Effect of Home Visits by Nurses on the Physical and Psychosocial Health of Older Adults: A Systematic Review and Meta-Analysis
,
Abstract
Background: One of the best ways to maintain and develop physical and psychosocial health is to make regular home visits. This meta-analysis aimed to determine (by subgroups) the effects of interventions based on nurses’ home visits on physical and psychological health outcomes of older people.
Methods: This search was carried out using the The CINAHL, Cochrane, MEDLINE, PubMed, Science Direct, Web of Science, and Turkish databases. Experimental and observational studies were included.
Results: The meta-analysis included 26 (with subgroups 50) out of 13110 studies. The minimum and maximum values of the effect size (Hedges g) were g = -0.708 and g = 0.525, respectively. The average effect size was g = 0.084 (SD = 0.21).
Conclusion: Home visit interventions are effective in reducing the frequency of hospitalization in the older adults, and improving physical and psychosocial health. They are negatively effective on falls and have no significant effect on the quality of life.
1. United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf. Accessed 30 Sep 2019.
2. Kruschke C (2018). The role of the LPN as a leader and manager in the health-care setting. In: Leadership skills for li-censed practical nurses working with the ag-ing population. Ed, C Kruschke. Spring-er, Cham, pp.47-59.
3. United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). https://population.un.org/wpp/Publications/Files/WPP2019_Highlights.pdf. Accessed 30 Sep 2019.
4. Mathers CD, Stevens GA, Boerma T, et al (2015). Causes of international increases in older age life expectancy. The Lancet, 385 (9967):540-48.
5. Tezcan S, Seçkiner P (2012). Demographic change in Turkey; age perspective. In: Elderly health: Issues and solutions. Dilek A, Melikşah E. (Eds.), Australia, Turkish Society of Public Health Specialists Press, pp.1-8.
6. Chiao C, Lin Y, Hsiao C (2017). Comparison of the quality of informal care of community-dwelling Taiwanese older people. J Nurs Res, 25(5):375—82.
7. Grady PA (2011). Advancing the health of our aging population: a lead role for nursing science. Nurs Outlook, 59 (4) :207—9.
8. Marcus-Varwijk AE, Peters L, Visscher TLS et al, (2020). Impact of a nurse-led health promotion in an aging population: Results from a quasi-experimental study on the “community health consultation offices for seniors.” J Aging Health, 32 (1): 83—94.
9. Mayo-Wilson E, Grant S, Burton J, et al (2014). Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis. PloS One, 9(3): e89257.
10. Chase JAD, Phillips LJ, Brown M (2017). Physical activity intervention effects on physical function among community-dwelling older adults: A systematic review and meta-analysis. J Aging Phys Act, 25 (1) :149-70.
11. Renz J, Meinck M (2018). Wirksamkeit präventiver Hausbesuche bei älteren menschen:Systematische bewertung der aktuellen literatur. Z Gerontol Geriatr, 51 (8): 924—30.
12. Moher D, Shamseer L, Clarke M, et al (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev, 4 (1): 1.
13. Ergin E, Akın B, Tanyer D (2018). The effect of home visits by nurses on the physical and psychosocial health of the elderly: Study protocol for a systematic review and meta‐analysis. JSP, 2(3): 97—104.
14. Thomas B, Ciliska D, Dobbins M, et al (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs, 1 (3) :176-84.
15. Armijo‐Olivo S, Stiles CR, Hagen NA, et al (2012). Assessment of study quality for systematic reviews: a comparison of the cochrane collaboration risk of bias tool and the effective public health practice project quality assessment tool: methodological research. J Eval Clin Pract, 18 (1) :12-8.
16. Ergin E, Akın B (2018). The English adaptation of a quality assessment tool for quantitative studies: validity and reliability analyses. Turkiye Klinikleri J Nurs Sci, 10 (4) :292-308.
17. Cooper HM (1989). Integrating research: A guide for literature reviews (2nd ed.) Newbury Park, Calif.; London: Sage Publications.
18. Cohen J (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Lawrence Earlbaum Associates.
19. Higgins JP, Green S (Eds.) 2011. Cochrane handbook for systematic reviews of interventions, Chichester: John Wiley & Sons, Ltd.
