Palo Alto Medical Foundation Research Institute, Palo Alto, California 94301, USA.
J Am Geriatr Soc. 2010 Aug;58(8):1496-503. doi: 10.1111/j.1532-5415.2010.02980.x. Epub 2010 Jul 19.
To evaluate the effect of an activation intervention delivered in community senior centers to improve health outcomes for chronic diseases that disproportionately affect older adults.
Two-group quasi-experimental study.
Two Los Angeles community senior centers.
One hundred sixteen senior participants.
Participants were invited to attend group screenings of video programs intended to inform about and motivate self-management of chronic conditions common in seniors. Moderated discussions reinforcing active patient participation in chronic disease management followed screenings. Screenings were scheduled over the course of 12 weeks.
One center was assigned by coin toss to an encouragement condition in which participants received a $50 gift card if they attended at least three group screenings. Participants in the nonencouraged center received no incentive for attendance. Validated study measures for patient activation, physical activity, and health-related quality of life were completed at baseline and 12 weeks and 6 months after enrollment.
Participants attending the encouraged senior center were more likely to attend three or more group screenings (77.8% vs 47.2%, P=.001). At 6-month follow-up, participants from either center who attended three or more group screenings (n=74, 64%) reported significantly greater activation (P<.001), more minutes walking (P<.001) and engaging in vigorous physical activity (P=.006), and better health-related quality of life (Medical Outcomes Study 12-item Short-Form Survey (SF-12) mental component summary, P<.001; SF-12 physical component summary, P=.002).
Delivering this pilot intervention in community senior centers is a potentially promising approach to activating seniors that warrants further investigation for improving chronic disease outcomes.
评估在社区老年人中心开展的一项激活干预措施对改善影响老年人的慢性病健康结果的效果。
两组准实验研究。
两个洛杉矶社区老年人中心。
116 名老年参与者。
邀请参与者参加小组观看旨在告知和激励老年人自我管理慢性病的视频节目。小组观看后进行强化积极参与慢性病管理的讨论。小组观看计划在 12 周内进行。
掷硬币将一个中心分配到鼓励条件，参与者如果至少参加三次小组观看就可以获得 50 美元的礼品卡。非鼓励中心的参与者没有参加的奖励。在基线和 12 周及 6 个月入组后，使用经过验证的患者激活、身体活动和与健康相关的生活质量研究措施进行测量。
参加鼓励中心的参与者更有可能参加三次或更多次小组观看（77.8%对 47.2%，P=.001）。在 6 个月的随访中，参加三次或更多次小组观看的任何中心的参与者（n=74，64%）报告的激活程度显著更高（P<.001），行走的分钟数更多（P<.001），进行剧烈身体活动的比例更高（P=.006），与健康相关的生活质量更好（医疗结果研究 12 项简短量表（SF-12）心理成分综合评分，P<.001；SF-12 生理成分综合评分，P=.002）。
在社区老年人中心开展这项试点干预措施是一种有潜力的激活老年人的方法，值得进一步研究以改善慢性病的结果。
