Xuxi Zhang

lacking confidence about engaging in activities. An older woman in Valencia said: “I think I told you of my fall, but since then I have just lost complete confidence in going anywhere”. An older man in Manchester explained: “There were clubs to join but I just didn’t have the confidence, when you live on your own you get introverted”. A barrier which was identified by both older persons and health professionals in all cities were health constraints of older persons. This also appeared to prevent engagement in care ‐ pathways that required more activity or travel. A recommendation that was made by care professionals in Rijeka, was to further adapt preventive care activities to needs of specific groups of older persons such as persons with chronic illnesses. Specific barriers for care professionals in several cities were time constraints and unfamiliarity of health professionals in collaborating with social care professionals. Finally, the most common recommendation according to older persons and health professionals in Pallini, Rijeka and Valencia, where activities were not embedded in existing care, was to continue activities beyond the project. Table 6 Satisfaction among older persons with the UHCE approach Satisfaction statements Total Manchester Pallini Rijeka Rotterdam Valencia Agree or strongly agree; n/N (%) I can benefit from the health assessment 630/767 (82.1) 167/212 (78.8) 76/104 (73.1) 194/221 (87.8) 13/23 (56.5) 180/207 (87.0) The health assessment was worth the time and effort 650/761 (85.4) 189/211 (89.6) 74/99 (74.7) 192/221 (86.9) 15/23 (65.2) 180/207 (87.0) I had a say in decisions about my health 372/474 (78.5) 2/3 (66.7) 65/97 (67.0) 199/221 (90.0) 16/23 (69.6) 90/130 (69.2) I am satisfied with the care I received 433/532 (81.4) 5/5 (100) 75/111 (67.6) 191/221 (86.4) 15/23 (65.2) 146/171 (85.4) Scale 1 ‐ 10; mean± SD I am satisfied with the UHCE approach (scale 1 ‐ 10) 8.3±1.9 9.3±1.2 6.5±2.4 8.3±1.8 7.9±0.9 8.8±1.5 Note: Missing/not applicable: Benefit from health assessment=219; Worth time and effort=225; Results discussed with me=622; Had a say in decisions=512; Satisfied with care=454; Satisfied UHCE approach=188. DISCUSSION In this study, we examined what dose of a coordinated preventive social and health care approach for older persons was delivered and received, which persons were reached and what their experience was with the approach. The UHCE approach was received generally positively. However, having limited function was associated with non ‐ enrolment in specific care ‐ pathways of the approach. Feeling supported by a care professional was mentioned as a benefit for older persons. Mistrust towards unfamiliar care providers and lack of confidence to engage in certain care activities were mentioned as barriers. In a previous study we found minor effects of the UHCE approach on the lifestyle, health and quality of life of older persons and hypothesized that this was due to only around half of the 5 115 A coordinated preventive care approach for healthy ageing