20. Egger M, Smith GD, Schneide M, et al (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315: 629-34.
21. Long J (2001). An introduction to and generalization of The Fail-Safe N. Washington, D.C.
22. Shea BJ, Reeves BC, Wells G, et al. (2017). AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 358: j4008.
23. Carroll DL, Rankin SH, Cooper BA (2007). The effects of a collaborative peer advisor/advanced practice nurse intervention: cardiac rehabilitation participation and rehospitalization in older adults after a cardiac event. J Cardiovasc Nurs, 22 (4) :313—19.
24. Chow SK, Wong FK (2014). A randomized controlled trial of a nurse-led case management programme for hospital-discharged older adults with co-morbidities. J Adv Nurs, 70 (10): 2257—71.
25. Elley C, Robertson M, Garrett S, et al (2008). Effectiveness of a falls‐and‐fracture nurse coordinator to reduce falls: A randomized, controlled trial of at‐risk older adults. J Am Geriatr Soc, 56 (8): 1383—89.
26. Favela J, Castro LA, Franco-Marina F, et al. (2013). Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial.Clin Interv Aging, 8: 85—95.
27. Friedman B, Li Y, Liebel DV, et al (2014). Effects of a home visiting nurse intervention versus care as usual on individual activities of daily living: a secondary analysis of a randomized controlled trial. BMC Geriatr, 14: 24.
28. Godwin M, Gadag V, Pike A, et al. (2015). A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project. Fam Pract, 33 (1): 37—41.
29. Gustafsson S, Wilhelmson K, Eklund K, et al (2012). Health-promoting interventions for persons aged 80 and older are successful in the short term—results from the randomized and three-armed Elderly Persons in the Risk Zone study. J Am Geriatr Soc, 60 (3): 447—54.
30. Hunger M, Kirchberger I, Holle R, et al. (2015). Does nurse-based case management for aged myocardial infarction patients improve risk factors, physical functioning and mental health? The KORINNA trial. Eur J Prev Cardiol, 22 (4): 442—50.
31. Imhof L, Naef R, Wallhagen MI, et al (2012). Effects of an advanced practice nurse in-home health consultation program for community-dwelling persons aged 80 and older J Am Geriatr Soc, 60 (12): 2223—31.
32. Jonkers CC, Lamers F, Bosma H, et al (2012). The effectiveness of a minimal psychological intervention on self-management beliefs and behaviors in depressed chronically ill elderly persons: A randomized trial. Int Psychogeriatr, 24 (2): 288—97.
33. Karatay G, Akkuş Y (2012). Effectiveness of a multistimulant home-based program on cognitive function of older adults. West J Nurs Res, 34 (7): 883—901.
34. Kerse N, Hayman KJ, Moyes SA, et al (2010). Home-based activity program for older people with depressive symptoms: DeLLITE—a randomized controlled trial. Ann Fam Med, 8 (3): 214—23.
35. Kirchberger I, Hunger M, Stollenwerk B, et al (2015). Effects of a 3-year nurse-based case management in aged patients with acute myocardial infarction on rehospitalisation, mortality, risk factors, physical functioning and mental health. A secondary analysis of the randomized controlled KORINNA study. PloS One, 10 (3):e0116693.
36. Kono A, Kanaya Y, Fujita T, et al (2011). Effects of a preventive home visit program in ambulatory frail older people: a randomized controlled trial. J Gerontol A Biol Sci Med Sci, 67 (3): 302—9.
37. Luck T, Motzek T, Luppa M, et al (2013). Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial. Clin Interv Aging, 8: 697—702.
38. Markle-Reid M, Weir R, Browne G, et al (2006). Health promotion for frail older home care clients. J Adv Nurs, 54 (3) :381—95.
39. Markle-Reid M, Orridge C, Weir R, et al. (2011). Interprofessional stroke rehabilitation for stroke survivors using home care. Can J Neurol Sci, 38 (2): 317- 34.
40. Markle-Reid M, Browne G, Gafni A et al. (2010). The effects and costs of a multifactorial and interdisciplinary team approach to falls prevention for older home care clients 'at risk' for falling: a randomized controlled trial. Can J Aging, 29 (1): 139—61.
41. Melis RJ, van Eijken MI, Teerenstra S, et al (2008). A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study). J Gerontol A Biol Sci Med Sci, 63 (3): 283—90.
42. Sandberg M, Kristensson J, Midlöv P, et al (2015). Effects on healthcare utilization of case management for frail older people: a randomized controlled trial (RCT). Arch Gerontol Geriatr, 60 (1): 71—81.
