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Centre for Policy on Ageing | |
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Home-based health promotion for chronically ill older persons
— results of a randomized controlled trial of a critical reflection approach | | Author(s) | Carol L McWilliam, Moira Stewart, Judith Belle Brown |
| Journal title | Health Promotion International, vol 14, no 1, 1999 |
| Pages | pp 27-41 |
| Keywords | Chronic illness ; Discharged patients ; Health [elderly] ; Preventative medicine ; Canada. |
| Annotation | Researchers hypothesised that chronically ill older people receiving a health promotion intervention would have a significantly more positive mindset (attitude to life); would use significantly less hospital and home care services; and would have a better quality of life. At the time of discharge from hospital, 298 Canadian older people were randomised to receive usual home care plus intervention (10 weekly 1-hour sessions with a nurse, for critical reflection on life and health), or to a control group for usual home care. Those receiving the intervention had significantly greater independence and perceived ability to manage their own health, and significantly less desire for information immediately post-intervention. At a 1-year follow-up, the pattern persisted, although significant differences were limited to independence and desire for information. Changes in health service use by the two groups did not differ significantly. Results suggest the clinical potential of critical reflection to enhance the health of chronically ill older people. Further investigation with less frail populations is needed. (RH). |
| Accession Number | CPA-000127224 A |
| Classmark | CI: LFD: CC: LK2: 7S * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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