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

Carol A. Holland, Pauline Everitt, Angela Johnson, Reena Devi

Research output: Contribution to journalArticle

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.
Original languageEnglish
Pages (from-to)525-549
Number of pages25
JournalAgeing and Society
Volume28
Issue number4
DOIs
Publication statusPublished - May 2008

Fingerprint

Peer Group
peer group
Motivation
incentive
Influenza Vaccines
Health Promotion
England
Exercise
Diet
Health
drop-out
health promotion
contagious disease
illness
district
Incentives
Organizer
Urban Environment
Older People
lack

Bibliographical note

Holland, CA, Everitt, P, Johnson, A & Devi, R 2008, 'The 'Healthy Passport' intervention with older people in an English urban environment: effects of incentives and peer-group organisers in promoting healthy living', Ageing and society, vol 28, no. 4, pp. 525-549.
Copyright © Cambridge University Press 2008

Keywords

  • health promotion
  • intervention
  • older adults
  • incentives
  • peer-group organisers

Cite this

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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. / Holland, Carol A.; Everitt, Pauline; Johnson, Angela; Devi, Reena.

In: Ageing and Society, Vol. 28, No. 4, 05.2008, p. 525-549.

Research output: Contribution to journalArticle

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