43. Seidl H, Hunger M, Leidl R, et al (2015). Cost-effectiveness of nurse-based case management versus usual care for elderly patients with myocardial infarction: results from the KORINNA study. Eur J Health Econ, 16. 671—81.
44. Crawford Shearer NB, Fleury JD, Belyea M (2010). Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res, 59 (3): 203—11.
45. Sinclair AJ, Conroy SP, Davies M, et al (2005). Post-discharge home-based support for older cardiac patients: a randomised controlled trial. Age Ageing, 34 (4): 338—43.
46. Dorresteijn TA, Zijlstra GA, Ambergen AW, et al (2016). Effectiveness of a home-based cognitive behavioral program to manage concerns about falls in community-dwelling, frail older people: results of a randomized controlled trial. BMC Geriatr, 16: 2.
47. Ukawa S, Satoh H, Yuasa M, et al (2012). A randomized controlled trial of a functioning improvement tool home-visit program and its effect on cognitive function in older persons Int J Geriatr Psychiatry, 27(6): 557—64.
48. van Hout HP, Jansen AP, van Marwijk HW, et al. (2010). Prevention of adverse health trajectories in a vulnerable elderly population through nurse home visits: a randomized controlled trial [ISRCTN05358495]. J Gerontol A Biol Sci Med Sci, 65 (7): 734—42.
49. Landis J, Koch G (1977). An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics, 33 (2), 363-74.
50. Borenstein M, Hedges LV, Higgins JPT, et al (2009). Introduction to meta-analysis. Chichester: John Wiley & Sons, Ltd.
51. Stuck AE, Egger M, Hammer A, et al (2002). Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis JAMA, 287 (8) :1022—28.
52. Kuo HK, Scandrett KG, Dave J, et al (2004). The influence of outpatient comprehensive geriatric assessment on survival: a meta-analysis. Arch Gerontol Geriatr, 39(3): 245-54.
53. Huss A, Stuck AE, Rubenstein LZ, et al (2008). Multidimensional preventive home visit programs for community-dwelling older adults: A systematic review and meta-analysis of randomized controlled trials. J Gerontol A Biol Sci Med Sci, 63 (3):298-307.
54. Bachmann S, Finger C, Huss A, et al (2010). Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ, 340: c1718.
55. Beswick AD, Rees K, Dieppe P, et al (2008). Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet, 371 (9614): 725—35.
2. Kruschke C (2018). The role of the LPN as a leader and manager in the health-care setting. In: Leadership skills for li-censed practical nurses working with the ag-ing population. Ed, C Kruschke. Spring-er, Cham, pp.47-59.
3. United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). https://population.un.org/wpp/Publications/Files/WPP2019_Highlights.pdf. Accessed 30 Sep 2019.
4. Mathers CD, Stevens GA, Boerma T, et al (2015). Causes of international increases in older age life expectancy. The Lancet, 385 (9967):540-48.
5. Tezcan S, Seçkiner P (2012). Demographic change in Turkey; age perspective. In: Elderly health: Issues and solutions. Dilek A, Melikşah E. (Eds.), Australia, Turkish Society of Public Health Specialists Press, pp.1-8.
6. Chiao C, Lin Y, Hsiao C (2017). Comparison of the quality of informal care of community-dwelling Taiwanese older people. J Nurs Res, 25(5):375—82.
7. Grady PA (2011). Advancing the health of our aging population: a lead role for nursing science. Nurs Outlook, 59 (4) :207—9.
8. Marcus-Varwijk AE, Peters L, Visscher TLS et al, (2020). Impact of a nurse-led health promotion in an aging population: Results from a quasi-experimental study on the “community health consultation offices for seniors.” J Aging Health, 32 (1): 83—94.
9. Mayo-Wilson E, Grant S, Burton J, et al (2014). Preventive home visits for mortality, morbidity, and institutionalization in older adults: a systematic review and meta-analysis. PloS One, 9(3): e89257.
10. Chase JAD, Phillips LJ, Brown M (2017). Physical activity intervention effects on physical function among community-dwelling older adults: A systematic review and meta-analysis. J Aging Phys Act, 25 (1) :149-70.
11. Renz J, Meinck M (2018). Wirksamkeit präventiver Hausbesuche bei älteren menschen:Systematische bewertung der aktuellen literatur. Z Gerontol Geriatr, 51 (8): 924—30.
