scholarly journals Feasibility and success rates of response enhancing strategies in a stepwise prevention program for cardiometabolic diseases in primary care

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ilse F. Badenbroek ◽  
Marcus M. J. Nielen ◽  
Monika Hollander ◽  
Daphne M. Stol ◽  
Roderik A. Kraaijenhagen ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Prevention Program ◽  
Prevention Programs ◽  
Response Rates ◽  
Similar Response ◽  
Cardiometabolic Diseases ◽  
Integrate Study ◽  
Different Response ◽  
E Mail ◽  
Selective Prevention

Abstract Background Prevention programs for cardiometabolic diseases (CMD), including cardiovascular disease, diabetes mellitus and chronic kidney disease are feasible, but evidence for the cost-effectiveness of selective CMD prevention programs is lacking. Response rates have an important role in effectiveness, but methods to increase response rates have received insufficient attention. The aim of the current study is to determine the feasibility and the success rate of a variety of response enhancing strategies to increase the participation in a selective prevention program for CMD. Methods The INTEGRATE study is a Dutch randomised controlled trial to assess the effectiveness and cost-effectiveness of a stepwise program for CMD prevention. During the INTEGRATE study we developed ten different response enhancing strategies targeted at different stages of non-response and different patient populations and evaluated these in 29 general practices. Results A face-to-face reminder by the GP increased the response significantly. Digital reminders targeted at patients with an increased CMD risk showed a positive trend towards participation. Sending invitations and reminders by e-mail generated similar response rates, but at lower costs and time investment than the standard way of dissemination. Translated materials, information gatherings at the practice, self-management toolkits, reminders by telephone, information letters, local media attention and SMS text reminders did not increase the response to our program. Conclusions Inviting or reminding patients by e-mail or during GPs consultation may enhance response rates in a selective prevention program for CMD. Different response-enhancing strategies have different patient target populations and implementation issues, therefore practice characteristics need to be taken into account when implementing such strategies. Trial registration Dutch trial Register number NTR4277. Registered 26 November 2013.

MO682TAILORING AI-BASED REFERRAL TO INTENSIFIED INTERVENTION PROGRAMS FOR PERITONITIS PREVENTION WITH COST-EFFECTIVENESS SIMULATION

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Francesco Bellocchio ◽  
Luca Neri ◽  
Jasmine Ion Titapiccolo ◽  
Mario Garbelli ◽  
Stefano Stuard
Keyword(s):  
Cost Effectiveness ◽  
High Risk ◽  
Risk Score ◽  
Effect Size ◽  
Prevention Program ◽  
Cost Savings ◽  
Prevention Programs ◽  
Number Needed To Treat ◽  
Risk Patients ◽  
Omission Rate

