therapeutic prospects for obesity management. The value of PNs weight loss counselling may be improved by providing support in addressing barriers; securing support; and setting collaborative goals. Home Based Community Nursing or Midwifery Source 1. Definitions 4. Population Group and Size 8. Outcomes assessed and effects 10. Resource 13. Key conclusions 5. Health Condition / on outcomes Implications 14. Recommendations for Country Problem 9. Components associated with 11. Enablers Practice, Policy, Education, 2. Overview of Models 6. Healthcare context / improved outcomes 12. Barriers Research Type of Evidence setting addressed Aim 3. Main components 7. Nursing disciplines involved Preventative Behm et al. (2014). 1. NR. 4. Adults >80 living at 8. Progression in morbidity 10. NR 13. A decline in health home, not requiring help significantly lower at 1 and 2 outcomes in very old Sweden. 2. Preventive home visits with ADL and no cognitive year follow-ups in both groups. 11. NR persons at risk of frailty can and group sessions with impairment (n=459). OR 0.44 (p = 0.001, 95% CI = be postponed. ‘Senior RCT. multiple health 0.27–0.73) for PHV and 0.61(p 12. NR meetings’ have a greater professionals (senior 5. Variable levels of frailty = 0.048, 95% CI = 0.38–0.99) effect than preventive To analyse the long-term visits). and deemed at risk of for senior meetings after 1 year home visits with respect to effects of preventive home health decline/ increasing and 0.60 (p = 0.035, 95% CI = self-rated health. visits and senior meetings 3. Three arm trial frailty. 0.37–0.96) for the PHV and 0.52 with respect to morbidity comparing preventive (p = .008,95% CI = 0.32–0.84) 14. NR. symptoms, self-rated health home visits x1 with ‘senior 6. Community. after 2 years. and satisfaction with visits’ 4 weekly and one health.
therapeutic prospects for obesity management. The value of PNs weight loss counselling may be improved by providing support in addressing barriers; securing support; and setting collaborative goals. Home Based Community Nursing or Midwifery Source Country Type of Evidence Aim 1. Definitions 2. Overview of Models 3. Main components 4. Population Group and Size 5. Health Condition / Problem 6. Healthcare context / setting addressed 7. Nursing disciplines involved 8. Outcomes assessed and effects on outcomes 9. Components associated with improved outcomes 10. Resource Implications 11. Enablers 12. Barriers 13. Key conclusions 14. Recommendations for Practice, Policy, Education, Research Preventative Behm et al. (2014). Sweden. RCT. To analyse the long-term effects of preventive home visits and senior meetings with respect to morbidity symptoms, self-rated health and satisfaction with health. 1. NR. 2. Preventive home visits and group sessions with multiple health professionals (senior visits). 3. Three arm trial comparing preventive home visits x1 with ‘senior visits’ 4 weekly and one 4. Adults >80 living at home, not requiring help with ADL and no cognitive impairment (n=459). 5. Variable levels of frailty and deemed at risk of health decline/ increasing frailty. 6. Community. 8. Progression in morbidity significantly lower at 1 and 2 year follow-ups in both groups. OR 0.44 (p = 0.001, 95% CI = 0.27–0.73) for PHV and 0.61(p = 0.048, 95% CI = 0.38–0.99) for senior meetings after 1 year and 0.60 (p = 0.035, 95% CI = 0.37–0.96) for the PHV and 0.52 (p = .008,95% CI = 0.32–0.84) after 2 years. 10. NR 11. NR 12. NR 13. A decline in health outcomes in very old persons at risk of frailty can be postponed. ‘Senior meetings’ have a greater effect than preventive home visits with respect to self-rated health. 14. NR.
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