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The ‘Healthy Passport’ intervention with older people in an English urban environment: effects of incentives and peer-group organisers in promoting healthy living

Published online by Cambridge University Press:  03 November 2008

CAROL A. HOLLAND ,
PAULINE EVERITT ,
ANGELA JOHNSON  and
REENA DEVI
CAROL A. HOLLAND*
Affiliation:
School of Life and Health Sciences, Aston University, Birmingham, West Midlands, UK.
PAULINE EVERITT
Affiliation:
Agewell, West Bromwich, West Midlands, UK.
ANGELA JOHNSON
Affiliation:
Sandwell Primary Care Trust, West Bromwich, West Midlands, UK.
REENA DEVI
Affiliation:
School of Life and Health Sciences, Aston University, Birmingham, West Midlands, UK.
*
Address for correspondence: Carol Holland, Psychology, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, UK. E-mail: c.holland1@aston.ac.uk
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Abstract

This paper reports the evaluation of the effectiveness of incentives (viz. points and prizes) and of peer-group organisers (‘older people's champions') in the outcomes of a health-improvement programme for people aged 50+ years in a multi-ethnic district of the West Midlands, England. Health promotion activities were provided, and adherence, outcome variables and barriers to adherence were assessed over six months, using a ‘passport’ format. Those aged in the fifties and of Asian origin were under represented, but people of Afro-Caribbean origin were well represented and proportionately most likely to stay in the project. Those of greater age and with more illness were most likely to drop out. There were significant improvements in exercise, diet and the uptake of influenza vaccines and eyesight tests, but slighter improvements in wellbeing. Positive outcomes related to the incentives and to liking the format. The number of reported barriers was associated with lower involvement and lack of change, as was finding activities too difficult, the level of understanding, and transport and mobility problems, but when these were controlled, age did not predict involvement. Enjoying the scheme was related to positive changes, and this was associated with support from the older people's champions.

Keywords

health promotioninterventionolder adultsincentivespeer-group organisers
Type
Research Article
Information
Ageing & Society , Volume 28 , Issue 4 , May 2008 , pp. 525 - 549
Copyright
Copyright © Cambridge University Press 2008

