文章基本信息

标题：Home Visits for Prevention of Impairment and Death in Older Adults: A Systematic Review
本地全文：下载
作者：Sean Grant ; Amanda Parsons ; Jennifer Burton 等
期刊名称：Campbell Systematic Reviews
电子版ISSN：1891-1803
出版年度：2014
卷号：10
期号：1
页码：1-85
DOI：10.4073/csr.2014.3
出版社：The Campbell Collaboration
摘要：This Campbell systematic review assesses the effectiveness of home visits in preventing impairment, institutionalization, and death in older adults, as well as identifying factors that may moderate effects. The review summarises findings from 64 studies. Overall, home visits are not effective in maintaining the health and autonomy of community‐dwelling older adults. Preventive home visits did not reduce absolute mortality, and did not have a significant overall effect on the number of people who were institutionalised. There is high‐quality evidence of no effect on falls from interventions targeting fall prevention. There is low‐quality evidence of small statistically significant positive effects for functioning and quality of life. It is possible that some programmes have modest effects on institutionalisation and hospitalisation. However, heterogeneity in target population and intervention design, as well as poor reporting of in studies of design, implementation and the control condition make this difficult to determine.