An educational programme for primary healthcare providers improved functional ability in older people living in the community
Q Does an educational programme for healthcare providers in routine primary care improve functional ability and reduce nursing home admissions and mortality in older people?
randomised controlled trial.
Follow up period:
34 municipalities in Denmark.
4060 people 75 and 80 years of age who were living at home. 2876 were 75 years of age, and 1184 were 80 years of age.
17 municipalities (2104 people) were allocated to the intervention, which comprised education for all municipality health professionals who conducted routine preventive home visits to people >75 years of age and an introduction for all local general practitioners (GPs) to a short geriatric assessment programme. Twice each year, 2 key persons from each municipality were asked to promote training in the use and interpretation of a standard assessment tool. Visiting professionals were asked to assess functional ability at every visit; tiredness in daily activities was interpreted as an early sign of disability and prompted a search …