Abstract:
OBJECTIVE:To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN:An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program and the in-hospital consultation. Total costs of health and community service utilization were used to calculate incremental cost-effectiveness ratios, activities of daily living and quality-adjusted life years. SETTING:Medical and acute care wards of Australian hospitals ( n=5). SUBJECTS:A total of 400 people ≥ 70 years of age. INTERVENTIONS:Participants were randomized to either (1) an enhanced program (HOME), involving pre/post discharge visits and two follow-up phone calls, or (2) an in-hospital consultation using the home and community environment assessment and the Lawton Instrumental Activities of Daily Living assessment. MAIN MEASURES:Nottingham Extended Activities of Daily Living (global measure of activities of daily living) and SF-12V2, transformed into SF-6D (quality-adjusted life year) measured at baseline and three months post discharge. RESULTS:The cost of the enhanced program was higher than that of the in-hospital consultation. However, a higher proportion of patients showed improvement in activities of daily living in the enhanced program with an incremental cost-effectiveness ratio of $61,906.00 per person with clinically meaningful improvement. CONCLUSION:Health services would not save money by implementing the enhanced program as a routine intervention in medical and acute care wards. Future research should incorporate longer time horizons and consider which patient groups would benefit from home visits.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Wales K,Salkeld G,Clemson L,Lannin NA,Gitlin L,Rubenstein L,Howard K,Howell M,Cameron IDdoi
10.1177/0269215518764249subject
Has Abstractpub_date
2018-07-01 00:00:00pages
919-929issue
7eissn
0269-2155issn
1477-0873journal_volume
32pub_type
杂志文章,多中心研究,随机对照试验abstract:OBJECTIVE:To evaluate the efficacy of a perceptive rehabilitative approach, based on a new device, with regard to pain and disability in patients with chronic nonspecific low back pain. DESIGN:Single blind, randomized, controlled trial. SETTING:An outpatient academic hospital. PATIENTS:Seventy-five patients with chr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511414443
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:This systematic review aimed to examine the effects of dual-task balance and mobility training in people with stroke. METHODS:An extensive electronic databases literature search was conducted using MEDLINE, PubMed, EBSCO, The Cochrane Library, Web of Science, SCOPUS, and Wiley Online Library. Randomized cont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518758482
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To investigate an intensive asynchronous computer-based treatment delivered remotely with clinician oversight to people with aphasia. DESIGN:Single-blind, randomized placebo-controlled trial. SETTING:Free-standing urban rehabilitation hospital. PARTICIPANTS:Adults with aphasia (at least six months post-ons...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520988475
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of sit-to-stand training in individuals with stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation medical centre. PARTICIPANTS:Thirty-two subjects with stroke were randomly assigned to the control and experimental groups (n = 16 for each group). INTERVENTIONS:S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360751
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To develop an adaptive measure, the Stroke Arm Ladder, to parsimoniously quantify upper extremity function post stroke. SETTING:Various studies conducted in Montreal and elsewhere in Canada. SUBJECTS:A total of 4058 persons with stroke who participated in various studies were assessed on different occasions...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510389496
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To compare the immediate effects of an external focus to enhance lateral body weight shift after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation hospital. SUBJECTS:Twenty patients after stroke (11 males; mean (SD) age 72.2 (7.4) years; duration of illness 56 (14) days; there we...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215513513963
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To examine the evidence base underlying self-management programmes specific to stroke survivors. DATA SOURCES:Eleven electronic databases were searched using combinations of keywords related to stroke and self-management. REVIEW METHODS:Studies involving adults with a clinical diagnosis of stroke, which exp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215513481045
更新日期:2013-10-01 00:00:00
abstract::Registration of randomized controlled trials is essential to reduce the risk of biased data being used when judging the effectiveness of an intervention. This journal will in future require that all randomized trials submitted are registered on a recognized register. This editorial explains why. ...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515612209
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:The use of wearable motion-sensing technology offers important advantages over conventional methods for obtaining measures of physical activity and/or physical functioning in aged individuals. This review aims to identify the actual state of applying wearable systems for monitoring mobility-related activity i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215508090675
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To assess the costs, effects, and cost-utility of an accelerated physiotherapy programme versus a standard physiotherapy programme following resurfacing hip arthroplasty. DESIGN:A cost-utility analysis alongside a randomized controlled trial. SETTING:A UK National Health Service hospital and patients' homes...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827628
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:Structural analysis of the German translation of the "Client-Centered Rehabilitation Questionnaire" (CCRQ). DESIGN:Cross-sectional multicenter study. SETTING:Ten inpatient rehabilitation centers in Germany. SUBJECTS:The CCRQ was completed by patients in the ten rehabilitation centers. MAIN MEASURES:The ps...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215516665158
更新日期:2017-07-01 00:00:00
