Preventive home visits to promote the health-related quality of life of home-dwelling older people: Baseline findings and feasibility of a randomized, controlled trial

Liimatta, Heini; Lampela, Pekka; Laitinen-Parkkonen, Pirjo; Pitkälä, Kaisu

doi:10.1016/j.eurger.2017.06.003

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…The dropout rate was moderate at 11.8% of the intervention and 14.7% of the control group lost to follow-up at the one-year time point and 23.2% of the intervention and 30.3% of the control group lost to follow-up at the two-year time point. At the baseline, the intervention and control groups were similar (Table 2) [13]. The mean age of participants was 81 years and 35% were male (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…The intervention was delivered during a six- to nine-month period by a nurse, a physiotherapist, and a social worker. We described the methods and baseline findings in detail in an earlier paper [13]. In this paper we described the feasibility of our intervention, whilst the feedback from participants was mostly favorable [13].…”

Section: Methodsmentioning

confidence: 99%

“…We described the methods and baseline findings in detail in an earlier paper [13]. In this paper we described the feasibility of our intervention, whilst the feedback from participants was mostly favorable [13]. The study protocol was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR).…”

Section: Methodsmentioning

confidence: 99%

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Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

Liimatta

Lampela

Laitinen-Parkkonen

et al. 2019

Scandinavian Journal of Primary Health Care

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Objective: We explored the effectiveness of preventive home visits on the health-related quality-of-life (HRQoL) and mortality among independently community-dwelling older adults. Design: A randomised controlled trial. Subjects: Independently home-dwelling older adults 75 years and older, consisting of 211 in the intervention and 211 in the control group. Setting: Hyvinkää town municipality, Finland. Main outcome measures: We used the change in HRQoL measured by the 15D scale as our primary outcome. Mortality at two years was retrieved from central registers. Results: At the one-year time point, the HRQoL according to the 15D scores deteriorated in the control group, whereas we found no change in the intervention group. The difference between the 15D score changes between the groups was −0.015 (95% CI −0.029 to −0.0016; p = 0.028, adjusted for age, sex, and baseline value). At the two-year time point as the visits ended, that difference diminished. There was no difference in mortality between the groups during the 24-month follow-up. Conclusion: Preventive home visits implemented by a multidisciplinary team with CGA appear to help slow down the decline in HRQoL among older adults, although the effect diminishes when the visits end. Key points We are exploring preventive home visits as means to support the health-related quality-of-life (HRQoL) of home-dwelling older adults Multiprofessional preventive home visits in this intervention study helped to maintain the HRQoL when measured using 15D The effects on HRQoL diminished when the intervention ended, so could further benefits be attained with a longer intervention? The clinical trial registration number: ACTRN12616001411437

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

Liimatta

Lampela

Laitinen-Parkkonen

et al. 2019

Scandinavian Journal of Primary Health Care

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“…We performed a randomized, controlled, single-center trial in Finland, including a two-year follow-up, focusing on the effects of PHVs on HRQoL and on the use of and costs related to the use of health care and social services. We have described the methods used, the baseline findings, the feasibility of the intervention, and the primary clinical outcomes in detail in earlier papers (14)(15). We provided oral and written information to all participants and participants provided their written informed consent.…”

Section: Designmentioning

confidence: 99%

“…In addition, they received and answered the same postal questionnaires as the intervention group. We have described the intervention in more detail earlier (14)(15).…”

Section: Interventionmentioning

confidence: 99%

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

Liimatta

Lampela

Kautiainen

et al. 2019

The Journals of Gerontology: Series A

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Background We use data from a randomized controlled trial on preventive home visits exploring effectiveness on health-related quality of life. In this article, we examine the intervention’s cost-effectiveness and effects on quality-adjusted life years in older home-dwelling adults. Methods There were 422 independently home-dwelling participants in the randomized, controlled trial, all aged more than 75 years, with equal numbers in the control and intervention groups. The intervention took place in a municipality in Finland and consisted of multiprofessional preventive home visits. We gathered the data on health care and social services use from central registers and medical records during 1 year before the intervention and 2 years after the intervention. We analyzed the total health care and social services use and costs per person-years and the difference in change in health-related quality of life as measured using the 15D measure. We calculated quality-adjusted life years and incremental cost-effectiveness ratios. Results There was no significant difference in baseline use of services or in the total use and costs of health care and social services during the 2-year follow-up between the two groups. In the intervention group, health-related quality of life declined significantly more slowly compared with the control group (–0.015), but there was no significant difference in quality-adjusted life years gained between the groups. The cost-effectiveness plane showed 60% of incremental cost-effectiveness ratios lying in the dominant quadrant, representing additional effects with lower costs. Conclusions This multiprofessional preventive home visit intervention appears to have positive effects on health-related quality of life without accruing additional costs. The clinical trial registration number ACTRN12616001411437.

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Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice

Gibbons

Porter

Gonçalves‐Bradley

et al. 2021

Cochrane Database of Systematic Reviews

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Preventive home visits to promote the health-related quality of life of home-dwelling older people: Baseline findings and feasibility of a randomized, controlled trial

Cited by 4 publications

References 24 publications

Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

The Effects of Preventive Home Visits on Older People’s Use of Health Care and Social Services and Related Costs

Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice

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