scholarly journals Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial

2016 ◽  
Vol 64 (11) ◽  
pp. 2196-2203 ◽  
Author(s):  
Martha L. Bruce ◽  
Matthew C. Lohman ◽  
Rebecca L. Greenberg ◽  
Yuhua Bao ◽  
Patrick J. Raue
Keyword(s):  
Randomized Trial ◽  
Care Management ◽  
Cluster Randomized Trial ◽  
Home Health ◽  
Depression Care ◽  
Depression Care Management ◽  
Cluster Randomized ◽  
At Home

scholarly journals Reducing suicidal ideation in home health care: results from the CAREPATH depression care management trial

2015 ◽  
Vol 31 (7) ◽  
pp. 708-715 ◽  
Author(s):  
Matthew C. Lohman ◽  
Patrick J. Raue ◽  
Rebecca L. Greenberg ◽  
Martha L. Bruce
Keyword(s):  
Health Care ◽  
Suicidal Ideation ◽  
Home Health Care ◽  
Care Management ◽  
Home Health ◽  
Depression Care ◽  
Depression Care Management

scholarly journals Long term effect of depression care management on mortality in older adults: follow-up of cluster randomized clinical trial in primary care

BMJ ◽  
2013 ◽  
Vol 346 (jun05 2) ◽  
pp. f2570-f2570 ◽  
Author(s):  
J. J. Gallo ◽  
K. H. Morales ◽  
H. R. Bogner ◽  
P. J. Raue ◽  
J. Zee ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Trial ◽  
Care Management ◽  
Term Effect ◽  
Depression Care ◽  
Long Term Effect ◽  
Depression Care Management ◽  
Cluster Randomized

scholarly journals Multimodal intervention to improve osteoporosis care in home health settings: results from a cluster randomized trial

2013 ◽  
Vol 24 (10) ◽  
pp. 2555-2560 ◽  
Author(s):  
M. L. Kilgore ◽  
R. Outman ◽  
J. L. Locher ◽  
J. J. Allison ◽  
A. Mudano ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Home Health ◽  
Multimodal Intervention ◽  
Cluster Randomized ◽  
Osteoporosis Care

Effect of Personalized Support at Home on the Prevalence of Anemia in Pregnancy in Burkina Faso: A Cluster Randomized Trial

2021 ◽  
Author(s):  
Bernard Ilboudo ◽  
Léon G. B. Savadogo ◽  
Isidore Traoré ◽  
Clément Z. Meda ◽  
Maurice Kinda ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Pregnant Women ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Antenatal Visit ◽  
Anemia In Pregnancy ◽  
Cluster Randomized ◽  
Prevalence Of Anemia ◽  
In Pregnancy ◽  
At Home

Burkina Faso has high prevalence of anemia in pregnancy (hemoglobin < 11 g/dL), despite the implementation of the WHO recommended guidelines. This study aimed to test the effects of personalized support for pregnant women at home on the trend of anemia prevalence in pregnancy. A cluster randomized trial was conducted from January 2015 to August 2016 at Sindou health district in Burkina Faso. Data were collected from 617 women in their first or second trimester of pregnancy, including 440 and 177 women in the intervention and control groups, respectively. The intervention consisted of a monthly home-based visit to the pregnant woman, focusing on nutritional counseling and pregnancy management, alongside an improvement antenatal visit quality. Compared with the prevalence of anemia in pregnancy in the control group [64.0% (95% confidence interval [CI]: 52.1–74.4%)], that of the intervention group was significantly lower from the fifth home visit onward [36.8% (95% CI: 32.1–41.8%)] (P < 0.001). The adjusted difference-in-differences in anemia prevalence between the two groups was –19.8% (95% CI: –30.2% to –9.4%) for women who received more than four home visits (P < 0.001). The corresponding difference in hemoglobin levels was 0.644 g/dL (95% CI: 0.309–0.167; P < 0.001). Personalized support for pregnant women at home, combined with appropriate antenatal care, can significantly reduce anemia prevalence during pregnancy in rural Burkina Faso.

scholarly journals Clinical Effectiveness of Integrating Depression Care Management Into Medicare Home Health

2015 ◽  
Vol 175 (1) ◽  
pp. 55 ◽  
Author(s):  
Martha L. Bruce ◽  
Patrick J. Raue ◽  
Catherine F. Reilly ◽  
Rebecca L. Greenberg ◽  
Barnett S. Meyers ◽  
...  
Keyword(s):  
Care Management ◽  
Clinical Effectiveness ◽  
Home Health ◽  
Depression Care ◽  
Depression Care Management

Abstract 15008: Improvement in Patient Ratings of Hypertension Care in a Pragmatic Cluster-randomized Trial of Home Blood Pressure Telemonitoring and Pharmacist Care (Hyperlink 3)

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Karen L Margolis ◽  
Leif I Solberg ◽  
A Lauren Crain ◽  
Jeanette Y Ziegenfuss ◽  
Anna R Bergdall ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Care Management ◽  
Cluster Randomized Trial ◽  
Home Blood Pressure ◽  
Uncontrolled Hypertension ◽  
Baseline Survey ◽  
Cluster Randomized ◽  
Pharmacist Care ◽  
Over Time

Introduction: Patient ratings of their experience of care are part of the “Triple Aim”. Improvements are highly valued by health care organizations, but are hard to achieve. Hypothesis: We tested the effect of a telehealth intervention on satisfaction with hypertension care. Methods: Hyperlink 3 is an ongoing pragmatic cluster-randomized trial in 3072 patients with uncontrolled hypertension in 21 primary care clinics in HealthPartners, an integrated health system in Minnesota and Wisconsin. Clinics were randomized to Clinic-based Care (CC, 9 clinics, 1648 patients) or Telehealth Care (TC, 12 clinics, 1424 patients). CC patients received guideline-based hypertension care in face-to-face visits. TC patients were additionally offered home blood pressure (BP) telemonitoring with pharmacist care management. Patients were surveyed at baseline and after 6 months of study enrollment and asked to rate their hypertension care in the previous 6 months on a scale of 0-10. We compared change in the proportion of patients rating their care at the highest level (9 or 10). Results: In the TC group, about 37% of patients attended an intake pharmacist visit and 434 (30%) participated in home BP telemonitoring. Baseline surveys were completed by 1719 (56%) of patients at baseline (goal 50% completion) and 1301 (76%) of those completing the baseline survey completed the 6 month survey (goal 75% completion). Baseline survey respondents’ mean age was 62 y (non-respondents 58 y), 46% were men (non-respondents 48%), 19% were black (non-respondents 20%), and mean BP was 164/93 mm Hg (non-respondents 164/95 mm Hg.) Nearly all patients (over 90%) took antihypertensive medications (median 2). Hypertension care ratings of 9 or 10 were 27.9% at baseline and 30.2% at 6 months in CC, compared with 29.0% at baseline and 39.5% at 6 months in TC. The odds ratio (OR) for change over time in 9 or 10 ratings was 1.11 (95% CI 0.87 - 1.42) in CC, and 1.61 (95% CI 1.26 - 2.07) in TC. The OR for change in 9 or 10 ratings over time in TC vs CC was 1.45 (95% CI 1.03 - 2.06). Conclusions: Home BP telemonitoring with pharmacist care management increased the proportion of patients who highly rated their experience of hypertension care, even though only a minority of the TC patients received the intervention.

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