Can training over phone calls help improve outcomes for COVID-19 positive patients under home isolation? An analysis of the COVID-19 Care Companion Program in Punjab, India.

Autor: Murthy S; Aurora Health Innovations, Bengaluru, Karnataka, India., Chandrasekar A; Aurora Health Innovations, Bengaluru, Karnataka, India., Yan SD; Noora Health, San Francisco, CA, USA., Sudharsanan N; Technical University of Munich, Germany., Pant R; Data Science, ShriSankhyam Analytics and Research LLP, New Delhi, India., Rangarajan A; Noora Health, San Francisco, CA, USA., Mishra N; Aurora Health Innovations, Bengaluru, Karnataka, India., Mishra D; Aurora Health Innovations, Bengaluru, Karnataka, India., Sulaiman H; Aurora Health Innovations, Bengaluru, Karnataka, India., Kaur B; Department of Health and Family Welfare, Government of Punjab, Chandigarh, Punjab, India., Alam S; Noora Health, San Francisco, CA, USA.
Jazyk: angličtina
Zdroj: Clinical epidemiology and global health [Clin Epidemiol Glob Health] 2023 Mar-Apr; Vol. 20, pp. 101236. Date of Electronic Publication: 2023 Jan 26.
DOI: 10.1016/j.cegh.2023.101236
Abstrakt: Background: Phone-supported recovery of COVID-19 patients in home isolation could be an effective way of addressing COVID-19 in contexts with limited resources. The COVID-19 Care Companion Program (CCP) is one such intervention, designed to support patients and their caregivers in remote, evidence-based management of COVID-19 symptoms.
Objective: To estimate the effect of providing phone-based training to COVID-19 patients and their caregivers on the likelihood of hospitalizations and mortality.
Methods: A pragmatic randomized trial was conducted to assess the effect of a novel phone-based training program on COVID-19 home-isolated patient outcomes. The analysis compared the outcomes of death and hospitalizations in the teletraining intervention group (CCP) to those receiving standard of care (SoC).
Results: Logistic regression models adjusted for age, gender, education, occupation, and poverty, as measured by family possession of Below Poverty Line (BPL) card, were used to look at the effect of intervention on hospitalization and mortality. While the CCP intervention had no effect on 21-day mortality (OR 0.64; 95% CI, 0.19 to 2.12), it was associated with a 48% reduction in 21-day hospitalization (OR 0.52; 95% CI, 0.31 to 0.90).
Conclusion: COVID-19 CCP teletraining intervention reduced the rate of hospitalization, potentially reducing the burden on hospitals.
(© 2023 The Authors.)
Databáze: MEDLINE
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