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Terry Haines - One of the best experts on this subject based on the ideXlab platform.

  • gym based exercise was more costly compared with home based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions cost effectiveness analysis of a randomised trial
    Journal of Physiotherapy, 2018
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the comparative cost-effectiveness of a gym-based maintenance exercise program versus a home-based maintenance program with telephone support for adults with chronic Health conditions who have previously completed a short-term, supervised group exercise program? Design A randomised, controlled trial with blinded outcome assessment at baseline and at 3, 6, 9 and 12 months. The economic evaluation took the form of a trial-based, comparative, incremental cost-utility analysis undertaken from a societal perspective with a 12-month time horizon. Participants People with chronic Health conditions who had completed a 6-week exercise program at a Community Health Service. Interventions One group of participants received a gym-based exercise program and Health coaching for 12 months. The other group received a home-based exercise program and Health coaching for 12 months with telephone follow-up for the first 10 weeks. Outcome measures Healthcare costs were collected from government databases and participant self-report, productivity costs from self-report, and Health utility was measured using the European Quality of Life Instrument (EQ-5D-3L). Results Of the 105 participants included in this trial, 100 provided sufficient cost and utility measurements to enable inclusion in the economic analyses. Gym-based follow-up would cost an additional AUD491,572 from a societal perspective to gain 1 quality-adjusted life year or 1year gained in perfect Health compared with the home-based approach. There was considerable uncertainty in this finding, in that there was a 37% probability that the home-based approach was both less costly and more effective than the gym-based approach. Conclusion The gym-based approach was more costly than the home-based maintenance intervention with telephone support. The uncertainty of these findings suggests that if either intervention is already established in a Community setting, then the other intervention is unlikely to replace it efficiently. Registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2018) Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54]

  • gym based exercise and home based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions a randomised trial
    Journal of Physiotherapy, 2017
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a Health professional? Design A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. Participants The participants were recruited following a 6-week exercise program at a Community Health Service. Intervention One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. Results There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI −5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Conclusion Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental Health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of Health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. Trial registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160]

Paul Jansons - One of the best experts on this subject based on the ideXlab platform.

  • gym based exercise was more costly compared with home based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions cost effectiveness analysis of a randomised trial
    Journal of Physiotherapy, 2018
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the comparative cost-effectiveness of a gym-based maintenance exercise program versus a home-based maintenance program with telephone support for adults with chronic Health conditions who have previously completed a short-term, supervised group exercise program? Design A randomised, controlled trial with blinded outcome assessment at baseline and at 3, 6, 9 and 12 months. The economic evaluation took the form of a trial-based, comparative, incremental cost-utility analysis undertaken from a societal perspective with a 12-month time horizon. Participants People with chronic Health conditions who had completed a 6-week exercise program at a Community Health Service. Interventions One group of participants received a gym-based exercise program and Health coaching for 12 months. The other group received a home-based exercise program and Health coaching for 12 months with telephone follow-up for the first 10 weeks. Outcome measures Healthcare costs were collected from government databases and participant self-report, productivity costs from self-report, and Health utility was measured using the European Quality of Life Instrument (EQ-5D-3L). Results Of the 105 participants included in this trial, 100 provided sufficient cost and utility measurements to enable inclusion in the economic analyses. Gym-based follow-up would cost an additional AUD491,572 from a societal perspective to gain 1 quality-adjusted life year or 1year gained in perfect Health compared with the home-based approach. There was considerable uncertainty in this finding, in that there was a 37% probability that the home-based approach was both less costly and more effective than the gym-based approach. Conclusion The gym-based approach was more costly than the home-based maintenance intervention with telephone support. The uncertainty of these findings suggests that if either intervention is already established in a Community setting, then the other intervention is unlikely to replace it efficiently. Registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2018) Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54]

  • gym based exercise and home based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions a randomised trial
    Journal of Physiotherapy, 2017
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a Health professional? Design A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. Participants The participants were recruited following a 6-week exercise program at a Community Health Service. Intervention One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. Results There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI −5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Conclusion Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental Health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of Health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. Trial registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160]

Lisa Obrien - One of the best experts on this subject based on the ideXlab platform.

  • gym based exercise was more costly compared with home based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions cost effectiveness analysis of a randomised trial
    Journal of Physiotherapy, 2018
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the comparative cost-effectiveness of a gym-based maintenance exercise program versus a home-based maintenance program with telephone support for adults with chronic Health conditions who have previously completed a short-term, supervised group exercise program? Design A randomised, controlled trial with blinded outcome assessment at baseline and at 3, 6, 9 and 12 months. The economic evaluation took the form of a trial-based, comparative, incremental cost-utility analysis undertaken from a societal perspective with a 12-month time horizon. Participants People with chronic Health conditions who had completed a 6-week exercise program at a Community Health Service. Interventions One group of participants received a gym-based exercise program and Health coaching for 12 months. The other group received a home-based exercise program and Health coaching for 12 months with telephone follow-up for the first 10 weeks. Outcome measures Healthcare costs were collected from government databases and participant self-report, productivity costs from self-report, and Health utility was measured using the European Quality of Life Instrument (EQ-5D-3L). Results Of the 105 participants included in this trial, 100 provided sufficient cost and utility measurements to enable inclusion in the economic analyses. Gym-based follow-up would cost an additional AUD491,572 from a societal perspective to gain 1 quality-adjusted life year or 1year gained in perfect Health compared with the home-based approach. There was considerable uncertainty in this finding, in that there was a 37% probability that the home-based approach was both less costly and more effective than the gym-based approach. Conclusion The gym-based approach was more costly than the home-based maintenance intervention with telephone support. The uncertainty of these findings suggests that if either intervention is already established in a Community setting, then the other intervention is unlikely to replace it efficiently. Registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2018) Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54]

  • gym based exercise and home based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions a randomised trial
    Journal of Physiotherapy, 2017
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a Health professional? Design A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. Participants The participants were recruited following a 6-week exercise program at a Community Health Service. Intervention One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. Results There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI −5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Conclusion Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental Health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of Health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. Trial registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160]

Lauren Robins - One of the best experts on this subject based on the ideXlab platform.

