Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project

An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effec...

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Main Authors: D.J. Annemarie van Dijk, Matty R. Crone, Pepijn van Empelen, Willem J. Assendelft, Barend J. Middelkoop
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335517300554
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spelling doaj-270da345b94a4c38845d9b574868eba22020-11-25T02:36:01ZengElsevierPreventive Medicine Reports2211-33552017-06-016C25826410.1016/j.pmedr.2017.03.013Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS projectD.J. Annemarie van Dijk0Matty R. Crone1Pepijn van Empelen2Willem J. Assendelft3Barend J. Middelkoop4GGD Hollands Midden, Regional Public Health Service Hollands Midden, Staff Department Epidemiology, Leiden, The NetherlandsLUMC Leiden University Medical Center, Leiden, The NetherlandsResearch Center Child Health, TNO Netherlands Organization for Applied Scientific Research, Leiden, The NetherlandsDepartment of Primary and community care, UMC St Radboud, Nijmegen, the NetherlandsLUMC Leiden University Medical Center, Leiden, The NetherlandsAn aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS), a multi-behavioural screening programme for persons aged 55–74 years in primary care. In a multi-centre randomised controlled trial, the effects of participating in the PRIMUS intervention were compared to a comparison group receiving personalised summaries and advice by postal mail, both preceded by a health risk assessment via a questionnaire. The intervention consisted of a baseline health risk assessment, followed by a preventive health consultation (after 4 weeks), and a follow-up visit (2 weeks later) in the primary care centre. A newly developed web-based computer-tailored programme supported the nurse practitioner during the consultation. Main outcomes measures were awareness of, and compliance with referral advice for changing unhealthy lifestyles. The PRIMUS preventive health consultation was successful in older people at risk for cardio metabolic diseases compared to the comparison group (compliance: RR 1.43; 95% CI 1.12–1.79; p < 0.05). The intervention was less successful in older people at risk for mental health problems. This preventive health consultation for older people resulted in positive changes in unhealthy behaviours by optimising reach, raising awareness, motivating and assisting individuals to change, and referring to local interventions.http://www.sciencedirect.com/science/article/pii/S2211335517300554AgedPrimary health careLifestyle risk reductionHealth services for the agedRandomised controlled trialAwarenessPreventive health service
collection DOAJ
language English
format Article
sources DOAJ
author D.J. Annemarie van Dijk
Matty R. Crone
Pepijn van Empelen
Willem J. Assendelft
Barend J. Middelkoop
spellingShingle D.J. Annemarie van Dijk
Matty R. Crone
Pepijn van Empelen
Willem J. Assendelft
Barend J. Middelkoop
Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
Preventive Medicine Reports
Aged
Primary health care
Lifestyle risk reduction
Health services for the aged
Randomised controlled trial
Awareness
Preventive health service
author_facet D.J. Annemarie van Dijk
Matty R. Crone
Pepijn van Empelen
Willem J. Assendelft
Barend J. Middelkoop
author_sort D.J. Annemarie van Dijk
title Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
title_short Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
title_full Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
title_fullStr Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
title_full_unstemmed Favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the Netherlands: The PRIMUS project
title_sort favourable outcomes of a preventive screening and counselling programme for older people in underprivileged areas in the netherlands: the primus project
publisher Elsevier
series Preventive Medicine Reports
issn 2211-3355
publishDate 2017-06-01
description An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS), a multi-behavioural screening programme for persons aged 55–74 years in primary care. In a multi-centre randomised controlled trial, the effects of participating in the PRIMUS intervention were compared to a comparison group receiving personalised summaries and advice by postal mail, both preceded by a health risk assessment via a questionnaire. The intervention consisted of a baseline health risk assessment, followed by a preventive health consultation (after 4 weeks), and a follow-up visit (2 weeks later) in the primary care centre. A newly developed web-based computer-tailored programme supported the nurse practitioner during the consultation. Main outcomes measures were awareness of, and compliance with referral advice for changing unhealthy lifestyles. The PRIMUS preventive health consultation was successful in older people at risk for cardio metabolic diseases compared to the comparison group (compliance: RR 1.43; 95% CI 1.12–1.79; p < 0.05). The intervention was less successful in older people at risk for mental health problems. This preventive health consultation for older people resulted in positive changes in unhealthy behaviours by optimising reach, raising awareness, motivating and assisting individuals to change, and referring to local interventions.
topic Aged
Primary health care
Lifestyle risk reduction
Health services for the aged
Randomised controlled trial
Awareness
Preventive health service
url http://www.sciencedirect.com/science/article/pii/S2211335517300554
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