scholarly journals Lack of Effect of a Multicomponent Palliative Care Program for Nursing Home Residents on Hospital Use in the Last Month of Life and on Place of Death: A Secondary Analysis of a Multicountry Cluster Randomized Control Trial

2020 ◽  
Vol 21 (12) ◽  
pp. 1973-1978.e2
Author(s):  
Elisabeth Honinx ◽  
Tinne Smets ◽  
Ruth Piers ◽  
H. Roeline W. Pasman ◽  
Sheila A. Payne ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Randomized Control Trial ◽  
Secondary Analysis ◽  
Nursing Home Residents ◽  
Care Program ◽  
Palliative Care Program ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

scholarly journals A feasibility trial of Power Up: A smartphone app to support patient activation and shared decision making for mental health in young people (Preprint)

2018 ◽  
Author(s):  
Julian Edbrooke-Childs ◽  
Chloe Edridge ◽  
Phoebe Averill ◽  
Louise Delane ◽  
Michael P Craven ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Young People ◽  
Shared Decision Making ◽  
Randomized Control Trial ◽  
Patient Activation ◽  
Shared Decision ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

BACKGROUND Digital tools have the potential to support patient activation and shared decision making in the face of increasing levels of mental health problems in young people. There is a need for feasibility trials of digital interventions to determine the usage and acceptability of interventions. In addition, there is a need to determine the ability to recruit and retain research participants to plan rigorous effectiveness trials and therefore, develop evidence-based recommendations for practice. OBJECTIVE To determine the feasibility of undertaking a cluster randomized control trial to test the effectiveness of a smartphone app, Power Up, co-designed with young people to support patient activation and shared decision making for mental health. METHODS Overall, 270 young people were screened for participation and 53% (N = 142) were recruited and completed baseline measures across eight specialist child mental health services (n = 62, mean (SD) age = 14.66 (1.99) years, 52% female) and two mainstream secondary schools (n = 80; mean (SD) age = 16.88 (0.68) years, 46% female). Young people received Power Up in addition to management as usual or received management as usual only. Post-trial interviews were conducted with 11 young people from the intervention arms (specialist services n = 6; schools n = 5). RESULTS Usage data showed that there were an estimated 50 (out of 64) users of Power Up in the intervention arms. Findings from the interviews indicated that young people found Power Up to be acceptable. Young people reported: 1) their motivation for use of Power Up, 2) the impact of use, and 3) barriers to use. Out of the 142 recruited participants, 45% (64/142) completed follow up measures, and the approaches to increase retention agreed by the steering group are discussed. CONCLUSIONS The findings of the present research indicate that the app is acceptable and it is feasible to examine the effectiveness of Power Up in a prospective cluster randomized control trial. CLINICALTRIAL ISRCTN: ISRCTN77194423, ClinicalTrials.gov NCT02552797

Influences on Exclusive Breastfeeding Among Rural HIV-Infected South African Women: A Cluster Randomized Control Trial

2018 ◽  
Vol 22 (9) ◽  
pp. 2966-2977 ◽  
Author(s):  
Deborah L. Jones ◽  
Violeta J. Rodriguez ◽  
Lissa N. Mandell ◽  
Tae Kyoung Lee ◽  
Stephen M. Weiss ◽  
...  
Keyword(s):  
South African ◽  
Exclusive Breastfeeding ◽  
Randomized Control Trial ◽  
African Women ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized ◽  
South African Women
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