• 1
    Bodenheimer T, Lorig K, Holman H et al. Patient self-management of chronic disease in primary care. JAMA 2002;288:24692475.
  • 2
    Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA 2002;288:19091914.
  • 3
    Glynn LG, Murphy AW, Smith SM et al. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database Syst Rev 2010. Available at Accessed January 15, 2012.
  • 4
    Renders CM, Valk GD, Griffin SJ et al. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Syst Rev 2000. Available at Accessed January 15, 2012.
  • 5
    Sit JWH, Yip VYB, Ko SKK et al. A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke. J Clin Nurs 2007;16:272281.
  • 6
    Stauffer BD, Fullerton C, Fleming N et al. Effectiveness and cost of a transitional care program for heart failure: A prospective study with concurrent controls. Arch Intern Med 2011;171:12381243.
  • 7
    Allen J, Fabri AM. An evaluation of a community aged care nurse practitioner service. J Clin Nurs 2005;14:12021209.
  • 8
    Keleher H, Parker R, Abdulwadud O et al. Systematic review of the effectiveness of primary care nursing. Int J Nurs Pract 2009;15:1624.
  • 9
    Gillespie LD, Robertson MC, Gillespie W et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009;10–728. Available at Accessed January 15, 2012.
  • 10
    Campbell AJ, Robertson MC. Rethinking individual and community fall prevention strategies: A meta-regression comparing single and multifactorial interventions. Age Ageing 2007;36:656662.
  • 11
    Stuck AE, Egger M, Hammer A et al. Home visits to prevent nursing home admission and functional decline in elderly people: Systematic review and meta-regression analysis. JAMA 2002;287:10221028.
  • 12
    Elkan R, Kendrick D, Dewey M et al. Effectiveness of home based support for older people: Systematic review and meta-analysis. BMJ 2001;232:19.
  • 13
    van Haastregt JC, Diederiks JP, van Rossum E et al. Effects of preventive home visits to elderly people living in the community: Systematic review. BMJ 2000;320:754758.
  • 14
    Meinck M, Lubke N, Lauterberg J et al. Praeventive Hausbesuche im Alter: Eine systematische Bewertung der vorliegenden Evidenz [Preventive home visits to the elderly: Systematic review of available evidence]. Gesundheitswesen 2004;66:732738.
  • 15
    Ferruci L, Guralnik J, Studenski S et al. Designing randomized controlled trials aimed at preventing or delaying functional decline and disability in frail older persons: A consensus report. J Am Geriatr Soc 2004;52:625634.
  • 16
    Markle-Reid M, Browne G, Weir R et al. The effectiveness and efficiency of home-based nursing health promotion for older people: A review of the literature. Med Care Res Rev 2006;63:531569.
  • 17
    Bourbonniere M, Evans LK. Advanced practice nursing in the care of frail older adults. J Am Geriatr Soc 2002;50:20622076.
  • 18
    Cowan MJ, Shapiro M, Hays RD et al. The effect of a multidisciplinary hospitalist/physician and advanced practice nurse collaboration on hospital costs. J Nurs Adm 2006;36:7985.
  • 19
    Naylor MD, Brooten DA, Campbell RL et al. Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial. J Am Geriatr Soc 2004;52:675684.
  • 20
    Dick K, Frazier SC. An exploration of nurse practitioner care to homebound frail elders. J Am Acad Nurse Pract 2006;18:325334.
  • 21
    Bonsall K, Cheater FM. What is the impact of advanced primary care nursing roles on patients, nurses and their colleagues? A literature review. Int J Nurs Stud 2008;45:10901102.
  • 22
    McCauley KM, Bixby MB, Naylor MD. Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failure. Dis Manag 2006;9:302310.
  • 23
    Mantzoukas S, Watkinson S. Review of advanced nursing practice: The international literature and developing the generic features. J Clin Nurs 2007;16:2837.
  • 24
    Bryant-Lukosius D, DiCenso A, Browne G et al. Advanced practice nursing roles: Development, implementation and evaluation. J Adv Nurs 2004;48:519529.
  • 25
    Imhof L, Naef R, Mahrer-Imhof R et al. SpitexPlus: Assessment und fortgeschrittene Pflegeinterventionen für zuhause lebende alte Menschen und ihre Familien [SpitexPlus: Assessment of and specialised nursing care for elderly and their families living in the community]. Pflege 2011;24:4356.
  • 26
    Morris JC. The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology 1993;43:24122414.
  • 27
    City of Winterthur. Winterthur in Zahlen 2011 [Winterthur in Numbers, 2011]. Report of the Department of Culture & Services of the City of Winterthur. Winterthur, Switzerland: City of Winterthur, Departement of Culture and Services. 2011, pp 115.
  • 28
    Hoepflinger F, Hugentobler V. Familiale, ambulante und stationäre Pflege im Alter. Perspektiven für die Schweiz. [Family, Outpatient and Inpatient Care in Old Age. Perspectives for Switzerland] Bern, Switzerland: Hans Huber, 2005.
  • 29
    Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process 1991;50:248287.
  • 30
    Bandura A. Self-Efficacy: The Exercise of Control. New York: Freeman, 1997.
  • 31
    Flood M, Buckwalter KC. Recommendations for mental health care of older adults: Part 1—an overview of depression and anxiety. J Gerontol Nurs 2009;35:2634.
