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

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http://hdl.handle.net/10138/301123

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Liimatta , H , Lampela , P , Laitinen-Parkkonen , P & Pitkälä , K H 2019 , ' Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults ' , Scandinavian Journal of Primary Health Care , vol. 37 , no. 1 , pp. 90-97 . https://doi.org/10.1080/02813432.2019.1569372

Title: Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults
Author: Liimatta, Heini; Lampela, Pekka; Laitinen-Parkkonen, Pirjo; Pitkälä, Kaisu H.
Other contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care



Date: 2019-01-02
Language: eng
Number of pages: 8
Belongs to series: Scandinavian Journal of Primary Health Care
ISSN: 0281-3432
DOI: https://doi.org/10.1080/02813432.2019.1569372
URI: http://hdl.handle.net/10138/301123
Abstract: 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: Hyvinkaa 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.
Subject: Prevention
preventive home visit
older adults
health-related quality-of-life
comprehensive geriatric assessment
ELDERLY-PEOPLE
CARE SERVICES
INTERVENTION
DISABILITY
MANAGEMENT
PROGRAM
COSTS
TRIAL
RISK
3141 Health care science
3121 General medicine, internal medicine and other clinical medicine
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