Effect of electronic time monitors on children's television watching: Pilot trial of a home-based intervention

Evaluating cost effectiveness of interventions for aging in place is essential for adoption in service settings. We present the cost effectiveness of Advancing Better Living for Elders (ABLE), previously shown in a randomized trial to reduce functional difficulties and mortality in 319 community-dwelling elders. ABLE involved occupational and physical therapy sessions and home modifications to address client-identified functional difficulties, performance goals, and home safety. Incremental cost-effectiveness ratio (ICER), expressed as additional cost to bring about one additional year of life, was calculated. Two models were then developed to account for potential cost differences in implementing ABLE. Probabilistic sensitivity analyses were conducted to account for variations in model parameters. By two years, there were 30 deaths (9: ABLE; 21: control). Additional costs for 1 additional year of life was $13,179 for Model 1 and $14,800 for Model 2. Investment in ABLE may be worthwhile depending on society's willingness to pay.

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A home based intervention reduced hospital readmissions and mortality in patients with congestive heart failure

Evidence-Based Nursing ◽

10.1136/ebn.2.4.124 ◽

1999 ◽

Vol 2 (4) ◽

pp. 124-124

Author(s):

K. A Scordo

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Hospital Readmissions ◽

Home Based ◽

Home Based Intervention

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Need to Develop a Home-based Intervention for Specific Learning Disorder in Indian setting

Indian Journal of Psychological Medicine ◽

10.4103/ijpsym.ijpsym_93_17 ◽

2017 ◽

Vol 39 (4) ◽

pp. 548-549

Author(s):

Anamika Sahu ◽

Rachna Bhargava ◽

Rajesh Sagar ◽

Manju Mehta

Keyword(s):

Learning Disorder ◽

Specific Learning Disorder ◽

Home Based ◽

Indian Setting ◽

Home Based Intervention ◽

Specific Learning

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Process evaluation of a randomised pilot trial of home-based rehabilitation compared to usual care in patients with heart failure with preserved ejection fraction and their caregiver’s

10.21203/rs.3.rs-17265/v4 ◽

2020 ◽

Author(s):

Karen Smith ◽

Chim Lang ◽

Jenny Wingham ◽

Julia Frost ◽

Colin Greaves ◽

...

Keyword(s):

Heart Failure ◽

Ejection Fraction ◽

Cardiac Rehabilitation ◽

Process Evaluation ◽

Treatment Options ◽

Pilot Trial ◽

Qualitative Assessment ◽

Intervention Fidelity ◽

Preserved Ejection Fraction ◽

Home Based

Abstract Background: Whilst almost 50 percent of heart failure (HF) patients have preserved ejection fraction (HFpEF), evidence-based treatment options for this patient group remain limited. However, there is growing evidence of the potential value of exercise-based cardiac rehabilitation. This study reports the process evaluation of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention for HFpEF patients and their caregivers conducted as part of the REACH-HFpEF pilot trial. Methods: Process evaluation sub-study parallel to a single centre (Tayside, Scotland) randomised controlled pilot trial with qualitative assessment of both intervention fidelity delivery and HFpEF patients’ and caregivers’ experiences. The REACH-HF intervention consisted of self-help manual for patients and caregivers, facilitated over 12 weeks by trained healthcare professionals. Interviews were conducted following completion of intervention in a purposeful sample of 15 HFpEF patients and seven caregivers.Results: Qualitative information from the facilitator interactions and interviews identified three key themes for patients and caregivers: (1) understanding their condition, (2) emotional consequences of HF, and (3) responses to the REACH-HF intervention. Fidelity analysis found the interventions to be delivered adequately with scope for improvement in caregiver engagement. The differing professional backgrounds of REACH-HF facilitators in this study demonstrate the possibility of delivery of the intervention by healthcare staff with expertise in HF, cardiac rehabilitation or both. .Conclusions: The REACH-HF home-based facilitated intervention for HFpEF appears to be a feasible and a well-accepted model for the delivery of rehabilitation, with the potential to address key unmet needs of patients and their caregivers who are often excluded from HF and current cardiac rehabilitation programmes. Results of this study will inform a recently funded full multicentre randomised clinical trial.Trial registration: ISRCTN78539530 (date registration 7th July 2015) http://www.isrctn.com/ISRCTN78539530

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