Abstract:
INTRODUCTION:Substantial resources are required to provide lifelong postoperative care to people with cochlear implants. Most patients visit the clinic annually. We introduced a person-centred remote follow-up pathway, giving patients telemedicine tools to use at home so they would only visit the centre when intervention was required. OBJECTIVES:To assess the feasibility of comparing a remote care pathway with the standard pathway in adults using cochlear implants. DESIGN:Two-arm randomised controlled trial. Randomisation used a minimisation approach, controlling for potential confounding factors. Participant blinding was not possible, but baseline measures occurred before allocation. SETTING:University of Southampton Auditory Implant Service: provider of National Health Service care. PARTICIPANTS:60 adults who had used cochlear implants for at least 6 months. INTERVENTIONS:Control group (n=30) followed usual care pathway.Remote care group (n=30) received care remotely for 6 months incorporating: home hearing in noise test, online support tool and self-adjustment of device (only 10 had compatible equipment). MAIN OUTCOME MEASURES:Primary: change in patient activation; measured using the Patient Activation Measure.Secondary: change in hearing and quality of life; qualitative feedback from patients and clinicians. RESULTS:One participant in the remote care group dropped out. The remote care group showed a greater increase in patient activation than the control group. Changes in hearing differed between the groups. The remote care group improved on the Triple Digit Test hearing test; the control group perceived their hearing was worse on the Speech, Spatial and Qualities of Hearing Scale questionnaire. Quality of life remained unchanged in both groups. Patients and clinicians were generally positive about remote care tools and wanted to continue. CONCLUSIONS:Adults with cochlear implants were willing to be randomised and complied with the protocol. Personalised remote care for long-term follow-up is feasible and acceptable, leading to more empowered patients. TRIAL REGISTRATION NUMBER:ISRCTN14644286.
journal_name
BMJ Openjournal_title
BMJ openauthors
Cullington H,Kitterick P,Weal M,Margol-Gromada Mdoi
10.1136/bmjopen-2017-019640subject
Has Abstractpub_date
2018-04-20 00:00:00pages
e019640issue
4issn
2044-6055pii
bmjopen-2017-019640journal_volume
8pub_type
杂志文章,随机对照试验相关文献
BMJ Open文献大全abstract:OBJECTIVE:This study assesses the impact of obesity on life expectancy for 26 European national populations and the USA over the 1975-2012 period. DESIGN:Secondary analysis of population-level obesity and mortality data. SETTING:European countries, namely Austria, Belarus, Belgium, the Czech Republic, Denmark, Estoni...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028086
更新日期:2019-07-31 00:00:00
abstract:OBJECTIVE:The study aimed to determine if and how environmental factors correlated with asthma admission rates in geographically different parts of Guangxi province in China. SETTING:Guangxi, China. PARTICIPANTS:This study was done among 7804 asthma patients. PRIMARY AND SECONDARY OUTCOME MEASURES:Spearman correlati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038117
更新日期:2020-10-07 00:00:00
abstract:INTRODUCTION:Several retrospective or single-centre studies demonstrated the efficacy of transplacental treatment of fetal tachyarrhythmias. Our retrospective nationwide survey showed that the fetal therapy will be successful at an overall rate of 90%. For fetuses with hydrops, the treatment success rate will be 80%. H...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016597
更新日期:2017-08-29 00:00:00
abstract:OBJECTIVE:We assessed the impact of political conflict (Boko Haram) on tuberculosis (TB) case notifications in Adamawa State in North-east Nigeria. DESIGN:A retrospective analysis of TB case notifications from TB registers (2010-2016) to describe changes in TB notification, sex and age ratios by the degree of conflict ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035263
更新日期:2020-09-16 00:00:00
abstract:INTRODUCTION:Hearing loss is a common chronic problem which can be effectively managed with hearing devices. At present, only a limited number of people with hearing loss use hearing aids (HAs) and cochlear implants (CIs) to improve hearing and sound quality and enhance quality of life. Clinical equipoise, by which we ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030100
更新日期:2019-09-08 00:00:00
abstract:OBJECTIVE:To describe the circumstances of the elderly with dementia and their caregivers' characteristics in order to examine factors related to activities of daily living (ADL) and household income to propose a long-term care policy for rural areas of Thailand. SETTING:A cross-sectional study at the household level ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032637
更新日期:2020-03-24 00:00:00
