Title
Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
Author
van Dijk, D.J.
Crone, M.R.
van Empelen, P.
Assendelft, W.J.
Middelkoop, B.J.
Publication year
2017
Abstract
An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS), a multi-behavioural screening programme for persons aged 55–74 years in primary care. In a multi-centre randomised controlled trial, the effects of participating in the PRIMUS intervention were compared to a comparison group receiving personalised summaries and advice by postal mail, both preceded by a health risk assessment via a questionnaire. The intervention consisted of a baseline health risk assessment, followed by a preventive health consultation (after 4 weeks), and a follow-up visit (2 weeks later) in the primary care centre. A newly developed web-based computer-tailored programme supported the nurse practitioner during the consultation. Main outcomes measures were awareness of, and compliance with referral advice for changing unhealthy lifestyles. The PRIMUS preventive health consultation was successful in older people at risk for cardio metabolic diseases compared to the comparison group (compliance: RR 1.43; 95% CI 1.12–1.79; p < 0.05). The intervention was less successful in older people at risk for mental health problems. This preventive health consultation for older people resulted in positive changes in unhealthy behaviours by optimising reach, raising awareness, motivating and assisting individuals to change, and referring to local interventions.
Subject
ELSS - Earth, Life and Social Sciences
Life
Healthy Living
Healthy for Life
Aged
Primary health care
Lifestyle risk reduction
Health services for the aged
Randomised controlled trial
Awareness
Preventive health service
CH - Child Health
To reference this document use:
http://resolver.tudelft.nl/uuid:b006a0f7-420a-4f21-af2c-878c1f8cfb7a
DOI
https://doi.org/10.1016/j.pmedr.2017.03.013
TNO identifier
753109
Source
Preventive Medicine Reports, 6 (6), 258-264
Document type
article