Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Department of Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Leiden, The Netherlands.
BMC Fam Pract. 2020 Oct 19;21(1):213. doi: 10.1186/s12875-020-01280-0.
Providing older persons with information about their health status may increase their involvement in their own health and enhance self-management. However, we need a better understanding of how older persons view their personal results after completing a screening questionnaire on complex health, of their (lack of) motivation and their subsequent action.
In this qualitative study community-dwelling older persons (≥80 years, n = 13) who completed a screening questionnaire on complex health problems were interviewed regarding their perception of the results, the actions they considered taking and their personal motivations. Data were analysed thematically (qualitative content analyses).
Participants expressed interest in feedback, as an objective questionnaire might substantiate their own views regarding their personal health. They were mostly unsurprised by the results and/or had already taken precautions and were therefore not inclined to undertake additional action. They admitted difficulty with and appreciated advice from a professional regarding preparation of an action plan. Unexpected negative results would lead them to discuss matters with family and/or their general practitioner, provided they had a good relationship with their GP.
Older people were interested in direct feedback regarding their screening questionnaire results and in subsequent advice on possible additional measures. General practices could consider inviting older persons to complete a screening questionnaire and discuss activities and personal goals. This information could serve to better shape future interventions aimed at increasing self-management amongst older persons.
为老年人提供有关其健康状况的信息可能会增加他们对自身健康的参与度并增强自我管理能力。然而，我们需要更好地了解老年人在完成复杂健康状况的筛选问卷后如何看待他们的个人结果、他们的（缺乏）动机以及他们随后的行动。
在这项定性研究中，对完成复杂健康问题筛选问卷的 13 名（≥80 岁）社区居住老年人进行了访谈，了解他们对结果的看法、他们认为要采取的行动以及他们的个人动机。对数据进行了主题分析（定性内容分析）。
参与者对反馈表示感兴趣，因为客观的问卷可能会证实他们对自己个人健康状况的看法。他们对结果大多不感到惊讶，并且/或者已经采取了预防措施，因此不倾向于采取额外的行动。他们承认在制定行动计划方面存在困难，并且赞赏专业人士的建议。如果出现意外的负面结果，他们会与家人和/或他们的全科医生讨论相关问题，前提是他们与 GP 有良好的关系。
老年人对有关其筛选问卷结果的直接反馈以及对可能采取的其他措施的后续建议感兴趣。全科医生可以考虑邀请老年人填写筛选问卷，并讨论活动和个人目标。这些信息可以帮助更好地塑造未来旨在提高老年人自我管理能力的干预措施。
