Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults

Scandinavian Journal of Primary Health Care
Heini LiimattaKaisu H Pitkälä

Abstract

We explored the effectiveness of preventive home visits on the health-related quality-of-life (HRQoL) and mortality among independently community-dwelling older adults. A randomised controlled trial. Independently home-dwelling older adults 75 years and older, consisting of 211 in the intervention and 211 in the control group. Hyvinkää town municipality, Finland. We used the change in HRQoL measured by the 15D scale as our primary outcome. Mortality at two years was retrieved from central registers. At the one-year time point, the HRQoL according to the 15D scores deteriorated in the control group, whereas we found no change in the intervention group. The difference between the 15D score changes between the groups was -0.015 (95% CI -0.029 to -0.0016; p = 0.028, adjusted for age, sex, and baseline value). At the two-year time point as the visits ended, that difference diminished. There was no difference in mortality between the groups during the 24-month follow-up. Preventive home visits implemented by a multidisciplinary team with CGA appear to help slow down the decline in HRQoL among older adults, although the effect diminishes when the visits end. Key points We are exploring preventive home visits as means to support the he...Continue Reading

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Citations

May 1, 2020·Scandinavian Journal of Primary Health Care·Magnus NordMaria Johansson
May 30, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Heini A LiimattaKaisu H Pitkala
Aug 15, 2020·Health & Social Care in the Community·Maria KristiansenAbirami Srivarathan
Jul 25, 2021·International Journal of Environmental Research and Public Health·Anna NivestamPia Petersson
Aug 19, 2021·Health Economics Review·Petr FialaMichal Steffl

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