Aspect of the intervention | Description |
---|---|
General goals of the | To identify risks for functional decline and problems |
intervention | To achieve favourable change in health-related behaviour |
To facilitate preventative care use | |
Training of health professionals | Use of a specially prepared manual as a basis for training of GPs and additional health professionals involved in the intervention (copy available, see additional available material) |
Initial and follow-up training of GPs and additional health professionals involved in the intervention in groups, led by one of the project physicians trained in preventative geriatric medicine | |
Use of HRA-O instrument | Mailing of HRA-O questionnaire to participants (copy available, see reference No. 7) |
Written individualised participant feed-back report | |
Written provider HRA-O summary feed-back report | |
Personal reinforcement of | GP verifies presence of identified risks and problems (as described in HRA-O summary report) |
HRA-O by GP | Patient discusses recommendations of participant feed-back report with their GP (opportunistically at GP-patient encounter) |
GP motivates the patient to favourably change health behaviour and use recommended preventative care (opportunistically at GP-patient encounter) | |
Additional site-specific | London: GP gets reminders of identified risks and problems in EMR |
reinforcement | Hamburg: Participants are offered one group session by interdisciplinary team or two home visits by nurse |
Solothurn: Participants are offered six-monthly home visits by health nurses over a two-year period |