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A consultation leaflet to improve an older patient's involvement in general practice care

A randomized trial

Bibliographic Data

ID19506185
AuthorsRaymond Wetzels, 明子 田島, Michel Wensing (0000-0001-6569-8137), 美幸 岩田, Chris van Weel (0000-0003-3653-4701), 健司 籔脇, Richard Grol, 隆司 小林, Akiko Tajima, Miyuki Iwata, Kenji Yabuwaki (0000-0002-6856-9952), Ryuji Kobayashi (0000-0001-9485-2877), 吉備国際大学保健科学部作業療法学科 吉備国際大学保健科学部作業療法学科
Year2005
Volume8
Issue4
Pages286-294
Publication date2005-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1369-7625.2005.00354.x
PMID16266416
OpenAlexW16266416
LanguageEN
Citations received1
References cited23

Objective To evaluate the effects of a programme to enhance the involvement of older patients in their consultations in general practice. Design Cluster randomized trial, in which data was collected from different cohorts. Setting and participants Twenty‐five general practices in the south‐east part of the Netherlands and their patients aged 70 years and over. Intervention Patients in the intervention group received a leaflet to help them prepare for the consultation. General practitioners (GPs) received an outreach visit to optimize older patients’ involvement when visiting their GP. Patients in the control group received usual care. Main outcome measures Questionnaires measuring involvement (COMRADE), enablement (Patient Enablement Index) and satisfaction with their care (EUROPEP). Results Pre‐intervention 315 patients and post‐intervention 263 patients were included. Subjects were satisfied with their involvement and the GP's behaviour during the consultation. No differences in effect as a result of the leaflet on involvement, enablement or satisfaction were found between the intervention and the control group. Of 318 patients who received the leaflet and visited their GP in the intervention period, 47 patients used the leaflet. These users were more accustomed to prepare themselves for consultations. Users reported more psychological problems than non‐users. Conclusions No relevant effects of the implementation programme on involvement, enablement or satisfaction were found. Other strategies are needed to enhance involvement of older patients in their care. Alternatively, older patients may perceive themselves sufficiently involved

Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Medicine · Mental Health and Patient Involvement

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Unique citing works1
Citations per year0.06
Citation span2009 - 2009 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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