Can health promotion programs save Medicare money?

Goetzel, Ron Z.; Shechter, David; Ozminkowski, Ronald J.; Stapleton, David C.; Lapin, Pauline; McGinnis, J. Michael; Gordon, Catherine R.; Breslow, Lester

doi:10.2147/ciia.2007.2.1.117

Cited by 21 publications

(10 citation statements)

References 34 publications

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“…As such, most patients admitted to hospital wards are older adults, and two-thirds of them have two or more chronic conditions [ 5 ]. Therefore, prevention of chronic conditions in the elderly is very vital to public health [ 6 ]. Nutrition is considered as an influential factor on health status of the elderly [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Health Blief Model-based intervention to improve nutritional behavior among elderly women

2016

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BACKGROUND/OBJECTIVESNutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women.SUBJECTS/METHODSCluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-week nutrition education program consisting of two (2) sessions per week. There was also a follow-up for another three (3) months. Smart PLS 3.5 and SPSS 19 were used for structural equation modeling, determination of model fitness, and hypotheses testing.RESULTSThe findings indicate that intervention had a significant effect on knowledge improvement as well as the behavior of elderly women. The model explained 5 to 70% of the variance in nutritional behavior. In addition, nutritional behavior was positively affected by the HBM constructs comprised of perceived susceptibility, self-efficacy, perceived benefits, and barriers after the intervention program.CONCLUSIONThe results of this study show that HBM-based educational intervention has a significant effect in improving nutritional knowledge and behavior among elderly women.

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Section: Introductionmentioning

confidence: 99%

Health Blief Model-based intervention to improve nutritional behavior among elderly women

2016

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“…18 Behavior Change, Health Status, and Quality-of-Life Outcomes While financial and utilization-based outcomes of wellness programs are important, primarily to the payer, participants in these programs also have been shown to benefit from improved physical functioning, emotional health status, and ultimately quality of life, in addition to the benefits of improved health and reduced costs. 21 In this section, we describe the effectiveness of several senior wellness programs to improve 1 or more of these factors.…”

Section: Utilization Impact For Participants With Diabetesmentioning

confidence: 99%

Effectiveness of Health and Wellness Initiatives for Seniors

Coberley

Rula²,

Pope³

2011

Population Health Management

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Given the increasing prevalence of obesity and lifestyle-related chronic diseases in the United States and abroad, senior wellness initiatives have emerged as a means to stem the troubling trends that threaten the well-being and the economy of many nations. Seniors are an important demographic for such programs because this age group is growing, both as a proportion of the overall population and as a contributor to health care cost escalation. The goal of senior wellness programs is to improve the overall health of seniors through a variety of approaches, including increased physical activity, better nutrition, smoking cessation, and support of other healthy behaviors. Outcome metrics of particular interest are the effects of participation in these programs on health care utilization and expenditures. This review describes several studies that demonstrate reduced inpatient admissions and health care costs, as well as improved health-related quality of life as a direct result of participation in large-scale senior wellness programs. Programs that effectively engage seniors in, and change behavior as a direct result of, participation provide strong evidence that health improvements and decreased health care expenditures can be achieved. However, solutions to the challenges of broader enrollment and sustained participation in these programs would increase the impact of their outcomes and health-related benefits.

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“…Health maintenance and health promotion among older adults have become major societal issues worldwide, especially among Western nations (Cassel, 2009;Cruz-Jentroft et al, 2009). Furthermore, it is believed that such issues might have important cost and outcome benefits for society (Ackermann et al, 2008;Goetzel et al, 2007;Meng et al, 2009;Wieland, 2003). Although a comprehensive geriatric assessment (CGA) has long been used as the standard of care in the field of geriatrics (Li, 2010), another less formal and simpler types of assessment may be useful for active, relatively healthy older individuals (Jones et al, 2004(Jones et al, ,2005Searle et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

A pilot trial to predict frailty syndrome: The Japanese Health Research Volunteer Study

Doba¹,

Tokuda

Goldstein

et al. 2012

Experimental Gerontology

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Most definitions of frailty utilize US populations in their development. The concept of frailty has not been well studied in Japan, which has the largest percentage of older patients (per capita) in the world. We created a 5-year prospective cohort study of community-dwelling older Japanese adults. Participants were not frail at baseline, based on our definition adapted from the Canadian Study for Health and Aging Clinical Frailty Scale. Participants underwent a comprehensive geriatric assessment (CGA) at baseline, and final assessments were either in person or via mailed survey. We enrolled 407 individuals (184 men, mean age 78 ± 4 years; 223 women, mean age 77 ± 4 years). Sixty-five participants met criteria for frailty by the end of the study. In univariate analyses, eighteen separate parameters were associated with frailty, some of which included: age, gender, handgrip, timed walk, systolic blood pressure, pulse pressure, cognitive status, living alone, and hearing deficits. In multivariate analyses, the following elements remained associated with frailty: timed walk, pulse pressure, cognition deficits and hearing deficits. We established cut-off points for timed walk (5m/3s) and pulse pressure (60 mmHg). We then created a simple additive score for these four factors (present = 1; absent = 0). A score of 0 had a 93% negative predictive value for frailty while a score of 4 had a 70% positive predictive value. While further study is needed, this work creates an easy-to-administer tool that may be generalizable to other populations.

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Can health promotion programs save Medicare money?

Cited by 21 publications

References 34 publications

Health Blief Model-based intervention to improve nutritional behavior among elderly women

Health Blief Model-based intervention to improve nutritional behavior among elderly women

Effectiveness of Health and Wellness Initiatives for Seniors

A pilot trial to predict frailty syndrome: The Japanese Health Research Volunteer Study

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