Evidence map›Paper›PMID 30810457›Full record

Trial reportScandinavian journal of primary health care2019

Effects of preventive home visits on health-related quality-of-life and mortality in home-dwelling older adults.

Heini Liimatta, Pekka Lampela, Pirjo Laitinen-Parkkonen, Kaisu H Pitkala

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Heini Liimattaa Hyvinkää City Health Centre , Hyvinkää , Finland.
Pekka Lampelac Hyvinkää City Health Center , Hyvinkää , Finland.
Pirjo Laitinen-Parkkonend Health Care and Social Services , Keski-Uusimaa Joint Municipality Authority , Uusimaa , Finland.
Kaisu H Pitkalab Department of General Practice and Primary Health Care , University of Helsinki , Helsinki , Finland.
Hyvinkää Hospital · FIHelsinki University Hospital · FIHospital District of Helsinki and Uusimaa · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe explored the effectiveness of preventive home visits on the health-related quality-of-life (HRQoL) and mortality among independently community-dwelling older adults.

designA randomised controlled trial. SUBJECTS: Independently home-dwelling older adults 75 years and older, consisting of 211 in the intervention and 211 in the control group.

settingHyvinkää town municipality, Finland.

main outcome measuresWe used the change in HRQoL measured by the 15D scale as our primary outcome. Mortality at two years was retrieved from central registers.

resultsAt the one-year time point, the HRQoL according to the 15D scores deteriorated in the control group, whereas we found no change in the intervention group. The difference between the 15D score changes between the groups was -0.015 (95% CI -0.029 to -0.0016; p = 0.028, adjusted for age, sex, and baseline value). At the two-year time point as the visits ended, that difference diminished. There was no difference in mortality between the groups during the 24-month follow-up.

conclusionPreventive home visits implemented by a multidisciplinary team with CGA appear to help slow down the decline in HRQoL among older adults, although the effect diminishes when the visits end. Key points We are exploring preventive home visits as means to support the health-related quality-of-life (HRQoL) of home-dwelling older adults Multiprofessional preventive home visits in this intervention study helped to maintain the HRQoL when measured using 15D The effects on HRQoL diminished when the intervention ended, so could further benefits be attained with a longer intervention?The clinical trial registration number: ACTRN12616001411437.

Indexed as

Activities of Daily LivingGeriatric AssessmentHouse CallsIndependent LivingPreventive Health ServicesQuality of LifeAgedAged, 80 and overFemaleFinlandHome Care ServicesHumansMaleMortalitycomprehensive geriatric assessmenthealth-related quality-of-lifeolder adultsPreventionpreventive home visit

Identifiers

PMID30810457
PMCPMC6452824
OpenAlexW2916080739

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.