Effects of a Home Visiting Program for Older People with Poor Health Status: A Randomized, Clinical Trial in the Netherlands
(See editorial comments by Drs. Andreas Stuck and Robert Kane, pp 561–563)
Article first published online: 27 DEC 2007
© 2007, Copyright the Authors; Journal compilation © 2008, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 56, Issue 3, pages 397–404, March 2008
How to Cite
Bouman, A., Van Rossum, E., Ambergen, T., Kempen, G. and Knipschild, P. (2008), Effects of a Home Visiting Program for Older People with Poor Health Status: A Randomized, Clinical Trial in the Netherlands. Journal of the American Geriatrics Society, 56: 397–404. doi: 10.1111/j.1532-5415.2007.01565.x
- Issue published online: 27 DEC 2007
- Article first published online: 27 DEC 2007
- community care;
- home visiting;
- health visiting;
- frail older people;
- geriatric assessment and follow-up
OBJECTIVES: To evaluate the effectiveness of a home visiting program on health-related measures in a population of older people with poor health status.
DESIGN: Randomized, clinical trial.
SETTING: Community-dwelling citizens in the Netherlands.
PARTICIPANTS: Three hundred thirty people aged 70 to 84 randomly assigned to an intervention group (n=160) or a control group (n=170).
INTERVENTION: Eight home visits, lasting 1 hour or more, with telephone follow-up, over an 18-month period, conducted by experienced home nurses under supervision of a public health nurse; key elements of the (systematic) visits were assessment of health problems and risks, advice, and referral to professional and community services.
MEASUREMENTS: Self-rated health, functional status, quality of life, and changes in self-reported problems.
RESULTS: No differences were found between the intervention and control group in these and other outcome measures at the end of the intervention period (18 months).
CONCLUSION: The home visiting program did not appear to have any effect on the health status of older people with poor health and are probably not beneficial for such persons.