OBJECTIVES: To evaluate the effectiveness of a home visiting program on health-related measures in a population of older people with poor health status. DESIGN: Randomized, clinical trial. SETTING:Community-dwelling citizens in The Netherlands. PARTICIPANTS: Three hundred thirty people aged 70 to 84 randomly assigned to an intervention group (n=160) or a control group (n=170). INTERVENTION: Eight home visits, lasting 1 hour or more, with telephone follow-up, over an 18-month period, conducted by experienced home nurses under supervision of a public health nurse; key elements of the (systematic) visits were assessment of health problems and risks, advice, and referral to professional and community services. MEASUREMENTS: Self-rated health, functional status, quality of life, and changes in self-reported problems. RESULTS: No differences were found between the intervention and control group in these and other outcome measures at the end of the intervention period (18 months). CONCLUSION: The home visiting program did not appear to have any effect on the health status of older people with poor health and are probably not beneficial for such persons.
RCT Entities:
OBJECTIVES: To evaluate the effectiveness of a home visiting program on health-related measures in a population of older people with poor health status. DESIGN: Randomized, clinical trial. SETTING: Community-dwelling citizens in The Netherlands. PARTICIPANTS: Three hundred thirty people aged 70 to 84 randomly assigned to an intervention group (n=160) or a control group (n=170). INTERVENTION: Eight home visits, lasting 1 hour or more, with telephone follow-up, over an 18-month period, conducted by experienced home nurses under supervision of a public health nurse; key elements of the (systematic) visits were assessment of health problems and risks, advice, and referral to professional and community services. MEASUREMENTS: Self-rated health, functional status, quality of life, and changes in self-reported problems. RESULTS: No differences were found between the intervention and control group in these and other outcome measures at the end of the intervention period (18 months). CONCLUSION: The home visiting program did not appear to have any effect on the health status of older people with poor health and are probably not beneficial for such persons.
Authors: Ans Bouman; Erik van Rossum; Patricia Nelemans; Gertrudis Ijm Kempen; Paul Knipschild Journal: BMC Health Serv Res Date: 2008-04-03 Impact factor: 2.655
Authors: Wei Duan-Porter; Kristen Ullman; Christina Rosebush; Lauren McKenzie; Kristine E Ensrud; Edward Ratner; Nancy Greer; Tetyana Shippee; Joseph E Gaugler; Timothy J Wilt Journal: J Gen Intern Med Date: 2020-01-02 Impact factor: 5.128