scholarly journals Effects of nurse‐led home‐based telephone support or home visits on cognitive function

2021 ◽  
Author(s):  
Nanqi Mao ◽  
Fangyuan Xue ◽  
Wanyu Cai ◽  
Jiahong Li
Keyword(s):  
Cognitive Function ◽  
Home Visits ◽  
Telephone Support ◽  
Home Based

Guelph Family Health Study’s Home-Based Obesity Prevention Intervention Increases Fibre and Fruit Intake in Preschool-Aged Children

2018 ◽  
Vol 79 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Julia A. Mirotta ◽  
Gerarda A. Darlington ◽  
Andrea C. Buchholz ◽  
Jess Haines ◽  
David W.L. Ma ◽  
...  
Keyword(s):  
Obesity Prevention ◽  
Family Health ◽  
Home Visits ◽  
Health Study ◽  
Control Group ◽  
Fruit Intake ◽  
Health Educator ◽  
Prevention Intervention ◽  
Home Based ◽  
Preschool Aged Children

Purpose: The Guelph Family Health Study (GFHS) pilot was designed to examine the feasibility and effectiveness of a home-based obesity prevention intervention on health behaviours and obesity risk. The objective of this analysis was to determine the effect of the 6-month intervention on preschool-aged children’s dietary intakes. Methods: Families with children aged 1.5–5 years old were randomized to receive one of the following: 4 home visits with a health educator as well as tailored emails and mailed incentives (4HV; n = 19 children); 2 home visits with a health educator as well as tailored emails and mailed incentives (2HV; n = 14 children); or general health advice through emails (control; n = 12 children). Three-day food records were completed by parents for their children before and after the 6-month intervention and analyzed for 3-day average intakes of energy, nutrients, and MyPlate food groups. Results: After the 6-month intervention, the 4HV group had significantly higher fibre intake and the 4HV and 2HV groups had significantly higher fruit intake, both compared with the control group. Conclusions: This study provides support for a home-based intervention approach to improve the diet quality of preschool-aged children.

scholarly journals Comparative Effectiveness Study of Home-Based Interventions to Prevent CA-MRSA Infection Recurrence

Antibiotics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1105
Author(s):  
Jonathan N. Tobin ◽  
Suzanne Hower ◽  
Brianna M. D’Orazio ◽  
María Pardos de la Gándara ◽  
Teresa H. Evering ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Patient Reported Outcomes ◽  
Health Workers ◽  
Home Visits ◽  
Self Report ◽  
Household Member ◽  
Surveillance Culture ◽  
Home Based ◽  
Patient Reported ◽  
Household Members

Recurrent skin and soft tissue infections (SSTI) caused by Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA) or Methicillin-Sensitive Staphylococcus aureus (CA-MSSA) present treatment challenges. This community-based trial examined the effectiveness of an evidence-based intervention (CDC Guidelines, topical decolonization, surface decontamination) to reduce SSTI recurrence, mitigate household contamination/transmission, and improve patient-reported outcomes. Participants (n = 186) were individuals with confirmed MRSA(+)/MSSA(+) SSTIs and their household members. During home visits; Community Health Workers/Promotoras provided hygiene instructions; a five-day supply of nasal mupirocin; chlorhexidine for body cleansing; and household disinfecting wipes (Experimental; EXP) or Usual Care Control (UC CON) pamphlets. Primary outcome was six-month SSTI recurrence from electronic health records (EHR). Home visits (months 0; 3) and telephone assessments (months 0; 1; 6) collected self-report data. Index patients and participating household members provided surveillance culture swabs. Secondary outcomes included household surface contamination; household member colonization and transmission; quality of life; and satisfaction with care. There were no significant differences in SSTI recurrence between EXP and UC in the intent-to-treat cohort (n = 186) or the enrolled cohort (n = 119). EXP participants showed reduced but non-significant colonization rates. EXP and UC did not differ in household member transmission, contaminated surfaces, or patient-reported outcomes. This intervention did not reduce clinician-reported MRSA/MSSA SSTI recurrence. Taken together with other recent studies that employed more intensive decolonization protocols, it is possible that a promotora-delivered intervention instructing treatment for a longer or repetitive duration may be effective and should be examined by future studies.