abstract:PRIMARY OBJECTIVE:To appraise recent studies regarding the needs and experiences of caregivers of individuals with multiple sclerosis (MS). DESIGN:The following computerized databases were searched: CINAHL, BIDS IBSS, ASSIA, MEDLINE, PSYCHINFO, British Nursing Index, ISI Web of Science, Zetoc, AMED (1990-April 2002). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1191/0269215503cr618oa
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:This review aimed to determine the effectiveness of personal smart technologies on outcomes in adults with acquired brain injury. DATA SOURCES:A systematic literature search was conducted on 30 May 2019. Twelve electronic databases, grey literature databases, PROSPERO, reference list and author citations wer...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519865774
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility and practicalities of using the technique of mental practice as an adjunct in the rehabilitation of the upper limb following stroke. DESIGN:A series of single-case studies. SETTING:A stroke rehabilitation unit in Belfast. SUBJECTS:Fourteen patients admitted for rehabilitation of t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr702oa
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To investigate the short-term effects of the life goal concept on subjective well-being and treatment engagement, and to determine the sample size required for a larger trial. DESIGN:A quasi-randomized controlled trial that was not blinded. SETTING:A subacute rehabilitation ward. SUBJECTS:A total of 66 pat...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515622671
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To assess whether intraarticular corticosteroids improve the outcome of a comprehensive home exercise programme in patients with adhesive capsulitis. SETTING:The study was undertaken in the Physical Therapy and Rehabilitation Department of a Ministry of Health hospital in Turkey. SUBJECTS:Eighty patients wi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215508086179
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514552503
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation prog...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511405229
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community. DESIGN:This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/026921559701100108
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:Pilot a definitive randomized controlled trial of speech-language telerehabilitation in poststroke aphasia in addition to usual care with regard to recruitment, drop-outs, and language effects. DESIGN:Pilot single-blinded randomized controlled trial. SETTING:Telerehabilitation delivered from tertiary rehabi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519896616
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function. DATA SOURCES:Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, f...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520963846
更新日期:2020-10-20 00:00:00
abstract:OBJECTIVE:Errorless learning is an effective strategy for the cognitive rehabilitation of memory impairment, but there is little evidence to support its use for skill learning. This preliminary study investigates whether errorless learning is superior to treatment as usual (trial and error), when teaching people with a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509353270
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of accelerometer-based feedback on physical activity in hospitalized patients with ischemic stroke. DESIGN:Randomized controlled trial. SETTING:Acute care hospital. SUBJECTS:A total of 55 patients with ischemic stroke who could walk without assistance were randomly assigned to the in...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215518755841
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To determine whether aerobic exercise improves aerobic capacity in individuals with stroke. DESIGN:A systematic review of randomized controlled trials. DATABASES SEARCHED: MEDLINE, CINAHL, EMBASE, Cochrane Database of Systematic Reviews and Physiotherapy Evidence Database were searched. INCLUSION CRITERIA:D...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1191/0269215506cr926oa
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To follow up participants in a randomised controlled trial of relaxation training for anxiety after stroke at 12 months. DESIGN:Twelve month follow-up to a randomised controlled trial, in which the control group also received treatment. SETTING:Community. PARTICIPANTS:Fifteen of twenty one original partici...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516682820
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:To estimate the point prevalence of pressure sores in a community sample of spinal cord injured patients who were followed up by a spinal injuries unit and to evaluate whether self-management strategies were associated with decreased risk of pressure sores. SETTING:A regional spinal injuries unit, UK. DESI...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215503cr692oa
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To assess the test-retest reliability of two questionnaires for measuring activity limitations in patients with Complex Regional Pain Syndrome type 1 (CRPS I) of the lower extremity. DESIGN:Patients filled out the Walking Stairs Questionnaire and the Questionnaire Rising and Sitting Down twice during a one-w...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr517oa
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To examine the health benefits of a bedroom window view to natural surroundings for patients undergoing a residential rehabilitation programme. DESIGN:Longitudinal quasi-experiment. SETTING:A residential rehabilitation centre. SUBJECTS:Two-hundred and seventy-eight coronary and pulmonary patients provided ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215511412800
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:The 'repetition effect' stipulates that recall ability improves as the number of learning trials that a person receives increases. While the repetition effect has been supported through many empirical investigations in healthy individuals, it has not yet been applied to clinical populations. The present study...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1191/0269215503cr586oa
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. DESIGN:Prospective randomized controlled clinical trial. SETTING:Outp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514546768
更新日期:2015-06-01 00:00:00