Table 3

Characteristics of the included home visiting programs

Author(s) Year Country

Sample size nr I/C

Health status participants

Mean age

Intervention program*

Number of visits per year

Duration of intervention in years

Intervener

Compliance


Dalby [21] 2000 Canada

73/69

self-reported functional impairment, or admission to hospital or bereavement in the previous 6 months

79

multidimensional assessment; a care plan was developed together with the primary care physician

as needed (mean 18.9 hours)

1.2

primary care nurse

not reported

Stuck [15] 2000 Switzerland

116/231

high-risk status based on six baseline predictors of functional deterioration

82

annual multidimensional assessment (with physical examinations); preventive home visits in collaboration with the project team's geriatricians

4 (mean 7.5)

2

trained public health nurse

not reported

van Haastregt [23, 24] 2000 Netherlands

159/157

moderate impairments in mobility, score ≥ 3 on mobility control scale of the short-version sickness impact profile, or a history of recent falls (≥ 2 in previous 6 months)

77

multidimensional assessment with checklists and use of guidelines; systematic home visits

5 (mean 4.5)

1

trained community health nurse

46% for referrals and advice

Yamada [22] 2003 Japan

184/184

dependent in IADL, independent in ADL, and not rating their health as excellent

79

multidimensional assessment based on the MDS-HC; scheduled home visits, primary objective human interaction

4 (mean 5.1)

1.5

trained public health nurse

47% for advice

van Hout [19] 2005 Netherlands

331/320

self-reported health score in the worst quartile of at least two of six COOP-WONCA charts

≥ 75

multidimensional assessment with RAI-HC; systematic home visits, an individual care plan was set up complying with patient priorities together with the primary care practice

5

1.5

trained home nurse

not (yet) reported

Bouman [10,11] 2007 Netherlands

160/170

self-reported poor health status at baseline, score 1–5 on a scale from 1–10 (very poor-excellent health)

76

multidimensional assessment with EasyCare questionnaire and checklists; systematic home visits, individual plan in agreement with the older persons

5.3 (mean 7.3)

1.5

trained home nurse

65% for referrals 58% for advice


Notes: I, intervention group; C, control group; ADL, activities of daily living; LTC, Long Term Care; MDS-HC, minimal data set home care; COOP-WONCA, COOP functional health assessment charts; RAI-HC, resident assessment inventory home care.

* The control group received usual care.

† Mean over entire group of high-risk and low-risk older persons.

Bouman et al. BMC Health Services Research 2008 8:74   doi:10.1186/1472-6963-8-74

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