TY - JOUR
T1 - A randomised controlled trial of the outcome of health assessment of people aged 75 years and over
AU - Newbury, J. W.
AU - Marley, J. E.
AU - Beilby, J. J.
PY - 2001/7/16
Y1 - 2001/7/16
N2 - Objectives: To measure the outcomes of a health assessment, conducted by a nurse, of people aged 75 years and older (75+HA) living independently in their own homes. Design: Randomised controlled trial (RCT). Setting: A convenience sample of six general practices within the Adelaide Western Division of General Practice (AWDGP). A random sample of 100 participants was drawn from practice age-sex registers. Data were collected in initial visits between 1 August 1998 and February 1999, then in follow-up visits one year later. Participants: Participants were aged 75 years and over on 1 August 1998 and living independently in the community. 145 eligible patients were invited to join the study, and 100 of these consented to enrol (69%). Intervention: A 75+HA conducted in the participant's home by a nurse and reported to their usual general practitioner. Main outcome measures: Primary: number of problems in each group; number of participants with problems; and mortality. Secondary: physical function; psychological (including cognitive) function; falls; and admission to institution. Results: There were no significant differences between the control and intervention groups at follow-up in the number of problems, the number of participants with problems, or mortality. In the intervention group, there was significant improvement in self-rated health, geriatric depression score (GDS 15), and number of falls. Conclusions: This RCT has not demonstrated improvement in health status of the intervention group which received a 75+HA compared with a control group left to usual care.
AB - Objectives: To measure the outcomes of a health assessment, conducted by a nurse, of people aged 75 years and older (75+HA) living independently in their own homes. Design: Randomised controlled trial (RCT). Setting: A convenience sample of six general practices within the Adelaide Western Division of General Practice (AWDGP). A random sample of 100 participants was drawn from practice age-sex registers. Data were collected in initial visits between 1 August 1998 and February 1999, then in follow-up visits one year later. Participants: Participants were aged 75 years and over on 1 August 1998 and living independently in the community. 145 eligible patients were invited to join the study, and 100 of these consented to enrol (69%). Intervention: A 75+HA conducted in the participant's home by a nurse and reported to their usual general practitioner. Main outcome measures: Primary: number of problems in each group; number of participants with problems; and mortality. Secondary: physical function; psychological (including cognitive) function; falls; and admission to institution. Results: There were no significant differences between the control and intervention groups at follow-up in the number of problems, the number of participants with problems, or mortality. In the intervention group, there was significant improvement in self-rated health, geriatric depression score (GDS 15), and number of falls. Conclusions: This RCT has not demonstrated improvement in health status of the intervention group which received a 75+HA compared with a control group left to usual care.
UR - http://www.scopus.com/inward/record.url?scp=0035898523&partnerID=8YFLogxK
U2 - 10.5694/j.1326-5377.2001.tb143541.x
DO - 10.5694/j.1326-5377.2001.tb143541.x
M3 - Article
C2 - 11556409
AN - SCOPUS:0035898523
SN - 0025-729X
VL - 175
SP - 104
EP - 107
JO - Medical Journal of Australia
JF - Medical Journal of Australia
IS - 2
ER -