Urban Health Centres Europe, a preventive integrated health and social care approach for active and healthy ageing among community-dwelling older citizens, adapted to five European settings

Conditions

Healthy lifestyles, fall risk, medication risk and loneliness level, frailty, level of independence, and health-related quality of life Mental and Behavioural Disorders Healthy lifestyles, fall risk, medication risk and loneliness level, frailty, level of independence, and health-related quality of life

Ye L, Yang-Huang J, Franse CB, Rukavina T, Vasiljev V, Mattace-Raso F, Verma A, Borrás TA, Rentoumis T, Raat H.

2022-11-0739 citations

10.1186/s12877-022-03536-z

Factors associated with physical, psychological and social frailty among community-dwelling older persons in Europe: a cross-sectional study of Urban Health Centres Europe (UHCE).

Ye L, Elstgeest LEM, Zhang X, Alhambra-Borrás T, Tan SS, Raat H.

2021-07-1245 citations

10.1186/s12877-021-02364-x

A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components

Carmen Betsy Franse, Xuxi Zhang, Amy van Grieken, Judith Rietjens, Tamara Alhambra‐Borrás et al. (21 authors)

Journal of Advanced Nursing2019-08-2316 citations

10.1111/jan.14181

The effectiveness of a coordinated preventive care approach for healthy ageing (UHCE) among older persons in five European cities: A pre-post controlled trial.

Franse CB, van Grieken A, Alhambra-Borrás T, Valía-Cotanda E, van Staveren R, Rentoumis T, Markaki A, Bilajac L, Marchesi VV, Rukavina T, Verma A, Williams G, Koppelaar E, Martijn R, Voorham AJJ, Mattace Raso F, Garcés-Ferrer J, Raat H.

2018-09-0833 citations

10.1016/j.ijnurstu.2018.09.006

Evaluation design of Urban Health Centres Europe (UHCE): preventive integrated health and social care for community-dwelling older persons in five European cities.

Franse CB, Voorham AJJ, van Staveren R, Koppelaar E, Martijn R, Valía-Cotanda E, Alhambra-Borrás T, Rentoumis T, Bilajac L, Marchesi VV, Rukavina T, Verma A, Williams G, Clough G, Garcés-Ferrer J, Mattace Raso F, Raat H.

2017-09-1122 citations

10.1186/s12877-017-0606-1

Interventions

The evaluation of UHCE has a specific pre-post controlled design in all pilot cities except for Pallini. The intervention and control sites (GP practices or primary care centers) are located in differ

all eligible patients of the Municipal Health and Social Services were randomized (by using a random numbers table) into intervention and control groups. The intervention group receives the UHCE appro

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Citizens living independently 2. Aged 75 years or more 3. Are, according to their general physician, expected to be able to participate in the study for at least 6 months

Exclusion criteria

Exclusion criteria: 1. Unable to comprehend the information provided in the local language 2. Unable to cognitively evaluate the risks and benefits of participation 3. Not expected to be able to make an informed decision regarding participation in the study, according the general practitioner

Design outcomes

Primary

Measure	Time frame
Measured at baseline and 12 months: 1. Healthy lifestyle is measured with one item on physical activity, two items on smoking, and three items of the AUDIT-C24 on high-risk alcohol use 2. Fall risk is measured by two items on (the number of) falls in the previous year, a single item asking whether or not the person is afraid of falling, and fear of falling while performing several daily activities as measured by the 7-item Falls Efficacy Scale International (FES-I) short version 3. Medication risk is measured with 10 items of the Medication risk questionnaire (MRQ-10), a tool developed for use by elderly patients to identify who is at increased risk of potentially experiencing a medication-related problem 4. Loneliness is measured with the short 6-item version of the Jong Gierveld loneliness scale, which measures the degree of what one wants in terms of interpersonal affection and intimacy, and what one has 5. Frailty is measured with the 15-item Tilburg Frailty indicator, that includes questions on physical, psychological and social components of frailty, physical frailty is additionally measured with the SHARE-Frailty instrument which is an instrument that was developed and validated in an European population, SHARE-frailty includes hand-grip strength measurement and physical frailty is also measured with a measurement of the mid-upper arm circumference (MUAC), a measure for malnutrition 6. Level of independence is measured with the Groningen activity restriction scale (GARS), that includes 18 items on independence of activities of daily living (ADL) and instrumental activities of daily living (iADL) and additionally with the one-item Global Activity Limitation Index (GALI) 7. Health Related Quality of Life (HRQOL) is measured with the 12-item short-form (SF-12)34 35 and the full 5-item psychological well-being subscale of the SF-36	—

Measure

Time frame

Measured at baseline and 12 months: 1. Healthy lifestyle is measured with one item on physical activity, two items on smoking, and three items of the AUDIT-C24 on high-risk alcohol use 2. Fall risk is measured by two items on (the number of) falls in the previous year, a single item asking whether or not the person is afraid of falling, and fear of falling while performing several daily activities as measured by the 7-item Falls Efficacy Scale International (FES-I) short version 3. Medication risk is measured with 10 items of the Medication risk questionnaire (MRQ-10), a tool developed for use by elderly patients to identify who is at increased risk of potentially experiencing a medication-related problem 4. Loneliness is measured with the short 6-item version of the Jong Gierveld loneliness scale, which measures the degree of what one wants in terms of interpersonal affection and intimacy, and what one has 5. Frailty is measured with the 15-item Tilburg Frailty indicator, that includes questions on physical, psychological and social components of frailty, physical frailty is additionally measured with the SHARE-Frailty instrument which is an instrument that was developed and validated in an European population, SHARE-frailty includes hand-grip strength measurement and physical frailty is also measured with a measurement of the mid-upper arm circumference (MUAC), a measure for malnutrition 6. Level of independence is measured with the Groningen activity restriction scale (GARS), that includes 18 items on independence of activities of daily living (ADL) and instrumental activities of daily living (iADL) and additionally with the one-item Global Activity Limitation Index (GALI) 7. Health Related Quality of Life (HRQOL) is measured with the 12-item short-form (SF-12)34 35 and the full 5-item psychological well-being subscale of the SF-36

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Secondary

Measure	Time frame
Measured at baseline and 12 months: 1. Use of ambulatory and residential health and social care, measured with four questions regarding the use of doctor appointments, household work, help caring (such as washing or dressing) and hospital admissions 2. Proportion of the participants contacted who participate in the UHCE approach (reach)and appreciation of UHCE, measured with a questionnaire. If possible reasons for refusal are reported.	—

Measure

Time frame

Measured at baseline and 12 months: 1. Use of ambulatory and residential health and social care, measured with four questions regarding the use of doctor appointments, household work, help caring (such as washing or dressing) and hospital admissions 2. Proportion of the participants contacted who participate in the UHCE approach (reach)and appreciation of UHCE, measured with a questionnaire. If possible reasons for refusal are reported.

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Countries

Croatia, England, Greece, Netherlands, Spain, United Kingdom

Contacts

Public ContactCarmen Franse

Outcome results

None listed