1. Impact of a patient-specific national programme aimed at increasing the use of emollient moisturisers to reduce the risk of skin tears: a longitudinal cohort study
- Author
-
Anna K Moffat, Jemisha Apajee, Lisa M. Kalisch Ellett, Kerrie Westaway, Clare Weston, Oliver Frank, Natalie Blacker, Russell Shute, Nicole L. Pratt, Elizabeth E. Roughead, Vanessa T Le Blanc, Moffat, Anna K, Westaway, Kerrie P, Apajee, Jemisha, Frank, Oliver, Shute, Russell, Weston, Clare, Blacker, Natalie, Le Blanc, Vanessa T, Kalisch Ellett, Lisa M, Pratt, Nicole L, and Roughead, Elizabeth Ellen
- Subjects
medicine.medical_specialty ,Rate ratio ,preventive medicine ,General Practitioners ,Intervention (counseling) ,medicine ,Humans ,Longitudinal Studies ,Prospective Studies ,wound management ,Prospective cohort study ,Preventive healthcare ,Aged ,Emollients ,business.industry ,Public health ,public health ,Australia ,General Medicine ,Patient specific ,Skin Tears ,dermatology ,Cohort ,Physical therapy ,Medicine ,geriatric dermatology ,Health Services Research ,business - Abstract
ObjectivesTo evaluate the impact of a patient-specific national programme targeting older Australians and health professionals that aimed to increase use of emollient moisturisers to reduce to the risk of skin tears.DesignA prospective cohort intervention.ParticipantsThe intervention targeted 52 778 Australian Government’s Department of Veterans’ Affairs patients aged over 64 years who had risk factors for wound development, and their general practitioners (GPs) (n=14 178).Outcome measuresAn interrupted time series model compared the rate of dispensing of emollients in the targeted cohort before and up to 23 months after the intervention. Commitment questions were included in self-report forms.ResultsIn the first month after the intervention, the rate of claims increased 6.3-fold (95% CI: 5.2 to 7.6, pConclusionsThe intervention had a sustained effect over 23 months. Veterans who responded positively to commitment questions had higher uptake of emollients than those who did not.
- Published
- 2020