2019
DOI: 10.1080/02813432.2019.1569372
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Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

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: Hyvinkää town municipality, Finland. Main outcome me… Show more

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Cited by 31 publications
(41 citation statements)
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“…In FINCOG study, cognitive training did not improve or stabilize cognitive functioning, health related quality of life or psychological well-being of home-dwelling patients with mild to moderate dementia [27]. Among non-demented home-dwelling frail older people, instead, it is possible to improve independent functioning in daily activities [28] and slow down the decline in quality of life [29] with adequate timely home-based services. Because of a high mortality rate of old, frail and multimorbid patients of UrGeriC, it is important to be able to distinguish those who will benefit adequate home-based services from those whose admission to institutional care should no longer be postponed.…”
Section: Discussionmentioning
confidence: 88%
“…In FINCOG study, cognitive training did not improve or stabilize cognitive functioning, health related quality of life or psychological well-being of home-dwelling patients with mild to moderate dementia [27]. Among non-demented home-dwelling frail older people, instead, it is possible to improve independent functioning in daily activities [28] and slow down the decline in quality of life [29] with adequate timely home-based services. Because of a high mortality rate of old, frail and multimorbid patients of UrGeriC, it is important to be able to distinguish those who will benefit adequate home-based services from those whose admission to institutional care should no longer be postponed.…”
Section: Discussionmentioning
confidence: 88%
“…Response shift, more than recall bias, modified the reported retrospective outcome. The relative magnitude of recall bias and response shift was higher when measured with the EQ-VAS 10 missing values, 2 10 missing values, 3 2 missing values, 4 58 missing values compared to the EQ-5D-3 L summary score. This may be due to the fact that the restricted range of responses of the EQ-5D-3 L may lead to smaller variability in scores compared to the continuous EQ-VAS [13].…”
Section: Discussionmentioning
confidence: 83%
“…Measurement of change in HRQL, individual or aggregate, has been used to evaluate health interventions in a wide range of conditions and populations (e.g. [3][4][5][6][7]). Inaccurate measurement of change in HRQL may therefore affect clinical practice and health care, and ultimately the quality of care and HRQOL of patients.…”
Section: Introductionmentioning
confidence: 99%
“…One such strategy is a preventive home visit (PHV). A PHV can have multiple objectives: (a) to identify older adults at risk of falls and functional loss [5]; (b) to assist the preservation of the quality of life [6]; and (c) to reduce healthcare costs associated with highly demanding services (e.g. nursing homes) [7].…”
Section: Introductionmentioning
confidence: 99%