  • gym based exercise was more costly compared with home based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions cost effectiveness analysis of a randomised trial
    Journal of Physiotherapy, 2018
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the comparative cost-effectiveness of a gym-based maintenance exercise program versus a home-based maintenance program with telephone support for adults with chronic Health conditions who have previously completed a short-term, supervised group exercise program? Design A randomised, controlled trial with blinded outcome assessment at baseline and at 3, 6, 9 and 12 months. The economic evaluation took the form of a trial-based, comparative, incremental cost-utility analysis undertaken from a societal perspective with a 12-month time horizon. Participants People with chronic Health conditions who had completed a 6-week exercise program at a Community Health Service. Interventions One group of participants received a gym-based exercise program and Health coaching for 12 months. The other group received a home-based exercise program and Health coaching for 12 months with telephone follow-up for the first 10 weeks. Outcome measures Healthcare costs were collected from government databases and participant self-report, productivity costs from self-report, and Health utility was measured using the European Quality of Life Instrument (EQ-5D-3L). Results Of the 105 participants included in this trial, 100 provided sufficient cost and utility measurements to enable inclusion in the economic analyses. Gym-based follow-up would cost an additional AUD491,572 from a societal perspective to gain 1 quality-adjusted life year or 1year gained in perfect Health compared with the home-based approach. There was considerable uncertainty in this finding, in that there was a 37% probability that the home-based approach was both less costly and more effective than the gym-based approach. Conclusion The gym-based approach was more costly than the home-based maintenance intervention with telephone support. The uncertainty of these findings suggests that if either intervention is already established in a Community setting, then the other intervention is unlikely to replace it efficiently. Registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2018) Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic Health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54]

  • gym based exercise and home based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions a randomised trial
    Journal of Physiotherapy, 2017
    Co-Authors: Paul Jansons, Lauren Robins, Lisa Obrien, Terry Haines
    Abstract:

    Abstract Question What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a Health professional? Design A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. Participants The participants were recruited following a 6-week exercise program at a Community Health Service. Intervention One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. Results There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI −5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Conclusion Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental Health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of Health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. Trial registration ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic Health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160]

Wei Guangfeng - One of the best experts on this subject based on the ideXlab platform.

  • research of the economic compensation of urban Community Health Service in a certain provincially administered municipality
    Chinese General Practice, 2009
    Co-Authors: Wei Guangfeng
    Abstract:

    Objective To describe and analyze the 4 years economical compensation situation for urban Community Health Service in a certain provincially administered municipality,and find existent major problems.Methods The data of urban Community Health Service in this provincially administered municipality was collected and analyzed so as to fine the existent major problems.Results The compensation situation for urban Community Health Service in the municipality was not good,the major problems were an inadequate government investment,undertaking numerous free Service、nonstandard item charge,and supplementing medical Service through drugs.Conclusion The compensation mechanism of urban Community Health Service in a certain provincially administered municipality is unreasonable.It needs an urgent regulation and improvement,and the corresponding strategy should be actively taken aiming at the problem.

  • research on the economic compensation of fifty two Community Health Service center in a certain provincially administered municipality
    Modern Preventive Medicine, 2009
    Co-Authors: Huang Xiaoguang, Rong Chao, Wei Guangfeng
    Abstract:

    [Objective] To describe and analyze the 4 years economical compensation situation for urban Community Health Service in a certain provincially administered municipality, find existent major problems, and propose policies of economic compensation.[Methods] The data of urban Community Health Service in a certain provincially administered municipality was collected to analyze the compensation condition by using statistical methods.[Results] From 2004 to 2007, the average year's balance rates of gross income and expense in the city's Community Health Service were 0.86% 、 2.27% 、 2.14% and 2.23% respectively;The average year's balance rates of business income and expense were-2.31%,-0.59%,-2.56% and-4.05%, respectively;The average year's balance rates of medical treatment income and expense were-47.08%,-43.19%,-43.17% and-58.84%, respectively;The average year's balance rates of drug income and expense were 18.08% , 18.67%, 17.34 and 21.15%, respectively;In gross structure of income, HYPERLINK"app:government"\t"_self"government's fi-nancial subsidy accounted for 6.70% , 6.41%, 8.47% and 9.73% respectively;The medical treatment income accounted for 32.10%, 32.58%, 33.87% and 31.78% respectively;The drug income accounted for 58.24%, 57.73%, 54.24% and 54.18%, respectively;and others income accounted for 2.96%, 3.43%, 2.78% and 4.31%, respectively.[Conclusion] The compensation mechanism of Community Health Service in the city is unreasonable, especially in inadequate government investment, undertaking numerous free Service, nonstandard item charge, drug to supplement medicine and so on.