abstract:OBJECTIVE:Control of glycaemic, hypertension and low-density lipoprotein-cholesterol (LDL-C) among patients with type 2 diabetes mellitus (T2DM) is vital for the prevention of cardiovascular diseases. The current study was an audit of glycaemic, hypertension and LDL-C control among ambulant patients with T2DM in Botswa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026807
更新日期:2019-07-23 00:00:00
abstract:OBJECTIVES:To identify rates of potentially preventable complications for dementia patients compared with non-dementia patients. DESIGN:Retrospective cohort design using hospital discharge data for dementia patients, case matched on sex, age, comorbidity and surgical status on a 1 : 4 ratio to non-dementia patients. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002770
更新日期:2013-06-20 00:00:00
abstract:OBJECTIVE:To compare intrapartum and neonatal mortality in low-risk term women starting labour in midwife-led versus obstetrician-led care. STUDY DESIGN:We performed a propensity score matched study using data from our national perinatal register, completed with data from medical files. We studied women without major ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018845
更新日期:2018-01-05 00:00:00
abstract:INTRODUCTION:Arthroscopic surgery is a very common orthopaedic procedure. While several trials have investigated the effect of knee arthroscopy for middle-aged and older patients with meniscal tears, there is a paucity of trials comparing meniscal surgery with non-surgical treatment for younger adults. The aim of this ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-017436
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVES:Patients with congestive heart failure (CHF) may be at a higher risk of mortality from sepsis than patients without CHF due to insufficient cardiovascular reserves during systemic infections. The aim of this study is to compare sepsis-related mortality between CHF and no CHF in patients presenting to a terti...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022185
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:In current practice, probands are asked to inform relatives about the possibility of predictive DNA testing when a pathogenic variant causing an inherited cardiac condition (ICC) is identified. Previous research on the uptake of genetic counselling and predictive DNA testing in relatives suggests that not ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025660
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVE:To evaluate the clinical efficacy and effectiveness of using 3D printing to develop medical devices across all medical fields. DESIGN:Systematic review compliant with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES:PubMed, Web of Science, OVID, IEEE Xplore and Google Scholar...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016891
更新日期:2017-12-21 00:00:00
abstract:OBJECTIVE:Exploring the views of stakeholders to the referral management systems (RMS) used by GP practices in Northumberland, UK to evaluate its perceived effectiveness. DESIGN:This was an in-depth qualitative semi-structured interview study. PARTICIPANTS AND SETTING:32 participants (GPs, hospital consultants, refer...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028436
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVES:Social Autopsy (SA) is an innovative strategy where a trained facilitator leads community groups through a structured, standardised analysis of the physical, environmental, cultural and social factors contributing to a serious, non-fatal health event or death. The discussion stimulated by the formal process ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010490
更新日期:2016-08-23 00:00:00
abstract:OBJECTIVES:Although several rehabilitation programmes following hip arthroscopy for femoracetabular impingement (FAI) syndrome have been described, there are no clinical trials evaluating whether formal physiotherapy-prescribed rehabilitation improves recovery compared with self-directed rehabilitation. The objective o...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-014658
更新日期:2017-06-23 00:00:00
abstract:INTRODUCTION:The association between long-chain omega-3 polyunsaturated fatty acids (PUFAs), brain health, cognitive function and mood has been the subject of intensive research. Marine-derived omega-3 PUFAs, such as docosahexaenoic acid and eicosapentaenoic acid, are highly concentrated in neuronal membranes and affec...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027167
更新日期:2019-06-22 00:00:00
abstract:OBJECTIVES:Violence towards emergency department healthcare workers is pervasive and directly linked to provider wellness, productivity and job satisfaction. This qualitative study aimed to identify the cognitive and behavioural processes impacted by workplace violence to further understand why workplace violence has a...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-031781
更新日期:2019-08-27 00:00:00