Abstract Background and Aims Peritonitis is a common and potentially severe complication for peritoneal dialysis (PD) patients. It is associated with mortality and technique failure risk and contributes significantly to their healthcare cost. Despite several peritonitis prevention programs based on education and training have been implemented worldwide, it has been reported a large variability of efficacy across patients groups and healthcare settings. In order to avoid unnecessary treatment of low risk patients, healthcare prevention programs should be personalized based on accurate patients’ risk profiling, so that high risk patients may be addressed with intensified prevention programs. However, referral strategy (i.e. defining when risk is too much and deserves special attention) depends the availability, efficacy and cost of medical interventions. In this study, we demonstrate through a program implementation simulator, how different referral strategies to inform peritonitis prevention program among PD patients informed by AI-based risk stratification tools, produce different healthcare and health economics outcomes. In particular, the simulation considers a prevention program characterized by standard of care, which affects all patients as well as an intensive intervention for a subset of high-risk patients (e.g. special training or medical treatment). Method The Peritonitis Risk Score model was trained and validated among 9325 PD patients treated in FMC network (Model accuracy, AUC=0.86). The pharmaco-economic model simulation was performed considering a cohort of 22,900 adult PD patients, treated in Fresenius Medical Care dialysis network between January 1, 2011 and December 31, 2018, for which the Peritonitis Risk Score was computed at a given date. The occurrence of an acute peritonitis in the month after prediction has been registered. We simulated the program outcomes in terms of proportion of referrals to the intensified prevention program, false omission rate, peritonitis risk reduction, overall cost-savings, number needed to treat. We considered the following scenario based on previous cost-effectiveness analysis on peritonitis risk prevention: Results Given the action threshold selected, 5.3% of patients entered the intensified intervention program (PPV=9.5%); the false omission rate was 2.2%. Cost savings for the intensified healthcare where generated when the effect size of the intensified intervention exceeded 1.4 (figure 1A). For that effect size the number needed to treat for each prevented peritonitis was NNT=23.4. Overall, 162 peritonitis/month could be prevented in the whole network (peritonitis with no intervention=592; Peritonitis after intervention=430). When a less conservative threshold was selected, 12.2% of patients entered the intensified prevention program (PPV=7.3%), generating a false omission rate=1.9%. Cost savings were never generated (i.e. the intensified program needed investment to be sustained) but with the same effect size of 1.4 additional 24 peritonitis/months could be saved in the whole network (peritonitis with no intervention=592; Peritonitis after intervention=406). The number needed to treat for the intensified program was NTT=30.4 (figure 1B). Conclusion Cost-effectiveness simulating tool provides a rational evaluation framework for AI-based referral to peritonitis preventive programs. This tool can be easily adapted for any healthcare program based on patient risk score.

Perceptions of a Peer Suicide Prevention Program by Inmates and Professionals Working in Prisons

Crisis ◽  
2013 ◽  
Vol 34 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Laurent Auzoult ◽  
Sid Abdellaoui
Keyword(s):  
Suicide Prevention ◽  
Prevention Program ◽  
Suicide Risk ◽  
Traditional Approach ◽  
Prevention Programs ◽  
New Methods ◽  
Penal Institutions ◽  
Peer Suicide ◽  
Suicide Prevention Programs ◽  
Methods Of Suicide

Background: Suicide prevention is a major challenge for penal institutions in many countries. The traditional approach relies on the expertise of health professionals and is supplemented by the intervention of other professionals and the inmates themselves. New methods of suicide prevention based on peer support have been developed in recent years. Peer prevention programs rely on the ability of inmates to identify suicide risk. Aims: This study examines perceived suicide risk among inmates and explores possible explanations. Method: 54 inmates and 17 professionals working in prisons responded to a questionnaire. Results: The peer prevention program was found to change inmates’ expectations of support in the event of a suicide crisis. The study also found that the inmates involved in the program tended to underestimate the risk of suicide. The perception of the prevention program and the level of self-consciousness were found to account for the underestimation of suicide risk. Conclusions: Support for inmates involved in suicide prevention programs must take into account their isolation in prison. The training provided to inmates must also consider the biases affecting the assessment of risk.

Response Rates in Online Surveys With Affective Disorder Participants

2020 ◽  
Vol 228 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Tanja Burgard ◽  
Michael Bošnjak ◽  
Nadine Wedderhoff
Keyword(s):  
Meta Analysis ◽  
Response Rates ◽  
Contact Mode ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Face To Face ◽  
Survey Participation ◽  
The Mean ◽  
Design Characteristics ◽  
E Mail

Abstract. A meta-analysis was performed to determine whether response rates to online psychology surveys have decreased over time and the effect of specific design characteristics (contact mode, burden of participation, and incentives) on response rates. The meta-analysis is restricted to samples of adults with depression or general anxiety disorder. Time and study design effects are tested using mixed-effects meta-regressions as implemented in the metafor package in R. The mean response rate of the 20 studies fulfilling our meta-analytic inclusion criteria is approximately 43%. Response rates are lower in more recently conducted surveys and in surveys employing longer questionnaires. Furthermore, we found that personal invitations, for example, via telephone or face-to-face contacts, yielded higher response rates compared to e-mail invitations. As predicted by sensitivity reinforcement theory, no effect of incentives on survey participation in this specific group (scoring high on neuroticism) could be observed.