12. Moher D, Shamseer L, Clarke M, et al (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev, 4 (1): 1.
13. Ergin E, Akın B, Tanyer D (2018). The effect of home visits by nurses on the physical and psychosocial health of the elderly: Study protocol for a systematic review and meta‐analysis. JSP, 2(3): 97—104.
14. Thomas B, Ciliska D, Dobbins M, et al (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs, 1 (3) :176-84.
15. Armijo‐Olivo S, Stiles CR, Hagen NA, et al (2012). Assessment of study quality for systematic reviews: a comparison of the cochrane collaboration risk of bias tool and the effective public health practice project quality assessment tool: methodological research. J Eval Clin Pract, 18 (1) :12-8.
16. Ergin E, Akın B (2018). The English adaptation of a quality assessment tool for quantitative studies: validity and reliability analyses. Turkiye Klinikleri J Nurs Sci, 10 (4) :292-308.
17. Cooper HM (1989). Integrating research: A guide for literature reviews (2nd ed.) Newbury Park, Calif.; London: Sage Publications.
18. Cohen J (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Lawrence Earlbaum Associates.
19. Higgins JP, Green S (Eds.) 2011. Cochrane handbook for systematic reviews of interventions, Chichester: John Wiley & Sons, Ltd.
20. Egger M, Smith GD, Schneide M, et al (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315: 629-34.
21. Long J (2001). An introduction to and generalization of The Fail-Safe N. Washington, D.C.
22. Shea BJ, Reeves BC, Wells G, et al. (2017). AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 358: j4008.
23. Carroll DL, Rankin SH, Cooper BA (2007). The effects of a collaborative peer advisor/advanced practice nurse intervention: cardiac rehabilitation participation and rehospitalization in older adults after a cardiac event. J Cardiovasc Nurs, 22 (4) :313—19.
24. Chow SK, Wong FK (2014). A randomized controlled trial of a nurse-led case management programme for hospital-discharged older adults with co-morbidities. J Adv Nurs, 70 (10): 2257—71.
25. Elley C, Robertson M, Garrett S, et al (2008). Effectiveness of a falls‐and‐fracture nurse coordinator to reduce falls: A randomized, controlled trial of at‐risk older adults. J Am Geriatr Soc, 56 (8): 1383—89.
26. Favela J, Castro LA, Franco-Marina F, et al. (2013). Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial.Clin Interv Aging, 8: 85—95.
27. Friedman B, Li Y, Liebel DV, et al (2014). Effects of a home visiting nurse intervention versus care as usual on individual activities of daily living: a secondary analysis of a randomized controlled trial. BMC Geriatr, 14: 24.
28. Godwin M, Gadag V, Pike A, et al. (2015). A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project. Fam Pract, 33 (1): 37—41.
29. Gustafsson S, Wilhelmson K, Eklund K, et al (2012). Health-promoting interventions for persons aged 80 and older are successful in the short term—results from the randomized and three-armed Elderly Persons in the Risk Zone study. J Am Geriatr Soc, 60 (3): 447—54.
30. Hunger M, Kirchberger I, Holle R, et al. (2015). Does nurse-based case management for aged myocardial infarction patients improve risk factors, physical functioning and mental health? The KORINNA trial. Eur J Prev Cardiol, 22 (4): 442—50.
31. Imhof L, Naef R, Wallhagen MI, et al (2012). Effects of an advanced practice nurse in-home health consultation program for community-dwelling persons aged 80 and older J Am Geriatr Soc, 60 (12): 2223—31.
32. Jonkers CC, Lamers F, Bosma H, et al (2012). The effectiveness of a minimal psychological intervention on self-management beliefs and behaviors in depressed chronically ill elderly persons: A randomized trial. Int Psychogeriatr, 24 (2): 288—97.
33. Karatay G, Akkuş Y (2012). Effectiveness of a multistimulant home-based program on cognitive function of older adults. West J Nurs Res, 34 (7): 883—901.
34. Kerse N, Hayman KJ, Moyes SA, et al (2010). Home-based activity program for older people with depressive symptoms: DeLLITE—a randomized controlled trial. Ann Fam Med, 8 (3): 214—23.
35. Kirchberger I, Hunger M, Stollenwerk B, et al (2015). Effects of a 3-year nurse-based case management in aged patients with acute myocardial infarction on rehospitalisation, mortality, risk factors, physical functioning and mental health. A secondary analysis of the randomized controlled KORINNA study. PloS One, 10 (3):e0116693.
