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Evid Based Nurs 8:122 doi:10.1136/ebn.8.4.122
  • Quality improvement

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?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}.*

GraphicBlinding:

unblinded.

GraphicFollow up period:

3 years.

GraphicSetting:

34 municipalities in Denmark.

GraphicParticipants:

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.

GraphicIntervention:

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 …

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