scholarly journals A Systematic Review and Meta-Analysis of Fall Prevention Programs for Pediatric Inpatients

2021 ◽  
Vol 18 (11) ◽  
pp. 5853
Author(s):  
Eun-Joo Kim ◽  
Geun-Myun Kim ◽  
Ji-Young Lim
Keyword(s):  
High Risk ◽  
Fall Prevention ◽  
Prevention Program ◽  
Meta Analysis ◽  
Prevention Programs ◽  
Fall Prevention Program ◽  
Medium Risk ◽  
Randomized Control ◽  
Reduction Effect ◽  
Future Randomized Control Trial

Falls account for a high proportion of the safety accidents experienced by hospitalized children. This study aims to analyze the contents and effects of fall prevention programs for pediatric inpatients to develop more adaptable fall prevention programs. A literature search was performed using PubMed (including Medline), Science Direct, CINAHL, Embase, and Cochrane. We included articles published from the inception of each of the databases up to 31 March 2019. A total of 1725 results were reviewed according to the inclusion and exclusion criteria, and nine studies were selected. Data were analyzed using descriptive statistics and the Comprehensive Meta-Analysis program. Four of the nine studies divided their participants into a high-risk fall group and a low-or medium-risk fall group, and all studies used a high-risk sign/sticker as a common protocol guideline for its high-risk fall group. The odds ratio of 0.95 (95% Cl 0.550–1.640) for the fall prevention program in seven studies was not statistically significant. To develop a standardized fall prevention program in the future, randomized control trial studies that can objectively measure the fall rate reduction effect of the integrated fall prevention program need to be expanded.

Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program

2012 ◽  
Vol 26 (2) ◽  
pp. 287-296 ◽  
Author(s):  
Ellin Simon ◽  
Carmen Dirksen ◽  
Susan Bögels ◽  
Denise Bodden
Keyword(s):  
Cost Effectiveness ◽  
Prevention Program ◽  
Child Anxiety ◽  
Anxiety Prevention

scholarly journals The cost-effectiveness of a successful community-based obesity prevention program: The be active eat well program

Obesity ◽  
2013 ◽  
Vol 21 (10) ◽  
pp. 2072-2080 ◽  
Author(s):  
Marjory L. Moodie ◽  
Jessica K. Herbert ◽  
Andrea M. de Silva-Sanigorski ◽  
Helen M. Mavoa ◽  
Catherine L. Keating ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Obesity Prevention ◽  
Prevention Program ◽  
Community Based ◽  
The Cost ◽  
Obesity Prevention Program

E-Mail Marketing

2021 ◽  
Vol 11 (4) ◽  
pp. 63-83
Author(s):  
Albérico Travassos Rosário
Keyword(s):  
Return On Investment ◽  
Response Rates ◽  
Research Paper ◽  
Business Environment ◽  
Marketing Channels ◽  
Cognitive Responses ◽  
Legal Requirements ◽  
Email Marketing ◽  
Effective Strategies ◽  
E Mail

Email marketing is a considerable development and includes direct emails, transactional emails, and email newsletters to attract new customers and retain existing ones. This research paper aims to identify and synthesize literature on the effectiveness of email marketing and potential challenges affecting its proper implementation. The research establishes that businesses in the current business environment recognize email marketing's capacity to produce a higher return on investment and generate more sales than traditional marketing channels, such as television. The adoption of permission-based email marketing enables establishing strong relationships between companies and their target audiences, developing emotional, conative, and cognitive responses to the distributed messages. Therefore, salespersons should ensure compliance with legal requirements in email marketing and develop effective strategies of reducing spam emails to avoid negative impressions and increase response rates.

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