Effects of an integrated neighborhood approach on older people's (health-related) quality of life and well-being

Tijdschrift voor gerontologie en geriatrie
Hanna M van DijkAnna P Nieboer

Abstract

Integrated neighborhood approaches (INAs) are increasingly advocated to support community-dwelling older people; their effectiveness however remains unknown. We evaluated INA effects on older people's (health-related) quality of life (HRQoL) and well-being in Rotterdam. We used a matched quasi-experimental design comparing INA with "usual" care and support. Community-dwelling people (aged ≥70) and control subjects (n = 186 each) were followed over a one-year period (measurements at baseline, 6 and 12 months). Primary outcomes were HRQoL (EQ-5D-3L, SF-20) and well-being (SPF-IL). The effect of INA was analysed with generalized linear mixed modeling of repeated measurements, using both an "intention to treat" and "as treated" approach. The results indicated that pre-intervention participants were significantly older, more often single, less educated, had lower incomes and more likely to have ≥1 disease than control subjects; they had lower well-being, physical functioning, role functioning, and mental health. No substantial difference in well-being or HRQoL was observed between the intervention and control group after 1 year. The lack of effects of INA highlights the complexity of integrated care and support initiatives.

References

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May 23, 2002·BMJ : British Medical Journal·Phil EdwardsIrene Kwan
Mar 19, 2003·International Journal of Geriatric Psychiatry·Mira JohriHoward Bergman
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Jul 2, 2011·Health Care Management Review·Anna P Nieboer, Mathilde M H Strating
May 21, 2013·International Journal of Integrated Care·Pim P ValentijnMarc A Bruijnzeels
Sep 13, 2016·International Journal of Integrated Care·Hanna Maria van DijkAnna Petra Nieboer

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