Morisky D E, Levine D M, Green L W, Smith C R
Arch Intern Med. 1982 Oct;142(10):1835-8.
Because the elderly are viewed as having more difficulty in complying with therapy, this analysis was directed at the effects of a health education program on their control of primary hypertension when compared with a younger population. The program consisted of three sequential interventions introduced in a randomized factorial design. Depsite the fact that elderly patients had more chronic disease, more complications from hypertension, and were receiving more complex drug therapies than younger patients exposed to the same experimental interventions, they demonstrated significantly higher levels of compliance with drug therapy, significantly higher levels of appointment keeping, and no difference in the proportion having their BP under control at two-year-follow-up. Longitudinal data collected at five-year follow-up indicate no decay effect. These results indicate such programs can be successfully implemented and equally effective for an elderly population.
由于老年人被认为在遵循治疗方案方面有更多困难，因此本分析旨在研究与年轻人群相比，健康教育项目对老年原发性高血压患者控制血压的效果。该项目由采用随机析因设计的三个连续干预措施组成。尽管与接受相同实验干预的年轻患者相比，老年患者患有更多的慢性病、高血压并发症更多且接受更复杂的药物治疗，但他们在药物治疗方面的依从性显著更高，预约就诊的依从性显著更高，并且在两年随访时血压得到控制的比例没有差异。五年随访收集的纵向数据表明没有衰减效应。这些结果表明此类项目可以成功实施，并且对老年人群同样有效。
