Abstract |
The purpose of this report was to evaluate a prevention program to reduce risk factors for common diseases among older individuals in a lower income community. This randomized community-based study enrolled older adults into a Brief Education and Counseling Intervention or a Brief Education and Counseling Intervention plus a physical activity and (for those with hypertension) a dietary sodium intervention. Outcomes were collected on 389 adults with a mean age of 73.9 years over 24 months. Adherence to the "10 Keys" improved significantly in the proportion meeting goals for low-density lipoprotein cholesterol (+14%), bone mineral density testing (+11%), pneumonia vaccination (+11%), colonoscopy (+14%), and adherence to antihypertensive medication (+9%). This program resulted in significant reductions in key risk factors, increases in immunizations, and adherence to established prevention guidelines over 2 years. Further research is needed to refine the use of community health counselors for translating prevention knowledge into community settings. A major limitation of these studies is the low participation percentage.
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Authors | Joseph F Robare, Constance M Bayles, Anne B Newman, Kathy Williams, Carole Milas, Robert Boudreau, Kathleen McTigue, Steven M Albert, Christopher Taylor, Lewis H Kuller |
Journal | Health education & behavior : the official publication of the Society for Public Health Education
(Health Educ Behav)
Vol. 38
Issue 4
Pg. 379-88
(Aug 2011)
ISSN: 1552-6127 [Electronic] United States |
PMID | 21652780
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, P.H.S.)
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Topics |
- Aging
- Bone Density
- Colonoscopy
- Community-Based Participatory Research
- Diet
- Exercise
- Female
- Health Behavior
- Humans
- Male
- Medication Adherence
- Patient Education as Topic
(organization & administration)
- Poverty Areas
- Risk Factors
- Socioeconomic Factors
- Vaccination
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