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References

Age Concern England 2007. Ageing Well Programme. Age Concern England, London. Available online at http://www.ageconcern.org.uk/ [Accessed 22 May 2007].Google Scholar
Akke, K.van der, B., Laurant, M. G. H. and Wensing, M. 2002. Effectiveness of physical activity interventions for older adults. American Journal of Preventive Medicine, 22, 2, 120–33.Google Scholar
Anderson, R. T., Ory, M., Cohen, S. and McBride, J. S. 2000. Issues of aging and adherence to health interventions. Controlled Clinical Trials, 21, 171S–183S.CrossRefGoogle ScholarPubMed
Department of Health 2000. 1999 Health Survey for England. Department of Health, London.Google Scholar
Department of Health 2004. Choosing Health: Making Healthy Choices Easier. White Paper Cm 6374, Stationery Office, London.Google Scholar
Department of Health 2006. Tackling Health Inequalities: 2003–2005. Update for the National 2010 PSA Target. Department of Health, London.Google Scholar
Deery, H. A., Day, L. M. and Fildes, B. 2000. An impact evaluation of a falls prevention program among older people. Accident Analysis and Prevention, 32, 3, 427–33.CrossRefGoogle ScholarPubMed
Girasek, D. C. 2001. Public beliefs about the preventability of unintentional injury deaths. Accident Analysis and Prevention, 33, 4, 455–65.CrossRefGoogle ScholarPubMed
Giuffrida, A. and Torgerson, D. J. 1997. Should we pay the patient? Review of financial incentives to enhance patient compliance. British Medical Journal, 315 (20 September), 703–7.CrossRefGoogle ScholarPubMed
Holland, C. A. and Hill, R. 2007. The effect of age, gender and driver status on pedestrians' intentions to cross the road in risky situations. Accident Analysis and Prevention, 39, 2, 224–37.CrossRefGoogle ScholarPubMed
Kavanagh, J., Trouton, A., Oakley, A. and Powell, C. 2006. A Systematic Review of the Evidence for Incentive Schemes to Encourage Positive Health and Other Social Behaviours in Young People. EPPI-Centre, Social Science Research Unit, Institute of Education, University of London, London.Google Scholar
Kellogg, S. H., Burns, M., Coleman, P., Stitzer, M., Wale, J. B. and Kreek, M. J. 2005. Something of value: the introduction of contingency management intervention into the New York City Health and Hospital Addiction Treatment Service. Journal of Substance Abuse Treatment, 28, 1, 57–65.CrossRefGoogle ScholarPubMed
Kocken, P. L. and Voorham, A. J. J. 1998. Interest in participation in a peer-led senior health education program. Patient Education and Counseling, 34, 1, 5–14.CrossRefGoogle Scholar
Lynde, B. D. 1992. Nutrition promotion for mature adults: a case study in peer education. Journal of Nutrition in the Elderly, 11, 3, 19–31.CrossRefGoogle ScholarPubMed
Maddox, G. L. 1985. Intervention strategies to enhance well-being in later life: the status and prospect of guided change. Health Services Research, 19, 6 (part 2), 1007–32.Google ScholarPubMed
National Statistics 2005. Age-range 2001. 2001 population census statistics, National Statistics, London. Available online at http://www.statistics.gov.uk/census2001/pyramids/pages/00CS.asp [Accessed 20 March 2007].Google Scholar
National Statistics 2005. West Midlands: Ethnic Group of Residents. 2001 population census statistics, National Statistics, London. Available online at http://www.statistics.gov.uk/StatBase/xsdataset.asp?vlnk=1665&More=Y [Accessed 20 March 2007].Google Scholar
Pereira, M. A., Kriska, A. M., Day, R. D., Cauley, J. A., LaPorte, R. E. and Kuller, L. H. 1998. A randomised walking trial in postmenopausal women: effects of physical activity and health 10 years later. Archives of Internal Medicine, 158, 15, 1695–701.CrossRefGoogle ScholarPubMed
Petry, N. M. and Bohn, M. J. 2003. Fishbowls and candy bars: using low cost incentives to increase treatment retention. NIDA Science and Practice Perspectives, 2, 1, 55–61.CrossRefGoogle ScholarPubMed
Rabbitt, P. and Abson, V. 1990. Lost and found: some logical and methodological limitations to self-report questionnaires as tools to study cognitive ageing. British Journal of Psychology, 81, 1, 1–16.CrossRefGoogle ScholarPubMed
Rabbitt, P., Diggle, P., Holland, F. and McInnes, L. 2004. Practice and drop-out effects during a 17-year longitudinal study of cognitive aging. Journal of Gerontology: Psychological Sciences, 59B, 2, P84–97.CrossRefGoogle Scholar
Research Sandwell 2007. Age and Sex by Ethnic Group. Table S101, Local Population Statistics. Research Sandwell, Sandwell, West Midlands. Available online at http://www.researchsandwell.org.uk/ [Accessed 29 May 2007].Google Scholar
Simoneau, G. G. and Leibowitz, H. W. 1996. Posture, gait and falls. In Birren, J. E. and Schaie, K. W. (eds) Handbook of the Psychology of Aging. Fourth edition, Academic, San Diego, California, 204–35.Google Scholar
Sheeran, P. and Silverman, M. 2003. Evaluation of three interventions to promote workplace health and safety: evidence for the utility of implementation intentions. Social Science and Medicine, 56, 10, 2153–63.CrossRefGoogle ScholarPubMed
Taylor, T., Serrano, E., and Anderson, J. 2001. Management issues related to effectively implementing a nutrition education program using peer educators. Journal of Nutrition Education and Behavior, 33, 5, 284–92.CrossRefGoogle ScholarPubMed
Whelton, P. K., Appel, L. J., Espeland, M. A., Applegate, W. B., Ettinger, W. H. Jr, Kostis, J. B., Kumanyika, S., Lacy, C. R., Johnson, K. C., Folmar, S. and Cutler, J. A. 1998. Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). Journal of the American Medical Association, 279, 11, 839–46.CrossRefGoogle Scholar