PlanYourLifeSpan.org - an intervention to help seniors make choices for their fourth quarter of life: Results from the randomized clinical trial
PlanYourLifeSpan.org - an intervention to help seniors make choices for their fourth quarter of life: Results from the randomized clinical trial
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DOI：
10.1016/j.pec.2017.06.028
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发表时间：
2017-11-01
影响因子：
3.5
通讯作者：
Cameron, Kenzie A.
中科院分区：
文献类型：
--
作者：
Lindquist, Lee A.;Ramirez-Zohfeld, Vanessa;Cameron, Kenzie A.
目标：很少有老年人考虑他们的家庭支持和健康需要，可能需要在原地养老。我们试图评估PlanYourLifespan.org（PYL）的有效性，在影响老年人的规划行为，规划的重要性，和信心访问service.Method：随机对照试验，成年人，年龄>= 65岁，在城市，郊区，农村地区的得克萨斯州，伊利诺伊州，印第安纳州。在基线和1个月随访之间，与注意力控制（AC）组相比，PYL组的平均计划行为评分增加了0.22分。在控制基线后，PYL组的平均1个月计划行为评分显著高于AC组（1.25分，CI 0.37-2.12，p = 0.005）。通过纵向线性混合模型进行的次要分析表明，计划行为（p = 0.047）和重要性感知（p = 0.05）均存在研究组与时间的相互作用效应。重要的基线协变量包括自我效能，教育，感知的社会支持，权力的律师，和中风的历史。结论和实践的影响：：PlanYourLifespan.org证明，在帮助老年人计划和沟通他们的健康支持需求的功效。这个免费的，全国可用的工具可以帮助个人了解，计划和沟通他们的选择，为他们未来的支持需求。(C)2017爱思唯尔B. V.保留所有权利。
Objective: Few older adults contemplate their home support and health needs that may be required for aging-in-place. We sought to assess the efficacy of PlanYourLifespan.org (PYL), in influencing seniors' planning behaviors, perception of the importance of planning, and confidence accessing services.Method: Randomized controlled trial, of adults, age >= 65 years in urban, suburban, rural areas of Texas, Illinois, Indiana.Results: Among 385 participants, mean age was 71.9 years, 79.5% female. Between baseline and one month follow-up, average planning behavior score increased 0.22 points in the PYL arm when compared to the attention control (AC) arm. After controlling for baseline, mean one-month planning behavior score was significantly higher in the PYL arm than in the AC arm (1.25 points, CI 0.37-2.12, p = 0.005). Secondary analyses via longitudinal linear mixed modelling suggested a study arm-by-time interaction effect for both planning behavior (p = 0.047 and perception of importance (p = 0.05). Significant baseline covariates included self-efficacy, education, perceived social support, power of attorney, and history of stroke.Conclusions and Practice Implications: : PlanYourLifespan.org demonstrated efficacy in helping seniors plan for and communicate their health support needs. This free, nationally available tool may help individuals understand, plan, and communicate their options for their future support needs. (C) 2017 Elsevier B.V. All rights reserved.