scholarly journals Care opportunities for premature infants: home visits and telephone support

2020 ◽  
Vol 28 ◽  
Author(s):  
Rosane Meire Munhak da Silva ◽  
Adriana Zilly ◽  
Eliana Roldão dos Santos Nonose ◽  
Luciana Mara Monti Fonseca ◽  
Débora Falleiros de Mello
Keyword(s):  
Child Health ◽  
Premature Infants ◽  
Home Visits ◽  
Health Needs ◽  
Telephone Support ◽  
Collaborative Practices ◽  
Basic Care ◽  
Thematic Units ◽  
Hospital Contact

Objective: to analyze opportunities for orientations to promote the care of premature infants during home visits and telephone support. Method: a qualitative study from the perspective of philosophical hermeneutics conducted with 18 mothers of premature infants discharged from hospital. Hospital contact and interviews were carried out, 15 and 45 days after discharge and at the infants’ six months of life, with data analysis by interpretation of meanings from 25 home visits and 56 telephone support contacts. Results: the following two thematic units emerged: Needs for contact and guidance: the place for home visits and opportunities for resolving doubts by telephone support, indicating aspects that suggest weakening child health, discontinuity in follow-up and vulnerability in specialized follow-ups. Home visits and telephone support favored the concern of health needs, doubts about basic care and problem solving, as ways to prevent damage and promote child health. Conclusion: home visits and telephone support emerge as collaborative practices of care and detection of latent conditions, which can be reduced or interrupted with prompt return of guidance, suggesting opportune strategies to increase follow-up, linkage and access to the health services.

Home-based dance exercise for adults with moderate Parkinson’s disease: Protocol with a pilot study for a non-randomized clinical trial using video-dances in a DVD format (Preprint)

2022 ◽  
Author(s):  
Manoela de Paula Ferreira ◽  
Adriano Zanardi da Silva ◽  
Bruna Yamaguchi ◽  
Sunita Mathur ◽  
Taina Ribas Melo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Clinical Trial ◽  
Parkinson's Disease ◽  
Cognitive Function ◽  
Pilot Study ◽  
Functional Mobility ◽  
Contemporary Dance ◽  
Home Based

BACKGROUND Many people with Parkinson’s disease (PD) have never received rehabilitation care due to lack of accessibility and transportation and high therapy costs for in-person rehabilitation. Home-based dance exercise is an innovative, low-cost therapy that may reduce accessibility barriers to exercise. Especially since the COVID-19 pandemic, home-exercise programs are a highly relevant, alternative approach for people with PD OBJECTIVE This clinical trial protocol aims to explore the effects of a Home-Based contemporary dance exercise program for people with moderate Parkinson’s Disease (PD), focusing on balance, functional mobility, quality of life (QOL), cognitive function, and depression. METHODS This protocol is for a non-randomized clinical trial for adults with moderate PD divided into control group (CG) and Experimental Group (EG). Participants from the EG will perform video-dances of the contemporary dance, delivered in a DVD format. The video-dances will be executed 16 weeks, three times per week, 30 minutes each day at home, with exercise intensity controlled by the BORG scale. Participants from the CG will not receive any new exercise therapy. As primary outcomes, the signs and symptoms of the PD assessed by the Unified Parkinson’s Disease Rating Scale – UPDRS II and III, Hoehn and Yahr for the PD severity, and health-related quality of life (HRQL), measured by the Parkinson’s Disease Questionnaire – PDQ-39) will be tested. Secondary outcomes include cognitive function by the Montreal Cognitive Assessment – MoCA, balance by the Mini-BESTest, functional mobility by the Timed “Up and Go” test – TUG and depression by the Geriatric Depression Scale – GDS. All outcomes will be assessed in an in-person evaluation by a blinded assessor before and after the 16 weeks of the program. RESULTS This protocol has a pilot study that included 10 participants (5 in each group). It was observed positive results favoring the EG over cognitive function (p = 0.034). In addition, HRQL, balance, and depression were improved after the pilot program in the EG, however, without significant difference. CONCLUSIONS This clinical trial has the potential to be a safe alternative exercise approach under COVID restrictions and travel-free therapy with effects on PD symptoms. CLINICALTRIAL RBR-58T68W (Brazilian Clinical Trials Registry)