abstract:INTRODUCTION:Hospitals are complex systems and optimising their function is critical to the provision of high quality, cost effective healthcare. Metrics of performance have to date focused on the performance of individual elements rather than the whole system. Manipulation of individual elements of a complex system wi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034265
更新日期:2020-02-09 00:00:00
abstract:INTRODUCTION:Subjective tinnitus is very common and has a number of comorbid associations including depression, sleep disturbance and concentration difficulties. Concentration difficulties may be observable in people with tinnitus through poorer behavioural performance in tasks thought to measure specific cognitive dom...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-023700
更新日期:2018-08-13 00:00:00
abstract:OBJECTIVES:Dealing with multiple workflow interruptions is a major challenge in emergency department (ED) work. This study aimed to establish a taxonomy of workflow interruptions that takes into account the content and purpose of interruptive communication. It further aimed to identify associations of workflow interrup...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019074
更新日期:2017-12-22 00:00:00
abstract:PURPOSE:The Upper Gastrointestinal Cancer Registry (UGICR) was developed to monitor and improve the quality of care provided to patients with upper gastrointestinal cancers in Australia. PARTICIPANTS:It supports four cancer modules: pancreatic, oesophagogastric, biliary and primary liver cancer. The pancreatic cancer ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031434
更新日期:2019-09-30 00:00:00
abstract:OBJECTIVE:This study was designed to examine the prevalence of unilateral and bilateral diagonal earlobe creases (DELCs) with respect to the diagnosis of coronary heart disease (CHD). METHODS:A total of 558 consecutive participants (402 males and 156 females) aged 36-91 years who underwent coronary angiography were en...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008558
更新日期:2016-02-11 00:00:00
abstract:OBJECTIVES:How advance care planning (ACP) is conceptualised in Australia including when, where and how ACP is best initiated, is unclear. It has been suggested that healthcare delivered in general practice provides an optimal setting for initiation of ACP discussions but uptake remains low. This systematic review and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030275
更新日期:2019-09-18 00:00:00
abstract:OBJECTIVE:Cholangiocarcinoma (CCA) is the most common malignancy in a Northeast Thai population. Smoking and alcohol drinking are associated with the production of free radical intermediates, which can cause several types of DNA lesions. Reduced repair of these DNA lesions would constitute an important risk factor for ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005447
更新日期:2014-10-21 00:00:00
abstract:OBJECTIVES:To investigate the variation in sugar and energy content of cakes and biscuits available in the UK. DESIGN:We carried out a cross-sectional survey in 2016 of 381 cakes and 481 biscuits available in nine main UK supermarkets. METHODS:The sugar and energy content was collected from product packaging and nutr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019075
更新日期:2018-07-25 00:00:00
abstract:OBJECTIVES:To assess the costs of hospital accreditation in Australia. DESIGN:Mixed methods design incorporating: stakeholder analysis; survey design and implementation; activity-based costs analysis; and expert panel review. SETTING:Acute care hospitals accredited by the Australian Council for Health Care Standards....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008850
更新日期:2015-09-08 00:00:00
abstract:OBJECTIVE:Black women continue to have rates of mental health conditions that can be negative for their well-being. This study examined the contribution of social and contextual factors and severe physical intimate partner violence on the mental health of US Black women (African-American and Caribbean Black). SETTING:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008415
更新日期:2015-10-19 00:00:00
abstract:OBJECTIVES:To examine the characteristics and persistence in patients newly initiated with oral anticoagulants (OACs) for stroke prevention in non-valvular atrial fibrillation (NVAF). DESIGN:Cohort study in Clinical Practice Research Datalink. SETTING:UK primary care. PARTICIPANTS:15 242 patients with NVAF newly pre...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011471
更新日期:2016-09-26 00:00:00
abstract:OBJECTIVES:To explore whether knowledge about the harms of ultraviolet radiation (UVR) influences UK university students' sun-related behaviours and examine in depth their attitudes towards: sun protection, natural and artificial tanning behaviours. DESIGN:Qualitative methodology with 15 semistructured, individual int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014388
更新日期:2017-03-13 00:00:00