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Occupation-focused health promotion for well older people — A cost-effectiveness analysis / Magnus Zingmark in The British Journal of Occupational Therapy, Vol.79 N°3 (March 2016)
[article]
Titre : Occupation-focused health promotion for well older people — A cost-effectiveness analysis Type de document : texte imprimé Auteurs : Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher Année de publication : 2016 Article en page(s) : p.153-162 Langues : Anglais (eng) Mots-clés : Occupational therapy occupational engagement activity limitations participation restrictions health promotion self-rated health quality-adjusted life years cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained.
Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group.
Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention.
Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.Permalink : ./index.php?lvl=notice_display&id=42948
in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162[article] Occupation-focused health promotion for well older people — A cost-effectiveness analysis [texte imprimé] / Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher . - 2016 . - p.153-162.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162
Mots-clés : Occupational therapy occupational engagement activity limitations participation restrictions health promotion self-rated health quality-adjusted life years cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained.
Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group.
Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention.
Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.Permalink : ./index.php?lvl=notice_display&id=42948 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtEvidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? / Mary Morley in The British Journal of Occupational Therapy, Volume 77 numéro 12 (Décembre 2014)
[article]
Titre : Evidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? Type de document : texte imprimé Auteurs : Mary Morley, Auteur Année de publication : 2014 Article en page(s) : p.601-604 Langues : Anglais (eng) Mots-clés : Informatics Clinical outcomes Cost effectiveness Résumé : This practice analysis considers the extent to which mental health occupational therapists utilize standardized assessments and other tools within local electronic clinical records. There is further analysis of a clinical dataset from a single service that highlights limitations in its use to inform cost effectiveness evaluation. The paper highlights the opportunity for the profession to promote greater consistency across clinical datasets at a time when many electronic record systems are being updated. This will require a collaborative approach to allow cross-organizational benchmarking and to adopt a set of variables and other outcome measures in order to successfully undertake economic evaluation. Permalink : ./index.php?lvl=notice_display&id=35913
in The British Journal of Occupational Therapy > Volume 77 numéro 12 (Décembre 2014) . - p.601-604[article] Evidencing What Works: Are Occupational Therapists Using Clinical Information Effectively? [texte imprimé] / Mary Morley, Auteur . - 2014 . - p.601-604.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 12 (Décembre 2014) . - p.601-604
Mots-clés : Informatics Clinical outcomes Cost effectiveness Résumé : This practice analysis considers the extent to which mental health occupational therapists utilize standardized assessments and other tools within local electronic clinical records. There is further analysis of a clinical dataset from a single service that highlights limitations in its use to inform cost effectiveness evaluation. The paper highlights the opportunity for the profession to promote greater consistency across clinical datasets at a time when many electronic record systems are being updated. This will require a collaborative approach to allow cross-organizational benchmarking and to adopt a set of variables and other outcome measures in order to successfully undertake economic evaluation. Permalink : ./index.php?lvl=notice_display&id=35913 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt