Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark
Department of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
BMJ Open. 2024 Nov 2;14(11):e084938. doi: 10.1136/bmjopen-2024-084938.
The objective of this study is to explore whether offering an integrated self-management strategy and exercise referral scheme intervention (ERS+SMS) or a stand-alone ERS intervention is more effective in reducing healthcare service utilisation among community-dwelling older adults over time compared with a stand-alone SMS/control intervention.
Secondary analyses of two randomised controlled trials (RCTs) with linkage to Danish national health registries.
Three Danish municipalities: Esbjerg, Slagelse and Odense.
Danish community-dwelling older adults, aged 65 years or older, were included in the study. Participants originated from two completed RCTs: the Welfare Innovation in Primary Prevention (WIPP, n=115) and the SITLESS project (SITLESS, n=333).
Participants in the two trials were randomly assigned to one of three intervention groups: ERS in combination with SMS (ERS+SMS), ERS alone or an SMS/control intervention.
Annual number of days with contact to general practice (GP) and days hospitalised for all causes.
No statistically significant between-group difference was observed in the annual number of days with contact with GP between participants randomised to ERS+SMS (p=0.759) or ERS only (p=0.156) compared with those randomised to the SMS/control group. In addition, no statistically significant between-group differences in days hospitalised were observed when comparing the ERS+SMS (p=0.222) or ERS only (p=0.060) group to the SMS/control group.
Neither the integrated intervention (ERS+SMS) nor the ERS alone intervention was more effective in reducing healthcare service utilisation during a 2-year follow-up period compared with a stand-alone SMS/control intervention. A potential stabilising effect of ERS and/or SMS interventions on the general age-related increase in healthcare service utilisation cannot be ruled out but needs further exploration in future studies along with the exploration of the effects of long-term interventions.
NCT04531852 : and : NCT02629666 : .
本研究旨在探讨与单独提供短信自我管理策略和运动转介计划干预（ERS+SMS）或单独 ERS 干预相比，综合自我管理策略和 ERS 干预是否能更有效地减少社区居住的老年人随着时间的推移对医疗保健服务的利用。
对两项随机对照试验（RCT）进行二次分析，并与丹麦国家健康登记处进行链接。
丹麦三个市：埃斯比约、斯拉格尔塞和欧登塞。
本研究纳入了丹麦社区居住的老年人，年龄在 65 岁及以上。参与者来自两项已完成的 RCT：初级预防福利创新（WIPP，n=115）和 SITLESS 项目（SITLESS，n=333）。
两项试验的参与者被随机分配到三个干预组之一：ERS 联合 SMS（ERS+SMS）、ERS 单独或 SMS/对照组。
与全科医生（GP）接触的天数和因各种原因住院的天数。
与 SMS/对照组相比，随机分配到 ERS+SMS（p=0.759）或仅 ERS（p=0.156）组的参与者与 GP 接触的年天数没有统计学上的显著组间差异。此外，与 SMS/对照组相比，ERS+SMS（p=0.222）或仅 ERS（p=0.060）组的住院天数也没有统计学上的显著组间差异。
与单独的 SMS/对照组相比，在为期 2 年的随访期间，综合干预（ERS+SMS）或单独的 ERS 干预都不能更有效地减少医疗保健服务的利用。ERS 和/或 SMS 干预对一般与年龄相关的医疗保健服务利用增加的稳定作用不能排除，但需要在未来的研究中进一步探索，并探索长期干预的效果。
NCT04531852：和：NCT02629666：。
