SynthesisBMC health services research2008
Effects of intensive home visiting programs for older people with poor health status: a systematic review.
Synthesis in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02664454 (Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care), which is not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care: A Pragmatic Three-arm Cluster Randomized Controlled Trial
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Trial
- Trial
- Trial
- For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently.BMC geriatrics · 2016Trial
- Effects of Nurse-Led Multifactorial Care to Prevent Disability in Community-Living Older People: Cluster Randomized Trial.PloS one · 2016Trial
- Cost-utility analysis of a preventive home visit program for older adults in Germany.BMC health services research · 2015Trial
- A person-centred approach to health promotion for persons 70+ who have migrated to Sweden: promoting aging migrants' capabilities implementation and RCT study protocol.BMC geriatrics · 2015Trial
- Cost analysis of a home-based nurse care coordination program.Journal of the American Geriatrics Society · 2014Trial
- Effects of preventive home visits on health care costs for ambulatory frail elders: a randomized controlled trial.Aging clinical and experimental research · 2013Trial
- Effectiveness of interdisciplinary primary care approach to reduce disability in community dwelling frail older people: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Early detection of health problems in potentially frail community-dwelling older people by general practices--project [G]OLD: design of a longitudinal, quasi-experimental study.BMC geriatrics · 2013Trial
- Proactive and integrated primary care for frail older people: design and methodological challenges of the Utrecht primary care PROactive frailty intervention trial (U-PROFIT).BMC geriatrics · 2012Trial
- Comprehensive geriatric assessment, multifactorial interventions and nurse-led care coordination to prevent functional decline in community-dwelling older persons: protocol of a cluster randomized trial.BMC health services research · 2012Trial
- Effect of preventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial.BMJ (Clinical research ed.) · 2010Trial
- Determinants and prediction of home nursing utilization among older adults in China: an integration of logistic regression and XGBoost algorithm.BMC nursing · 2026Article
- Application and implementation of brief geriatric assessment in primary care and community settings: a scoping review.BMC geriatrics · 2025Article
- Barriers to clinical nurse participation in the internet-based home visiting program: a qualitative study.BMC nursing · 2023Article
- Chewing ability and associated factors in older adults in Germany. Results from GEDA 2019/2020-EHIS.BMC oral health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHome visiting programs have been developed aimed at improving the health and independent functioning of older people. Also, they intend to reduce hospital and nursing home admission and associated cost. A substantial number of studies have examined the effects of preventive home visiting programs on older people living in the community; the findings have been inconsistent. The objective of this review was to assess the effectiveness of intensive home visiting programs targeting older people with poor health or otherwise with functional impairments.
methodsA search for literature was based on included trials from four reviews on the effectiveness of home visits published after 2000 and on a database search of Cinahl, the Cochrane Central Register of Controlled Trials, Embase, Medline and PsycINFO from 2001 onwards. We also manually searched reference lists from potentially relevant papers. Randomized controlled trials were included assessing the effectiveness of intervention programs consisting of at least four home visits per year, an intervention duration of 12 months or more, and targeting older people (aged 65 years and over) with poor health. Two reviewers independently abstracted data from full papers on program characteristics and outcome measures; they also evaluated the methodological quality.
resultsThe search identified 844 abstracts; eight papers met the inclusion criteria. Seven trials were of sufficient methodological quality; none of the trials showed a significant favorable effect for the main analysis comparing the intervention group with the control group on mortality, health status, service use or cost. The inclusion of less-intensive intervention programs for frail older persons would not have exerted a great influence on the findings of our review.
conclusionWe conclude that home visiting programs appear not to be beneficial for older people with poor health within the health care setting of Western countries.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.