Markle-Reid M, Browne G, Weir R, Gafni A, Roberts J, and Henderson SR
Medical care research and review : MCRR [Med Care Res Rev] 2006 Oct; Vol. 63 (5), pp. 531-69.
Aged, House Calls, Humans, Randomized Controlled Trials as Topic, Geriatric Nursing, Health Promotion, Home Care Services, and Program Evaluation
Despite the large potential role that community nurses have in providing individualized health promotion to older people, there is a lack of consensus in the literature regarding this role's effectiveness and efficiency. This article presents a literature review and synthesis of 12 randomized controlled trials selected from 344 published studies on preventive home visitation programs for older people. The findings suggest that a diversity of home visiting interventions carried out by nurses can favorably affect health and functional status, mortality rates, use of hospitalization and nursing homes, and costs. Further research is needed that focuses on the outcomes of quality of life, mental health, social support, caregiver burden, the acceptability of intervention, and specific subgroups of clients who benefit most. Findings also indicate the need for a theoretical foundation, increased emphasis on health-promotion strategies, and more research using a more complete economic evaluation to establish efficiency.
Markle-Reid M, Weir R, Browne G, Roberts J, Gafni A, and Henderson S
Journal of advanced nursing [J Adv Nurs] 2006 May; Vol. 54 (3), pp. 381-95.
Adaptation, Psychological, Aged, Aged, 80 and over, Depression psychology, Emotions, Female, Health Care Costs, Health Promotion economics, Health Status, Home Nursing economics, Humans, Male, Mental Health, Patient Acceptance of Health Care, Patient Dropouts, Quality of Life, Single-Blind Method, Social Support, Frail Elderly psychology, Health Promotion methods, and Home Nursing methods
Aim: This paper reports a study evaluating the comparative effects and costs of a proactive nursing health promotion intervention in addition to usual home care for older people compared with usual home care services alone. Background: An ageing population, budget constraints and technological advances in many countries have increased the pressure on home care resources. The result is a shift in nursing services from health promotion to meet the more pressing need for postacute care. For frail older people with long-term needs, these changes combine to create a fragmented system of health service delivery, characterized by providing nursing on demand rather than proactively. Methods: A two-armed, single-blind, randomized controlled trial was carried out with older people > or =75 years and eligible for personal support services through a home care programme in Ontario, Canada. Participants were randomly allocated either to usual home care (control) or to a nursing (experimental) group. In addition to usual home care, the nursing group received a health assessment combined with regular home visits or telephone contacts, health education about management of illness, coordination of community services, and use of empowerment strategies to enhance independence. The data were collected in 2001-2002. Results: Of the 288 older people who were randomly allocated at baseline, 242 (84%) completed the study (120 nursing group; 122 control group). Proactively providing older people with nursing health promotion, compared with providing nursing services on-demand, resulted in better mental health functioning (P = 0.009), a reduction in depression (P = 0.009), and enhanced perceptions of social support (P = 0.009) at no additional cost from a societal perspective. Conclusions: Home based nursing health promotion, proactively provided to frail older people with chronic health needs, enhances quality of life while not increasing the overall costs of health care. The results underscore the need to re-invest in nursing services for health promotion for older clients receiving home care.
PHYSICAL fitness, OLDER people, EXERCISE, and ATTITUDE (Psychology)
In Spain today, few studies have been carried out to provide sufficient information regarding the attitudes of older persons toward physical activity and exercise. The present study was designed to remedy this deficiency by adapting and validating the Older Person's Attitudes Toward Physical Activity and Exercise Questionnaire. Firstly, a panel of experts offered first hand evidence in support of the content validity of the Spanish adaptation of the questionnaire. Evidence regarding the viability of the instrument was obtained through a test-retest pilot study and with the use of internal consistency method. In line with theoretical expectations, respondents who reported more positive attitudes toward physical activity showed better adherence rates. Finally, recommendations for future replications are discussed, considering the fact that the data on predictive validity of the instrument was obtained only at correlational level. [ABSTRACT FROM AUTHOR]
HEALTH promotion, ANALYSIS of variance, IMMUNIZATION, MOBILE apps, and DESCRIPTIVE statistics
The article presents a study that will analyze the effectiveness of the immunization app ImmunizeCA and assess role of promotional strategies in driving the use of the app. The study mentions that activities surrounding the app launch and distribution of government flyers played an important role in app downloads. The study concludes that social media strategies were not effective on mobile uptake.