  • 32
    Flood M, Buckwalter KC. Recommendations for mental health care of older adults: Part 2—an overview of dementia, delirium, and substance abuse. J Gerontol Nurs 2009;35:3547; quiz 48–39.
  • 33
    AGS clinical practice guidelines: The management of chronic pain in older persons. J Am Geriatr Soc 1998;53(Suppl 3):S6S7.
  • 34
    American Geriatrics Society. Pharmacological management of persistent pain in older adults. J Am Geriatr Soc 2009;57:13311346.
  • 35
    Imhof L, Wallhagen MI, Mahrer-Imhof R et al. Becoming forgetful: How elderly people deal with forgetfulness in everyday life. Am J Alzheimers Dis Other Demen 2006;21:347353.
  • 36
    Moreland J, Richardson J, Chan DH et al. Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology 2003;49:93116.
  • 37
    Talley KM, Wyman JF, Shamliyan TA. State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults. Nurs Outlook 2011;59:215220, 220 e211.
  • 38
    WHOQOL Group. Development of the WHOQOL: Rationale and current status. Int J Mental Health 1994;23:2456.
  • 39
    Fillenbaum GG. OARS Multidimensional Functional Assessment Questionnaire—Complete Activities of Daily Living Section (ADL, IADL, Summary Scale). Durham, NC: Duke University Center for the Study of Aging and Human Development, 1988.
  • 40
    Fillenbaum GG. Multidimensional Functional Assessment of Older Adults. The Duke Older Americans Resources and Services Procedures. Hillsdale, NJ: Lawrence Erlbaum Associates, 2005.
  • 41
    Guralnik JM, Ferrucci L, Simonsick EM et al. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 1995;332:556561.
  • 42
    Waid City Hospital. Agenda für geriatrisches Screening und Assessment. Teil 4: Tests für die geriatrische Sturz-Abklaerung. [Agenda for Geriatric Screening and Assessment. Part 4: Tests for Geriatric Falls Assessments] Zurich, Switzerland: Waid City Hospital, 2007.
  • 43
    Rubenstein LZ, Harker JO, Salvà A et al. Screening for undernutrition in geriatric practice: Developing the Short-Form Mini-Nutritional Assessment (MNA-SF). J Gerontol A Biol Sci Med Sci 2001;56A:M366M372.
  • 44
    Rinaldi P, Mecocci P, Benedetti C et al. Validation of the five-item geriatric depression scale in elderly subjects in three different settings. J Am Geriatr Soc 2003;51:694698.
  • 45
    Angermeyer MC, Kilian R, Matschinger H. WHOQOL-100 und WHOQOL-BREF. Handbuch für die deutschsprachige Version der WHO Instrumente zur Erfassung von Lebensqualitaet. [WHOQOL-100 and WHOQOL-BREF. Handbook of the German Version of the WHO Instrument to Assess Quality of life] Göttingen, Germany: Hogrefe, 2000.
  • 46
    Singer JB, Willett JB. Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence. New York: Oxford University Press, 2003.
  • 47
    Hox JJ. Multilevel Analysis, Techniques and Applications. Mahawah, NJ: Lawrence Erlbaum Associates, 2002.
  • 48
    Bouman A, van Rossum E, Ambergen T et al. Effects of a home visiting program for older people with poor health status: A randomized, clinical trial in the Netherlands. J Am Geriatr Soc 2008;56:397404.
  • 49
    Newcomer R, Maravilla V, Faculjak P et al. Outcomes of preventive case management among high-risk elderly in three medical groups: A randomized clinical trial. Eval Health Prof 2004;27:323348.
  • 50
    Smith CA. A systematic review of healthcare professional-led education for patients with osteoporosis or those at high risk for the disease. Orthop Nurs 2010;29:119132.
  • 51
    Grossmann FF, Mahrer-Imhof R. Schulung von Patienten mit Herzinsuffizienz—Effekte auf das Selbstpflegeverhalten. Eine Literaturrecherde [Impact of patient education on self-care behaviour in patients with heart failure: A review of the literature]. Pflege 2008;21:104113.
  • 52
    Brooks J, Ersser SJ, Lloyd A et al. Nurse-led education sets out to improve patient concordance and prevent recurrence of leg ulcers. J Wound Care 2004;13:111116.
  • 53
    Onder G, Landi F, Gambassi G et al. Association between pain and depression among older adults in Europe: Results from the Aged in Home Care (AdHOC) project: A cross-sectional study. J Clin Psychiatry 2005;66:982988.
  • 54
    Liebel DV, Friedman B, Watson NM et al. Review of nurse home visiting interventions for community-dwelling older persons with existing disability. Med Care Res Rev 2009;66:119146.
  • 55
    Milat AJ, Watson WL, Monger C et al. Prevalence, circumstances and consequences of falls among community-dwelling older people: Results of the 2009 NSW Falls Prevention Baseline Survey. NSW Public Health Bull 2011;22:4348.
  • 56
    Lach HW. Incidence and risk factors for developing fear of falling in older adults. Public Health Nurs 2005;22:4552.
  • 57
    Heeb JL, Ambroz F, Bopp M et al. Gesundheit im Alter. Ein Bericht aus dem Kanton Zuerich. [Health in Old Age. A Report from the Canton of Zurich] Zurich, Switzerland: University of Zurich, Institute of Social and Preventive Medicine, 2008.