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Titolo:
THE EFFECT AMONG OLDER PERSONS OF A GENERAL PREVENTIVE VISIT ON 3 HEALTH BEHAVIORS - SMOKING, EXCESSIVE ALCOHOL-DRINKING, AND SEDENTARY LIFE-STYLE
Autore:
BURTON LC; PAGLIA MJ; GERMAN PS; SHAPIRO S; DAMIANO AM; STEINWACHS D; KASPER J; FRIED L; LEVINE D; TSUJI I; VALENTE C; ORMAN M; ZEBLY J;
Indirizzi:
JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,HLTH SERV RES & DEV CTR,624 N BROADWAY BALTIMORE MD 21205
Titolo Testata:
Preventive medicine
fascicolo: 5, volume: 24, anno: 1995,
pagine: 492 - 497
SICI:
0091-7435(1995)24:5<492:TEAOPO>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICAL-ACTIVITY; ADULTS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
L.C. Burton et al., "THE EFFECT AMONG OLDER PERSONS OF A GENERAL PREVENTIVE VISIT ON 3 HEALTH BEHAVIORS - SMOKING, EXCESSIVE ALCOHOL-DRINKING, AND SEDENTARY LIFE-STYLE", Preventive medicine, 24(5), 1995, pp. 492-497

Abstract

Background. The U.S. Congress mandated evaluations, initiated in 1989, to determine whether extending Medicare benefits to include preventive services would improve health status, reduce costs of care, and improve health risk behaviors of beneficiaries. Methods. The Johns Hopkins Medicare Preventive Services Demonstration was a randomized trial inwhich Medicare beneficiaries were assigned either to an intervention group that was offered yearly preventive visits for 2 years and optional counseling visits to their primary care provider or to a control group that received usual care. This report describes the effect of the intervention over a period of 2 years on smoking, problem alcohol use,and sedentary lifestyle. Results. Differences were observed between the intervention and control groups in the extent to which changes occurred in smoking and problem alcohol use, but none of the differences was statistically significant. The proportion of smokers who quit was higher in the intervention group than in the control group (24.2 vs 17.9%, P = 0.09). However, a higher proportion of problem drinkers in thecontrol group improved (67.1 vs 57.0%, P = 0.183). There was virtually no difference between the intervention and the control groups in theproportion with improvement in sedentary lifestyle. Conclusions. Thisstudy demonstrates the difficulty of bringing about health behavior change in older patients in the course of a yearly preventive visit for2 years with their primary care physician when the visit encompasses screening and immunizations, as well as health behavior counseling directed by the physician. Further study is required to determine whethera more intense program of counseling for health behavior change amongolder persons by their primary care providers would be effective. (C)1995 Academic Press, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 01:21:14