Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 7.6 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

This report evaluates the potential effectiveness of Health Risk Appraisals (HRA) and programs using HRAs as a health promotion tool, and provides evidence-based recommendations regarding the use of HRAs in health promotion programs for older adults. Health risk appraisals are a systematic approach to collecting information from individuals that identifies risk factors, provides individualized feedback, and links the person with at least one intervention to promote health, sustain function, and/or prevent disease. The key findings from this report are that effective HRA programs have demonstrated beneficial effects on behavior (particularly exercise), physiological variables (particularly diastolic blood pressure and weight), and general health status. Interventions that combine HRA feedback with the provision of health promotion programs are the interventions most likely to show beneficial effects. HRA questionnaires must be coupled with follow-up interventions (e.g., information, support and referrals) to be effective. The HRA questionnaire alone or with one-time feedback in not an effective health promotion strategy. The report recommends a Medicare demonstration be conducted to test the effectiveness and cost effectiveness of administering the HRA questionnaire with tailored feedback and regular follow-up in improving or maintaining senior health.

Reprinted with permission from Office of Research, Development, and Information Centers for Medicare & Medicaid Services.

Originally published in: Evidence Report and Evidence-Based Recommendations: Health Risk Appraisals and Medicare.

This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.