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| Structured home visits to older people. Are they only of benefit for women? A randomised controlled trial [with consumer summary] |
| Vass M, Avlund K, Kvist K, Hendriksen C, Andersen CK, Keiding N |
| Scandinavian Journal of Primary Health Care 2004 Jun;22(2):106-111 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: To investigate whether education of primary care professionals improved functional ability in home-dwelling older people, with special focus on gender differences. DESIGN: A prospective controlled three-year follow-up study (1999 to 2001) with randomisation and intervention at municipality level and outcomes measured at individual level. Intervention municipality visitors received regular education and GPs were introduced to a short assessment programme. Control municipalities received no education but conducted the preventive programme in their own way. SETTING: Primary care, 34 municipalities. SUBJECTS: 5,788 home-dwelling 75- and 80-year-olds were invited. 4,060 (70.1%) participated: 2,104 in 17 intervention- and 1956 in 17 matched control-municipalities. The main outcome measure was obtained from 3,383 (95.6%) of 3,540 surviving participants. MAIN OUTCOME MEASURE: Functional ability. RESULTS: Municipality intervention in coordination with GPs was associated with better functional ability in women (OR 1.26; CI 95 1.08 to 1.47, p = 0.004), but not in men (OR 1.04; CI 95 1.85 to 1.27). Accepting and receiving free preventive home visits was associated with better functional ability among women (OR 1.36; CI 95 1.16 to 1.60, p = 0.0002), but not among men (OR 0.98; CI 95: 0.80 to 1.21). CONCLUSION: A brief, feasible educational intervention for primary care professionals and to accept and receive preventive home visits may have effect in older women, but not in older men.
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