36. Kono A, Kanaya Y, Fujita T, et al (2011). Effects of a preventive home visit program in ambulatory frail older people: a randomized controlled trial. J Gerontol A Biol Sci Med Sci, 67 (3): 302—9.
37. Luck T, Motzek T, Luppa M, et al (2013). Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial. Clin Interv Aging, 8: 697—702.
38. Markle-Reid M, Weir R, Browne G, et al (2006). Health promotion for frail older home care clients. J Adv Nurs, 54 (3) :381—95.
39. Markle-Reid M, Orridge C, Weir R, et al. (2011). Interprofessional stroke rehabilitation for stroke survivors using home care. Can J Neurol Sci, 38 (2): 317- 34.
40. Markle-Reid M, Browne G, Gafni A et al. (2010). The effects and costs of a multifactorial and interdisciplinary team approach to falls prevention for older home care clients 'at risk' for falling: a randomized controlled trial. Can J Aging, 29 (1): 139—61.
41. Melis RJ, van Eijken MI, Teerenstra S, et al (2008). A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study). J Gerontol A Biol Sci Med Sci, 63 (3): 283—90.
42. Sandberg M, Kristensson J, Midlöv P, et al (2015). Effects on healthcare utilization of case management for frail older people: a randomized controlled trial (RCT). Arch Gerontol Geriatr, 60 (1): 71—81.
43. Seidl H, Hunger M, Leidl R, et al (2015). Cost-effectiveness of nurse-based case management versus usual care for elderly patients with myocardial infarction: results from the KORINNA study. Eur J Health Econ, 16. 671—81.
44. Crawford Shearer NB, Fleury JD, Belyea M (2010). Randomized control trial of the Health Empowerment Intervention: feasibility and impact. Nurs Res, 59 (3): 203—11.
45. Sinclair AJ, Conroy SP, Davies M, et al (2005). Post-discharge home-based support for older cardiac patients: a randomised controlled trial. Age Ageing, 34 (4): 338—43.
46. Dorresteijn TA, Zijlstra GA, Ambergen AW, et al (2016). Effectiveness of a home-based cognitive behavioral program to manage concerns about falls in community-dwelling, frail older people: results of a randomized controlled trial. BMC Geriatr, 16: 2.
47. Ukawa S, Satoh H, Yuasa M, et al (2012). A randomized controlled trial of a functioning improvement tool home-visit program and its effect on cognitive function in older persons Int J Geriatr Psychiatry, 27(6): 557—64.
48. van Hout HP, Jansen AP, van Marwijk HW, et al. (2010). Prevention of adverse health trajectories in a vulnerable elderly population through nurse home visits: a randomized controlled trial [ISRCTN05358495]. J Gerontol A Biol Sci Med Sci, 65 (7): 734—42.
49. Landis J, Koch G (1977). An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics, 33 (2), 363-74.
50. Borenstein M, Hedges LV, Higgins JPT, et al (2009). Introduction to meta-analysis. Chichester: John Wiley & Sons, Ltd.
51. Stuck AE, Egger M, Hammer A, et al (2002). Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis JAMA, 287 (8) :1022—28.
52. Kuo HK, Scandrett KG, Dave J, et al (2004). The influence of outpatient comprehensive geriatric assessment on survival: a meta-analysis. Arch Gerontol Geriatr, 39(3): 245-54.
53. Huss A, Stuck AE, Rubenstein LZ, et al (2008). Multidimensional preventive home visit programs for community-dwelling older adults: A systematic review and meta-analysis of randomized controlled trials. J Gerontol A Biol Sci Med Sci, 63 (3):298-307.
54. Bachmann S, Finger C, Huss A, et al (2010). Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ, 340: c1718.
55. Beswick AD, Rees K, Dieppe P, et al (2008). Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet, 371 (9614): 725—35.
| Files | ||
| Issue | Vol 51 No 4 (2022) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i4.9234 | |
| Keywords | ||
| Older adults Home visit Systematic review Meta-analysis Health | ||
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How to Cite
1.
Ergin E, Akın B, Kocoglu-Tanyer D. Effect of Home Visits by Nurses on the Physical and Psychosocial Health of Older Adults: A Systematic Review and Meta-Analysis. Iran J Public Health. 2022;51(4):733-745.
