Effectiveness and cost-effectiveness of an optimized process of providing assistive technology for impaired upper extremity function: Protocol of a prospective, quasi-experimental non-randomized study (OMARM)
| Autor: | Huub Creemers, Edith A. V. Hagedoren, Uta Roentgen, Loek A. van der Heide, Ingrid E. H. Kremer, Ramon Daniëls, M.A. Brehm, Silvia M. A. A. Evers, Jan T. Groothuis |
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| Přispěvatelé: | Rehabilitation medicine, AMS - Rehabilitation & Development, Health Services Research, RS: CAPHRI - R2 - Creating Value-Based Health Care |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty robotic arms Process (engineering) Cost effectiveness media_common.quotation_subject Biomedical Engineering Health Informatics Efficiency law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Assistive technology Medicine Function (engineering) cost-effectiveness media_common Protocol (science) business.industry Rehabilitation Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] dynamic arm supports impaired upper extremity function user satisfaction Physical therapy 0305 other medical science business rovision of assistive technology devices provision of assistive technology devices 030217 neurology & neurosurgery Independent living |
| Zdroj: | Technology and Disability, 33(3), 207-220. IOS Press BV Technology and Disability, 33, 207-220 Technology and Disability, 33(3), 207-220. IOS Press Technology and Disability, 2021(33), 207-220 Technology and Disability, 33, pp. 207-220 |
| ISSN: | 1055-4181 |
| Popis: | BACKGROUND: Impaired upper extremity function due to muscle paresis or paralysis has a major impact on independent livingand quality of life (QoL). Assistive technology (AT) for upper extremity function (i.e. dynamic arm supports and robotic arms) canincrease a client’s independence. Previous studies revealed that clients often use AT not to their full potential, due to suboptimalprovision of these devices in usual care.OBJECTIVE: To optimize the process of providing AT for impaired upper extremity function and to evaluate its (cost-)effectiveness compared with care as usual.METHODS: Development of a protocol to guide the AT provision process in an optimized way according to generic Dutchguidelines; a quasi-experimental study with non-randomized, consecutive inclusion of a control group (n = 48) receiving care asusual and of an intervention group (optimized provision process) (n = 48); and a cost-effectiveness and cost-utility analysis fromsocietal perspective will be performed. The primary outcome is clients’ satisfaction with the AT and related services, measuredwith the Quebec User Evaluation of Satisfaction with AT (Dutch version; D-QUEST). Secondary outcomes comprise complaintsof the upper extremity, restrictions in activities, QoL, medical consumption and societal cost. Measurements are taken at baselineand at 3, 6 and 9 months follow-up. |
| Databáze: | OpenAIRE |
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