A Randomized Controlled Trial of a Preventive Primary Care Outreach Nursing Intervention Targeting High Risk Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/151328
Type:
Presentation
Title:
A Randomized Controlled Trial of a Preventive Primary Care Outreach Nursing Intervention Targeting High Risk Older Adults
Abstract:
A Randomized Controlled Trial of a Preventive Primary Care Outreach Nursing Intervention Targeting High Risk Older Adults
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Ploeg, Jenny, PhD Candidate
P.I. Institution Name:McMaster University
Title:Associate Professor
Co-Authors:Kevin Brazil, PhD, MA, BA; Brian Hutchison, MD, MSc, FCFP; Janusz Kaczorowski, PhD; Dawn M. Dalby, PhD; Charles H. Goldsmith, PhD and William Furlong, MSc
[Research Presentation] The aging of society, rising health care costs, and the shortage of health care resources have created challenges in the provision of high quality, comprehensive care for older adults. The literature has suggested that a preventive approach based on identifying individuals at risk and providing early intervention can prevent functional decline, promote independence and reduce health costs. Similar interventions have been evaluated elsewhere but have not rigorously examined the impact on quality of life and use and costs of health and social services. The goal of the Preventive Primary Care Outreach controlled trial was to evaluate the effectiveness of a nursing intervention provided to high risk community-dwelling adults aged 75 years and older on: (a) health-related quality of life, (b) use of health and social services and associated costs, (c) functional status, (d) mortality, and (e) self-rated health. 719 older adults (mean age 81 years) were randomly allocated to the intervention (n=361) and the control (n=358) group. Participants were screened using the Sherbrooke Postal Questionnaire (score of 2 or more) and recruited through their family physicians. Seniors in the intervention group were visited by nurse case managers who conducted a comprehensive assessment using the Resident Assessment Instrument (RAI) for Home Care at baseline, 6 months and 12 months. Nurses worked with participants, families, informal care providers and family physicians to plan and implement a range of preventive interventions. There were no statistically significant differences between intervention and control groups on: (a) health-related quality of life scores (HUI3) and Quality Adjusted Life Years, (b) functional status, (c) mortality (10 persons died per group), and self-rated health. Results related to use and costs of health and social services will be discussed.áIn conclusion, there is insufficient evidence to justify widespread adoption of this intervention with this population of older adults.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Randomized Controlled Trial of a Preventive Primary Care Outreach Nursing Intervention Targeting High Risk Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151328-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Randomized Controlled Trial of a Preventive Primary Care Outreach Nursing Intervention Targeting High Risk Older Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ploeg, Jenny, PhD Candidate</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">McMaster University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ploegj@mcmaster.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kevin Brazil, PhD, MA, BA; Brian Hutchison, MD, MSc, FCFP; Janusz Kaczorowski, PhD; Dawn M. Dalby, PhD; Charles H. Goldsmith, PhD and William Furlong, MSc</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The aging of society, rising health care costs, and the shortage of health care resources have created challenges in the provision of high quality, comprehensive care for older adults. The literature has suggested that a preventive approach based on identifying individuals at risk and providing early intervention can prevent functional decline, promote independence and reduce health costs. Similar interventions have been evaluated elsewhere but have not rigorously examined the impact on quality of life and use and costs of health and social services. The goal of the Preventive Primary Care Outreach controlled trial was to evaluate the effectiveness of a nursing intervention provided to high risk community-dwelling adults aged 75 years and older on: (a) health-related quality of life, (b) use of health and social services and associated costs, (c) functional status, (d) mortality, and (e) self-rated health. 719 older adults (mean age 81 years) were randomly allocated to the intervention (n=361) and the control (n=358) group. Participants were screened using the Sherbrooke Postal Questionnaire (score of 2 or more) and recruited through their family physicians. Seniors in the intervention group were visited by nurse case managers who conducted a comprehensive assessment using the Resident Assessment Instrument (RAI) for Home Care at baseline, 6 months and 12 months. Nurses worked with participants, families, informal care providers and family physicians to plan and implement a range of preventive interventions. There were no statistically significant differences between intervention and control groups on: (a) health-related quality of life scores (HUI3) and Quality Adjusted Life Years, (b) functional status, (c) mortality (10 persons died per group), and self-rated health. Results related to use and costs of health and social services will be discussed.&aacute;In conclusion, there is insufficient evidence to justify widespread adoption of this intervention with this population of older adults.</td></tr></table>en_GB
dc.date.available2011-10-26T10:58:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:58:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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