Abstract
BackgroundRecruiting patients to health promotion programmes who will benefit is crucial to success. A key policy driver for health promotion in older people is to reduce health and social care use. Our aim was to describe service use among older people taking part in the Multi-dimensional Risk Appraisal for Older people primary care health promotion programme.MethodsA random sample of 1 in 3 older people (≥65 years old) was invited to participate in the Multi-dimensional Risk Appraisal for Older people project across five general practices in London and Hertfordshire. Data collected included socio-demographic characteristics, well-being and functional ability, lifestyle factors and service use.Latent class analysis (LCA) was used to identify groups based on use of the following: secondary health care, primary health care, community health care, paid care, unpaid care, leisure and local authority resources. Differences in group characteristics were assessed using univariate logistic regression, weighted by probability of class assignation and clustered by GP practice.ResultsResponse rate was 34% (526/1550) with 447 participants presenting sufficient data for analysis. LCA using three groups gave the most meaningful interpretation and best model fit. About a third (active well) were fit and active with low service use. Just under a third (high NHS users) had high impairments with high primary, secondary and community health care contact, but low non-health services use. Just over a third (community service users) with high impairments used community health and other services without much hospital use.ConclusionOlder people taking part in the Multi-dimensional Risk Appraisal for Older people primary care health promotion can be described as three groups: active well, high NHS users, and community service users.
Highlights
Recruiting patients to health promotion programmes who will benefit is crucial to success
We invited a random sample of 1 in 3 communitydwelling older people (≥65 years old) from five general practices in London and Hertfordshire to participate in the Multi-dimensional Risk Appraisal for Older people (MRAO) [12, 13] which was contextualised to each locality in 2012
The response rate was 34% (526/1550) with 447 (85%) participants returning sufficient data to enable inclusion within the Latent class analysis (LCA). 127 participants were from the first General practitioners (GP) practice, 154 from the second, 65 from the third, 46 from the fourth and 55 from the fifth
Summary
Recruiting patients to health promotion programmes who will benefit is crucial to success. The concept of healthy ageing, “the promotion of healthy living as the prevention and management of illness and disability associated with ageing”, [1] is not the same as active ageing where the focus is on creating opportunities to enable people to engage in health enhancing activities [2]. Both are underpinned by the principles of Without effective recruitment of patients most likely to benefit from health promotion, even proven effective interventions may be unsuccessful.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
