Centre for Policy on Ageing
 

 

The effect among older persons of a general preventive visit on three health behaviors
 — smoking, excessive alcohol drinking, and sedentary lifestyle
Author(s)Lynda C Burton, Michael J Paglia, Pearl S German
Journal titlePreventive Medicine, vol 24, 1995
Pagespp 492-497
KeywordsPreventative medicine ; Advisory services [elderly] ; General practice ; Tobacco smoking ; Alcoholism ; Inactivity ; United States of America.
AnnotationChange in health behaviours in 3,097 Medicare beneficiaries living at home in Baltimore are reported. The Johns Hopkins Medicare Preventive Services Demonstration was a randomised trial; subjects were assigned either to an intervention group offered yearly preventive visits for 2 years and optional counselling visits to their primary care provider, or to a control group receiving usual care. The effect of the intervention is described. Differences were observed between the intervention and control groups in the extent to which changes occurred in smoking and problem alcohol use, but none of the differences was statistically significant. 24.2% of the intervention group and 17.9% of the control stopped smoking. A higher proportion of problem drinkers in the control group improved (67.1% vs 57%). There was virtually no difference between the intervention and control groups in the proportion with improvement in sedentary lifestyle. These results suggest that resources for health behaviour modification need to be focused in a general preventive visit with the primary care physician. Further study is needed to determine conditions whereby a more intensive programme would be most effective. (RH).
Accession NumberCPA-980623226 A
ClassmarkLK2: IT: L5: ETT: ETA: C5: 7T *

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