Role of the Management Pathway in the Care of Advanced COPD Patients in Their Own Homes

2010 ◽  
Vol 11 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Ashok A. Ramani ◽  
Anthony A. Pickston ◽  
James L. Clark ◽  
Courtney A. Clark ◽  
Michael Brown
Keyword(s):  
Home Visits ◽  
Cost Benefit ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Respiratory Therapists ◽  
The Third ◽  
Home Based ◽  
Copd Patients ◽  
Home Based Intervention

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide, and the incidence and prevalence are rising every decade. The cost of hospital admission is substantial and is the single largest source of expenditure in care of COPD patients. Home-based intervention has been shown to provide long-term cost benefit in a range of chronic illnesses; however, the role of home visits by respiratory therapists (RT) in COPD management has not been evaluated. The aim of this study was to assess the effectiveness of a management pathway in the care of oxygen dependent COPD patients in their homes. Oxygen-dependent COPD patients were enrolled in the management pathway after discharge from the hospital or referred from a provider’s office. At least three home visits were made: the first within 3 days of enrollment, the second in 1 month, and the third 10 months later. Three hundred and twenty-four patients were enrolled in the study. During the study period, the overall hospitalization rate dropped (11% per month at the second visit vs. 2.1% per month at the third visit). The patients’ understanding of the disease improved substantially (21.6% vs. 83.9%), knowledge of medications the patients were taking improved (56.0% vs. 87.0%), and appropriate use of medications increased (52.0% vs. 86.0%). In our community, this RT-led program helped patients’ self-management of COPD in their own homes by increasing understanding of the disease, assisted physicians in monitoring their patients, and reduced hospitalization.

scholarly journals Constructing a sense of home in floating support for people using drugs

2019 ◽  
Vol 19 (4) ◽  
pp. 685-700 ◽  
Author(s):  
Johanna Ranta ◽  
Kirsi Juhila
Keyword(s):  
Interaction Analysis ◽  
Homeless People ◽  
Home Visits ◽  
Self Determination ◽  
Housing First ◽  
Home Based ◽  
Formerly Homeless ◽  
Home Based Care ◽  
Complex Housing ◽  
Sense Of Home

Among homeless people using drugs, a permanent place to live can be difficult to find. Homelessness or living in traumatic home environments might cause the experiences of displacement, which may weaken the possibility to attach to a new place emotionally and create the personal sense of home without support. In housing support work, it is possible to help formerly homeless people in vulnerable life situations to settle in their new living places. This study concentrates on client–worker interaction during 12 home visits recorded in 2017 in a Finnish Housing First-based floating support project for people injecting drugs. Ethnomethodologically oriented interaction analysis and geographies of home and home-based care are applied to examine how the workers and clients discuss clients’ attachments to the places they live in and how the workers construct a sense of home in collaboration with the clients. The study highlights how the workers responded both sensitively and productively to the clients’ needs and wants through collaborated actions and conversations that complement each other in the clients’ home spaces. For example, the workers skilfully made the clients’ complex housing issues understandable, aligned with the clients’ views, promoted their right for self-determination and gave positive assessments in regard to the flat. These kinds of interactional approaches were utilised to support the clients in their construction of a sense of home and thus to strengthen their abilities to form an attachment to their current living places, which can be seen as important factors to prevent clients’ future homelessness.

Sign in / Sign up

Export Citation Format

Share Document