Authors: (including presenting author): :
Ng SF, Chiu CC, Wong TK, Cheung YHK, Wan YT, Leung YSD, Hung SY, Li HLF, Leung WMW, Wong MSM, Wong MYM
Affiliation: :
Family Medicine & Primary Healthcare, HKEC
Keyword 1: :
preventive care
Keyword 2: :
nurse-led clinic
Keyword 4: :
health responsibility
Introduction: :
Preventive healthcare promotes well-being through early intervention and education. In April 2025, the Hospital Authority launched a nurse-led holistic care framework for preventive services in primary care settings. These Nurse-Led Preventive Care Clinics serve underprivileged groups, including those receiving CSSA or medical fee waivers. Nurses conduct assessments, screenings, and develop personalized care plans to prevent disease and manage complication. This study uses the validated Chinese and English versions of the Health-Promoting Lifestyle Profile II (HPLP-II) to assess changes in health responsibility before and after clinic engagement, evaluating the program’s impact on lifestyle and well-being.
Objectives: :
1.Explore client perspectives on healthy lifestyle practices and their role in preventing health conditions 2.Assess the effectiveness of a nurse-led preventive care service in fostering individual health responsibility 3.Improve the quality and efficiency of preventive care services for better health outcomes
Methodology: :
1.Underprivileged individuals newly enrolled in preventive care at HKEC were invited to join the study. 2.Participants completed the validated Chinese version of the HPLP-II, focusing on the Health Responsibility (HR) subscale. 3.The HR subscale includes 9 items rated on a 4-point scale (1 = never to 4 = routinely). 4.Higher scores indicate stronger engagement in health-promoting behaviors. 5.Participants received nurse-led preventive care services, including risk assessments, vaccinations, lifestyle advice, and screenings. 6.At three months post-intervention, participants were reassessed using the same HPLP-II HR subscale to evaluate changes.
Result & Outcome: :
This study evaluated a nurse-led preventive care intervention’s impact on older adults’ HR subscale. Fifty-five participants (14 males, 41 females; mean age = 62.2 years, SD = 13.2; mean BMI = 24.6, SD = 4.0) completed pre- and post-assessments in August 2025. The mean HR score increased from 2.04 to 2.22, a statistically significant improvement (p < 0.05) with a small effect size (Cohen’s d = 0.33). This suggests the intervention modestly impacted participants’ engagement in health-responsible behaviors. The improvement may reflect enhanced awareness and motivation fostered by personalized nurse-led care. However, the limited effect size indicates broader or longer-term strategies may be needed to sustain behavioral change. Nurse-led preventive care, especially for older adults, is valuable, and ongoing support and community integration are crucial for maximizing long-term outcomes.
