Proactive Health Support: a randomised controlled trial of telephone-based self-management support for persons at risk of hospital admission.
| Autor: | Benthien, Kirstine Skov, Rasmussen, Knud, Nielsen, Camilla Palmhøj, Kidholm, Kristian, Grønkjær, Mette, Toft, Ulla |
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| Předmět: |
STATISTICAL significance
SOCIAL support EVALUATION of human services programs CONFIDENCE intervals HOSPITAL emergency services SELF-management (Psychology) PATIENTS REGRESSION analysis HEALTH status indicators MENTAL health HEALTH surveys HOSPITAL admission & discharge RANDOMIZED controlled trials T-test (Statistics) HOSPITAL care DESCRIPTIVE statistics QUESTIONNAIRES QUALITY of life STATISTICAL sampling DATA analysis software TELEMEDICINE CAUSAL models POISSON distribution SECONDARY analysis PROPORTIONAL hazards models |
| Zdroj: | Age & Ageing; Oct2022, Vol. 51 Issue 10, p1-10, 10p, 5 Charts |
| Abstrakt: | Background Persons with frequent hospital admissions have a disease burden that may exceed their self-management skills. The evidence base of telephone-based interventions to support self-management is poor with mixed results. The aim of this study is to evaluate the effect of Proactive Health Support (PaHS): telephone-based self-management support for persons with risk of hospitalizations. Methods This study is a national randomised controlled trial of PaHS versus usual universal tax-funded healthcare. Participants were persons at risk of emergency hospital admissions. The intervention began with a physical start-up session followed by telephone sessions of self-management support. The two co-primary outcomes were Health-Related Quality of Life (HRQoL) (Mental Health Component Summary Score of SF36v2) analysed with mixed models and hospital admissions analysed with Poisson regression at 6 months. Secondary outcomes were at 3- and 12-month follow-up and disease subgroup analyses. Results During the study period, 6,402 persons were randomised (3,190 intervention, 3,212 control). HRQoL was significantly improved at 6 months (Est. 1.4992, P = <0.0001) and at 3 and 12 months on all 10 scales. There was no overall effect on hospital admissions at 6 months with an adjusted estimate of 0.0074 (P = 0.8691). Persons with diabetes had significant improvement of HRQoL and reduced hospital admissions. Conclusions The PaHS intervention improved HRQoL for all participants and reduced hospital admissions for persons with diabetes only. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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