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Table 1 Description of the HRA-O intervention as implemented in the PRO-AGE study

From: The PRO-AGE study: an international randomised controlled study of health risk appraisal for older persons based in general practice

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
  1. HRA-O: Health Risk Appraisal for Older Persons
  2. PRO-AGE: PRevention in Older people – Assessment in GEneralists' practices
  3. GP: General practitioner
  4. EMR: Electronic medical record