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
Protocol serial number	QLK6-CT-1999-02205
Sponsor	University of Berne (Switzerland)
Funders	European Union (Belgium) (ref: QLK6-CT-1999-02205), Federal Office of Education and Science (Switzerland) (ref: BBW 990311.1), The German Federal Ministry for Family, Senior Citizens, Women and Youth (Bundesministerium für Familie, Senioren, Frauen und Jugend) (Germany), Max und Ingeburg Herz Foundation (Max und Ingeburg Herz Stiftung) (Germany), Robert Bosch Foundation (Robert Bosch Stiftung) (Germany)

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

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title	Disability prevention in the older population: use of information technology for health risk appraisal and prevention of functional decline
Study acronym	PRO-AGE (PRevention in Older People - Assessment in GEneralists' practices)
Study objectives	The 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) studied	The Ageing Population and Disability/Epidemiology
Intervention	We 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 type	Other
Primary outcome measure(s)	1. Self-reported use of preventive care at one-year follow-up 2. Self-reported health behaviour at one-year follow-up
Key secondary outcome measure(s)	1. Self-reported health and functional parameters at one-year follow-up 2. Self-efficacy in patient-physician interaction
Completion date	31/01/2003

Eligibility

Participant type(s)	Patient
Age group	Senior
Sex	All
Target sample size at registration	10000
Key inclusion criteria	In 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 criteria	1. 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 enrolment	01/02/2000
Date of final enrolment	31/01/2003

Locations

Countries of recruitment

United Kingdom
Germany
Switzerland

Study participating centre

University Department of Geriatrics

Berne
CH-3001
Switzerland

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Peer reviewed?	Patient-facing?
Results article	results	19/10/2015	Yes	No
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

Editorial Notes

21/10/2015: Publication reference added.