scholarly journals Integrating Home-Based Exercise Training with a Hospital at Home Service for Patients Hospitalized with Exacerbations of COPD: An Accelerated Experience-Based Co-Design Study

2020 ◽  
Author(s):  
R.E. Barker ◽  
L.J. Brighton ◽  
M. Maddocks ◽  
C.M. Nolan ◽  
S. Patel ◽  
...  
Keyword(s):  
Exercise Training ◽  
Design Study ◽  
Home Based ◽  
Home Service ◽  
Hospital At Home ◽  
At Home

scholarly journals A randomized controlled trial of a hospital at home service for the terminally ill

2000 ◽  
Vol 14 (5) ◽  
pp. 375-385 ◽  
Author(s):  
G E Grande ◽  
C J Todd ◽  
S I G Barclay ◽  
M C Farquhar
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Terminally Ill ◽  
Randomized Controlled ◽  
Home Service ◽  
Hospital At Home ◽  
At Home

G172 Acute home care for neonates utilising a hospital at home service

2016 ◽  
Vol 101 (Suppl 1) ◽  
pp. A89.2-A90
Author(s):  
D Stan ◽  
Z Tribble ◽  
Z Kassim ◽  
U Asoh ◽  
O Akindolie
Keyword(s):  
Home Care ◽  
Home Service ◽  
Hospital At Home ◽  
At Home

The development of an evaluation framework for a Hospital at Home service

2015 ◽  
Vol 23 (6) ◽  
pp. 336-351 ◽  
Author(s):  
Rebecca Jester ◽  
Karen Titchener ◽  
Janet Doyle-Blunden ◽  
Christine Caldwell
Keyword(s):  
Integrated Care ◽  
Care Service ◽  
Good Practice ◽  
Evaluation Framework ◽  
Evidence Based ◽  
Content Type ◽  
Home Service ◽  
Wide Range ◽  
Hospital At Home ◽  
At Home

Purpose – The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service. Design/methodology/approach – A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation. Findings – Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers. Originality/value – This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.

The introduction of a hospital at home service: A staff perspective

1997 ◽  
Vol 11 (2) ◽  
pp. 217-224 ◽  
Author(s):  
J. Sims ◽  
E. Rink ◽  
R. Walker ◽  
L. Pickard
Keyword(s):  
Home Service ◽  
Hospital At Home ◽  
At Home

scholarly journals Integrated care for elderly receiving hospital-at-home care: Designing an innovative home-based programme

2018 ◽  
Vol 18 (s2) ◽  
pp. 367
Author(s):  
Elisa Valía-Cotanda ◽  
Alejandro Gil-Salmerón ◽  
Tamara Alhambra-Borrás ◽  
Jorge Garcés-Ferrer
Keyword(s):  
Home Care ◽  
Integrated Care ◽  
Home Based ◽  
Hospital At Home ◽  
At Home

scholarly journals Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (16) ◽  
pp. 8430
Author(s):  
Chloé Quentin ◽  
Reza Bagheri ◽  
Ukadike C. Ugbolue ◽  
Emmanuel Coudeyre ◽  
Carole Pélissier ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Training ◽  
Pain Intensity ◽  
Meta Analysis ◽  
Functional Limitation ◽  
Home Exercise ◽  
Low Back ◽  
Home Based ◽  
At Home

Background: Exercise therapy is recommended to treat non-specific low back pain (LBP). Home-based exercises are promising way to mitigate the lack of availability of exercise centers. In this paper, we conducted a systemic review and meta-analysis on the effects of home-based exercise on pain and functional limitation in LBP. Method: PubMed, Cochrane, Embase and ScienceDirect were searched until April 20th, 2021. In order to be selected, studies needed to report the pain and functional limitation of patients before and after home-based exercise or after exercise both in a center and at-home. Random-effect meta-analyses and meta-regressions were conducted. Results: We included 33 studies and 9588 patients. We found that pain intensity decreased in the exclusive home exercise group (Effect size = −0.89. 95% CI −0.99 to −0.80) and in the group which conducted exercise both at-home and at another setting (−0.73. −0.86 to −0.59). Similarly, functional limitation also decreased in both groups (−0.75. −0.91 to −0.60, and −0.70, −0.92 to −0.48, respectively). Relaxation and postural exercise seemed to be ineffective in decreasing pain intensity, whereas trunk, pelvic or leg stretching decreased pain intensity. Yoga improved functional limitation. Supervised training was the most effective method to improve pain intensity. Insufficient data precluded robust conclusions around the duration and frequency of the sessions and program. Conclusion: Home-based exercise training improved pain intensity and functional limitation parameters in LBP.

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