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The 'Healthy passport' intervention with older people in an English urban environment
 — effects of incentives and peer-group organisers in promoting healthy living
Author(s)Carol A Holland, Pauline Everitt, Angela Johnson
Journal titleAgeing and Society, vol 28, part 4, May 2008
Pagespp 525-549
Sourcehttp://www.journals.cambridge.org/ASO
KeywordsHealth [elderly] ; Preventative medicine ; Usage [services] ; Projects ; Evaluation ; Sandwell.
AnnotationThis paper reports the evaluation of the effectiveness of incentives (viz points and prizes) and of peer-group organisers (older people's champions) in the outcomes of a health promotion programme for people aged 50+ in Sandwell, a multi-ethnic metropolitan district of the West Midlands. Health promotion activities were provided, and adherence, outcome variables and barriers to adherence were asked over 6 months, using a "passport" format. Those aged in their fifties and of Asian origin were under-represented, but people of Afro-Caribbean origin were well-represented and proportionately most likely to stay in the project. Those of greater age and with more illness were most likely to drop out. There were significant improvements in exercise, diet and the uptake of influenza vaccines and eyesight tests, but slighter improvements in well-being. Positive outcomes related to the incentives and to liking the format. The number of reported barriers was associated with lower involvement and lack of change, as was finding activities too difficult, the level of understanding, and transport and mobility problems, but when these were controlled, age did not predict involvement. Enjoying the scheme was related to positive changes, and this was associated with support from the older people's champions. (RH).
Accession NumberCPA-080425004 A
ClassmarkCC: LK2: QLD: 3E: 4C: 87D

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