Disability prevention in the older population: use of information technology for health risk appraisal and prevention of functional decline

ISRCTN ISRCTN28458424
DOI https://doi.org/10.1186/ISRCTN28458424
Secondary identifying numbers QLK6-CT-1999-02205
Submission date
14/07/2005
Registration date
19/08/2005
Last edited
21/10/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Andreas Stuck
Scientific

University Department of Geriatrics
Spital Bern - Ziegler
Morillonstrasse 75-91
Berne
CH-3001
Switzerland

Phone +41 (0)31 970 73 29
Email andreas.stuck@spitalbern.ch

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typePrevention
Scientific titleDisability prevention in the older population: use of information technology for health risk appraisal and prevention of functional decline
Study acronymPRO-AGE (PRevention in Older People - Assessment in GEneralists' practices)
Study objectivesThe goal of the project is to change health risk behaviours in older persons with the longer-term aim of preventing disability and minimising unnecessary service utilisation. This is achieved by the development of a new intervention that could be integrated into primary care at relatively low costs and that could be used as a cross-national database for comparative evaluation on determinants of healthy ageing.

We hypothesise that at each site the intervention will:
1. Result in favourable changes in health behaviour:
1.1. Higher level of physical activity
1.2. Reduced fat intake
1.3. Higher fruit/fibre intake
1.4. Reduction of hazardous alcohol use
1.5. Increase in seat belt use
1.6. Reduction of smoking
2. Result in a higher uptake of preventive care:
2.1. Colon cancer screening
2.2. Breast cancer screening
2.3. Influenza vaccination
2.4. Pneumococcal vaccination
2.5. Blood pressure measurement
2.6. Glucose measurement
2.7. Cholesterol measurement
2.8. Vision screening
2.9. Hearing screening
2.10. Dentist visits
3. Improve older persons’ self efficacy in patient-physician interaction and taking care of ones own health
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedThe Ageing Population and Disability/Epidemiology
InterventionWe conducted three randomised controlled studies (three sites: Hamburg, London, Bern). The intervention consisted of the administration of the health risk appraisal for older persons (HRA-O), and of a site specific reinforcement. In Hamburg, the reinforcement consisted of small group sessions or of home visits, in London of computer-based support and a computer-assisted reminder system, and in Bern of home visits.

Control: no intervention
Intervention typeOther
Primary outcome measure1. Self-reported use of preventive care at one-year follow-up
2. Self-reported health behaviour at one-year follow-up
Secondary outcome measures1. Self-reported health and functional parameters at one-year follow-up
2. Self-efficacy in patient-physician interaction
Overall study start date01/02/2000
Completion date31/01/2003

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants10,000
Key inclusion criteriaIn each site about 20 - 30 general physician practices (three in London) generate lists of all persons aged 65 and older (Germany: 60 and older) in their practices.
Key exclusion criteria1. Cognitive impairment
2. Dependent in basic activities of daily living (BADL) or living in nursing home
3. Terminal disease
4. Did not speak national language
Date of first enrolment01/02/2000
Date of final enrolment31/01/2003

Locations

Countries of recruitment

  • Germany
  • Switzerland
  • United Kingdom

Study participating centre

University Department of Geriatrics
Berne
CH-3001
Switzerland

Sponsor information

University of Berne (Switzerland)
University/education

Department of Geriatrics
Spital Berne - Ziegler
Morillonstrasse 75-91
Berne
CH-3001
Switzerland

Phone +41 (0)31 970 73 29
Email andreas.stuck@spitalbern.ch
ROR logo "ROR" https://ror.org/02k7v4d05

Funders

Funder type

Government

European Union (Belgium) (ref: QLK6-CT-1999-02205)

No information available

Federal Office of Education and Science (Switzerland) (ref: BBW 990311.1)

No information available

The German Federal Ministry for Family, Senior Citizens, Women and Youth (Bundesministerium für Familie, Senioren, Frauen und Jugend) (Germany)

No information available

Max und Ingeburg Herz Foundation (Max und Ingeburg Herz Stiftung) (Germany)

No information available

Robert Bosch Foundation (Robert Bosch Stiftung) (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other publications 27/02/2002 Yes No
Other publications 01/11/2002 Yes No
Other publications 01/08/2006 Yes No
Other publications 01/12/2007 Yes No
Other publications 01/09/2008 Yes No
Results article results 19/10/2015 Yes No

Editorial Notes

21/10/2015: Publication reference added.