774-7da9-47fc-beab-70b9bd3d9319 (old id 4290683)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24462053?dopt=Abstract
date added to LUP
2014-02-07 13:50:28
date last changed
2017-07-30 03:04:28
@article{33fc8774-7da9-47fc-beab-70b9bd3d9319,
  abstract     = {The aim of this study was to analyze the long-term effect of the two health-promoting and disease-preventive interventions, preventive home visits and senior meetings, with respect to morbidity, symptoms, self-rated health and satisfaction with health. The study was a three-armed randomized, single-blind, and controlled trial, with follow-ups at one and two years after interventions. A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. An intention-to-treat analysis was performed. The result shows that both interventions delayed a progression in morbidity, i.e. an increase in CIRS-G score (OR=0.44 for the PHV and OR=0.61 for senior meetings at one year and OR=0.60 for the PHV and OR=0.52 for the senior meetings at two years) and maintained satisfaction with health (OR=0.49 for PHV and OR=0.57 for senior meetings at one year and OR=0.43 for the PHV and OR=0.28 for senior meetings after two years) for up to two years. The intervention senior meetings prevented a decline in self-rated health for up to one year (OR=0.55). However, no significant differences were seen in postponing progression of symptoms in any of the interventions. This study shows that it is possible to postpone a decline in health outcomes measured as morbidity, self-rated health and satisfaction with health in very old persons at risk of frailty. Success factors might be the multi-dimensional and the multi-professional approach in both interventions. Trial registration: NCT0087705.},
  author       = {Behm, Lina and Wilhelmson, Katarina and Falk, Kristin and Eklund, Kajsa and Zidén, Lena and Dahlin-Ivanoff, Synneve},
  issn         = {1872-6976},
  language     = {eng},
  number       = {3},
  pages        = {376--383},
  publisher    = {Elsevier},
  series       = {Archives of Gerontology and Geriatrics},
  title        = {Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: Long-term results of the three-armed RCT Elderly Persons in the Risk Zone.},
  url          = {http://dx.doi.org/10.1016/j.archger.2013.12.010},
  volume       = {58},
  year         = {2014},
}