SOCIAL-INTERVENTION AND THE ELDERLY - A RANDOMIZED CONTROLLED TRIAL
SOCIAL-INTERVENTION AND THE ELDERLY - A RANDOMIZED CONTROLLED TRIAL
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DOI：
10.1093/oxfordjournals.aje.a116473
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发表时间：
1992-12-15
影响因子：
5
通讯作者：
JAGGER, C
中科院分区：
文献类型：
--
作者：
CLARKE, M;CLARKE, SJ;JAGGER, C
1985年建立了一项随机对照试验，检验社会干预对75岁及以上独居老年人3年以上的影响。样本框架是英格兰莱斯特郡Melton Mowbray镇一个由12名全科医生组成的大型团体执业的年龄/性别登记，名单大小约为32,000名患者。1985年，共有523名独居老人被确定、采访并随机分为实验组和对照组。一名外行为实验组（n = 261）提供了旨在加强社会联系的个人支持包。大约3年后的1988年，结果测量是死亡率；变化：身体状况的变化；对医疗、辅助医疗、社会和志愿服务的需求；以及一些主观变量的变化（士气、孤独感和自我感知的健康）。除了自我感知的健康状况外，任何变量都没有发现显著差异，实验组比对照组表现出明显更大的改善。更重要的是，样本中有一半的老年人拒绝了几次帮助。
A randomized controlled trial was set up in 1985 to test the effect of social intervention over 3 years among elderly people, aged 75 and above, living alone. The sampling frame was the age/sex register of a large group practice of 12 general practitioners serving the town of Melton Mowbray, Leicestershire, England, with a list size of approximately 32,000 patients. A total of 523 elderly people living alone in 1985 were identified, interviewed, and randomized into experimental and control groups. A lay worker offered the experimental group (n = 261) individual packages of support that aimed at enhanced social contacts. The outcome measures, approximately 3 years later in 1988, were mortality; changes in physical status; demand for medical, paramedical, social, and voluntary services; and changes in a number of subjective variables (morale, loneliness, and self -perceived health). No significant differences were found for any of the variables with the exception of self-perceived health status, where the experimental group showed significantly greater improvements than did the control group. More importantly, half the elderly in this sample declined several offers of help.