The effect of older-person centered and integrated health management model on multiple lifestyle behaviors: A randomized controlled trial from China.

Highlights • The older person-centered integrated health management model can simultaneously improve multiple health behaviours. • The older person-centered integrated health management model can simultaneously improve multiple health indicators. • The older person-centered integrated health management model can fully mobilize multisectoral involvement and maximize the personalized interaction of experts. Abstract Objective To investigate the effectiveness of the older-centered Integrated Health Management Model Project (OPCHMP) for multiple lifestyle behaviours in the elderly. Methods A 2-arm, parallel, randomized controlled trial was conducted in Nanjing. The elderly were recruited from multiple community health service centres. The intervention group was intervened and received a personalized, 2-year OPCHMP. The control group only received usual care. Adherence to healthy lifestyle behaviours (ATHLBS) is the primary outcome, obtained through a self-reported composite health behaviour score. The secondary outcomes were health indicators. General estimating equation models were performed to analyse longitudinal dichotomous data and continuous data. Results 637 (intervention = 323; control = 314) participants were included in the study. The participants mean age was 70.53 ± 6.07 years. Significant ATHLBS correction was achieved after 24-month follow-up in the intervention group, comparing to controls. And the intervention group reported significantly better health indicators. Conclusion OPCHMP had positive effect on multiple lifestyle habits in elderly population, which is very encouraging. [ABSTRACT FROM AUTHOR]