The prevention for Elderly Persons (PEP) Program: A model of municipal and academic partnership to meet the needs of older persons for preventive services

Author(s): Hirsch, S. H., Frank, J. C., Maly, R. C., Schlesinger, M. S., Weintraub, N., Yancey, S.

Journal/Book: J Amer Geriat Soc. 1996; 44: 351 West Camden St, Baltimore, MD 21201-2436. Williams & Wilkins. 1394-1398.

Abstract: OBJECTIVE: To create a program to identify preventive needs for community-dwelling older persons and incorporate intervention strategies to improve implementation of these services. DESIGN: Program development and case-series. SETTING: Community-based meal sites, academically administered program. PARTICIPANTS: Persons 60 years of age or aider attending meal sites and their primary care physicians. MEASUREMENTS: Demographic characteristics, self-reported preventive health behaviors and services, blood pressure measurement. RESULTS: During the first 2 years of the program, 927 persons 60 years of age or older were screened. The most common physician-initiated preventive recommendations were: tetanus booster (72%), aspirin prophylaxis (68%), pneumonia vaccination (61%), and colorectal cancer screening (51%). The most common self-care recommendations have been: calcium supplementation (54% of women) and breast self examinations (51% of women). As part of the adherence intervention, we were able to complete health educator calls for 600 (65%) subjects. In addition, the physicians of 599 (65%) subjects were contacted either by telephone (n = 496) or by letter only (n = 97). CONCLUSION: A community-based preventive services program can identify large numbers of unmet preventive services needs, and a dual intervention strategy aimed at meeting these needs can be delivered successfully to the majority of participants. Implementation rates of specific recommendations and impacts on health outcomes remain to be determined.

Note: Article DB Reuben, Univ Calif Los Angeles, Sch Med, Multicampus Div Geriatr Med & Gerontol, A-665 Factor Bldg, Los Angeles, CA 90024 USA

Keyword(s): FUNCTIONAL STATUS; UNITED-STATES; PRIMARY-CARE; HEARING-LOSS; HEALTH; RECOMMENDATIONS; MAMMOGRAPHY; ADULTS; WOMEN

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