The PRO-AGE study: an international randomised controlled study of health risk appraisal for older persons based in general practice

Stuck, Andreas E.; Kharicha, Kalpa; Dapp, Ulrike; Anders, Jennifer; Renteln-Kruse, Wolfgang von; Meier-Baumgartner, H. P.; Iliffe, Steve; Harari, Danielle; Bachmann, Martin D; Egger, Matthias; Gillmann, Gerhard; Beck, John C.; Swift, Cameron

doi:10.1186/1471-2288-7-2

Cited by 43 publications

(47 citation statements)

References 22 publications

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“…Local research ethics committee approval was obtained from Brent Medical Ethics Committee and King's College Hospital Research Ethics Committee. A full account of the methodology of the study is available elsewhere (Stuck et al, 2007), including recruitment of practices and patients, training of general practitioners in health promotion with older people, use of reminders and the evidence justifying the preventive care recommendations given. For more information on the HRA-O study and papers derived from it on the topics of social isolation, living alone, the experience of pain and predicting disablement, go to http:// www.ucl.ac.uk/pcph/dev/research-groups-themes/ age-stud-pub/previous-research/#6 (UCL website for the HRA-O study).…”

Section: Methodsmentioning

confidence: 99%

Health risk appraisal for older people 5: self-efficacy in patient–doctor interactions

Raymond

Iliffe

Harari

et al. 2011

Prim Health Care Res Dev

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Objective: Enhancing self-efficacy is central to programmes promoting self-care and self-management. However, little is known about older people's self-efficacy in doctorpatient interactions. This paper investigates lifestyle, medical and demographic factors associated with self-efficacy in doctor-patient interactions in older people in general practice. Methods: A cross-sectional analysis of data from a randomised controlled trial of older people was conducted in a health risk appraisal study in London. Self-efficacy was measured using the Perceived Efficacy in Patient-Physician Interactions Questionnaire. Results: Older people with higher self-efficacy were significantly more likely to report having had recent preventive care measures such as recent blood pressure measurement and influenza immunisation. Women were less likely to have higher self-efficacy than men. Older people were significantly less likely to have high self-efficacy if they reported having poor memory, low mood, limited activities due to fear of falling, basic education, difficulties with at least one activity of daily living, reduced physical activity, living alone, or risk of social isolation. Conclusion: A third of people had low self-efficacy in doctor-patient interactions. They appear to be a vulnerable group. Low self-efficacy in interactions with doctors may be a symptom or a characteristic of older people who experience social isolation and depression. Policies that depend on enhancing self-care and self-management need to consider the large number of older people with low self-efficacy in using medical services, and understanding characteristics in older people associated with lower confidence in doctorpatient interactions may be useful in clinical practice and research.

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Section: Methodsmentioning

confidence: 99%

Health risk appraisal for older people 5: self-efficacy in patient–doctor interactions

Raymond

Iliffe

Harari

et al. 2011

Prim Health Care Res Dev

Self Cite

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“…Some showed an improved functional status, while others did not [1,10,32,35]. That is why other therapy goals have been proposed [32], e.g., more patientcentered goals like informing the participants or improvement of the family relationship or the use of preventive measures and influencing the health-related behavior [8,13,23,44]. The question of whether a multidimensional assessment is necessary is uniformly answered with "yes" [26].…”

Section: Guideline Contentmentioning

confidence: 98%

“…The identified areas overlap to a great extent with existing study protocols [44]. Regarding utilized instruments, the change between first-and second-generation assessment instruments is reflected in the guidelines [8].…”

Section: Guideline Contentmentioning

confidence: 98%

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Primary care guidelines for geriatric assessment

Frese¹,

Franke²,

Keyser³

et al. 2011

Z Gerontol Geriat

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A structured geriatric assessment (GA) improves the quality of health care; however, the quality of GA guidelines has hardly been investigated. Eight guidelines were identified by systematically searching guideline databases, web sites of guideline developers, and PubMed. The methodological quality was assessed by two appraisers using the German Guideline Evaluation Instrument (DELBI). Guideline content was extracted; organizational and medical recommendations were compared. The methodological appraisal revealed a broad range of quality. The domains "Scope and purpose" and "Clarity and presentation" showed good results. The domains "Applicability" and "Editorial independence" had results that were not as good. Medical recommendations agreed to a great extent. GA should be delivered continuously for all older people in their homes by one responsible assessor. In cooperation with relatives, patient-centered therapy goals should be defined. Differences were identified in profession, instruments, aims, and "tailoring." The quality of primary care guidelines for GA may be improved. Details of organization of a GA require further research.

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“…Dieser umfasst gesundheitsrelevante Bereiche einschließlich präkli-nischer Marker zur Erfassung von funktionellen Reserven, funktionellem Abbau ("functional decline"), Gebrechlichkeit ("frailty") und funktionellen Verlusten ("disability"). Die multidimensionale Befragung beinhaltet neben soziodemographischen Informationen Angaben zu funktionellem Status, körperlicher Aktivität, Aktionsraum, Gesundheitsverhalten und -vorsorge, Arztkontakte, Krankenhausaufenthalte, Einstellungen zur Gesundheit sowie biographische Aspekte [7,8,9,22] 1 Details s. [7,23]. BADL "basic activities of daily living" tus genutzt, z.…”

Section: Datenunclassified

Ressourcen und Risiken im Alter

et al. 2012

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The PRO-AGE study: an international randomised controlled study of health risk appraisal for older persons based in general practice

Abstract: Background: This paper describes the study protocol, the recruitment, and base-line data for evaluating the success of randomisation of the PRO-AGE (PRevention in Older people -Assessment in GEneralists' practices) project.

Cited by 43 publications

References 22 publications

Health risk appraisal for older people 5: self-efficacy in patient–doctor interactions

Health risk appraisal for older people 5: self-efficacy in patient–doctor interactions

Primary care guidelines for geriatric assessment

Ressourcen und Risiken im Alter

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