Journal articles on the topic 'Home programme'
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Khan, Mohd Jamsyeer, Siti Hajar Misnan, and Hairul Nizam Ismail. "INTERNATIONAL MIGRATION, SECOND HOME PROGRAMMES DEVELOPMENT AND MALAYSIA EXPERIENCE." International Journal of Built Environment and Sustainability 6, no. 1-2 (April 1, 2019): 63–74. http://dx.doi.org/10.11113/ijbes.v6.n1-2.384.
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Second homes primarily used for leisure and recreation, which located away from the city. The scenario changed over the years as there are a lot of programmes, namely second home or international migration programmes around the world that promote and attract the foreigners, not only to live in other countries but also giving the opportunities to invest in the reporting economy. Therefore, the objectives of international migration have covered from labour (work), recreation and labour, retirement and investment to date. However, previous literature which has studied second home programmes does not give overview of the programmes elsewhere, rather than focusing on programme individually. In Malaysia context, Malaysian government has introduced Malaysia My Second Home (MM2H) programme, an international residency scheme that allows the foreigners to live in Malaysia on a long stay up to 10 years. These does not exclude other countries to do so, as in Indonesia, Thailand, Malta, Spain, Portugal and Philippines. Thus, the aim of this paper is to review comprehensively on the development of second homes and second home programmes, to study the pattern behind the evolution, including lessons from Malaysia experience. This paper explains range of historical developments of second homes and second home programmes, in relation of international differences in practice, and the connection with Malaysia experience, MM2H programme. Although this paper will not provide in depth contribution on institutional theory, however it provides an important foundation for further theoretical development, which also offers useful review for case studies of practice.
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ODEBIYI, DO, OA FAPOJUWO, BF OLALEYE, and AS OLANIYAN. "CORRELATES OF NON-ADHERENCE TO HOME EXERCISE PROGRAMMES IN PATIENTS WITH LOW BACK PAIN." International Journal of Research -GRANTHAALAYAH 8, no. 6 (July 20, 2020): 280–92. http://dx.doi.org/10.29121/granthaalayah.v8.i6.2020.443.
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Background: Non-adherence to home exercise programmes may lead to delayed progress in recovery and diminished clinical outcomes in patients.
Aims of Study: To determine the adherence rate and attributing factors to non-adherence to home exercise programmes in patients with low back pain (LBP).
Method: A total of 250 patients with LBP receiving treatment in 5 different out-patient physiotherapy clinics in Lagos State South West, Nigeria participated in this survey. They were required to complete a 27- item questionnaire which collected information on characteristics of participants and home exercise programme, adherence with treatment programme and instructions for carrying out the exercises. Gamma correlation and Chi-square were used to detect the correlation and significant difference of selected variables respectively. The level of significance was set at p< 0.05
Result: Ninety-four (37.6%) respondents performed home exercise programme the recommended number of times daily. There was no significant relationship (p> 0.05) of participants’ characteristics, frequency and duration of exercise per session, total number and manner of recommending the home exercise programme and pain rating respectively with adherence to home exercise programme. Eighty-nine (35.6%) respondents complained of tiredness after the day’s work. Chi-square showed significant association (p<0.05) of the prescribed home exercises programme, the actual exercise carried out at home with their perception to home exercise programme
Conclusion: Home exercise programmes may interfere with normal life and daily routine in patients with LBP. It is recommended that home exercise programme be patient centred I.e. fit into individual daily routine to overcome identified barriers.
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Power, Sofie, Nikita Rowley, Michael Duncan, and David Broom. "“I Was Having My Midlife Fat Crisis”: Exploring the Experiences and Preferences of Home-Based Exercise Programmes for Adults Living with Overweight and Obesity." International Journal of Environmental Research and Public Health 19, no. 19 (October 7, 2022): 12831. http://dx.doi.org/10.3390/ijerph191912831.
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The involvement of people with lived experience in the design of exercise programmes is more likely to lead to a more needs-sensitive and population-specific intervention. There is limited evidence of the integration of people with lived experience, particularly regarding home-based exercise programmes for adults living with overweight and obesity, despite this being a population that would significantly benefit from a suitably tailored programme. Semi-structured interviews were virtually conducted to explore 20 participants’ experiences of exercising at home and their preferences for the design of future home-based exercise programmes. Codes were generated through thematic analysis, highlighting considerations such as comfort within a home-based environment, a desire for social connection, and the integration of technology. Four corresponding themes were generated, encapsulating participants’ choice reasoning for home-based exercise, difficulties of engaging in home-based exercise, undertaking and adhering to home-based exercise, and factors that constitute the perfect programme. Although the involvement of people with lived experience in research can be time-consuming, this process is fundamental to the design of an effective and efficacious programme. These findings will inform the design and development of a home-based exercise programme for adults living with overweight and obesity.
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Wilson, Lesley. "The home visiting programme." Paediatric Nursing 4, no. 6 (July 1992): 10–11. http://dx.doi.org/10.7748/paed.4.6.10.s14.
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Flemington, Tara, Donna Waters, and Jennifer A. Fraser. "Maternal involvement and outcomes in nurse home visiting." Journal of Children's Services 10, no. 4 (December 21, 2015): 311–23. http://dx.doi.org/10.1108/jcs-02-2015-0006.
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Purpose – Home visiting is a strategy widely implemented to support families following the birth of a baby. There is a broad consensus that home visiting programmes are successful. But there is little understanding of factors moderating this success. The purpose of this paper is to examine the relationship between maternal involvement in a nurse home visiting programme, maternal depression, and adjustment to the parenting role. Design/methodology/approach – A retrospective design was employed in which the medical records of 40 mothers who had been enroled in a nurse home visiting programme were examined. The number of nurse home visits from birth to six months, maternal depressive symptoms, Home Observation for Measurement of the Environment (HOME) and responsivity scores were examined. Mothers had been selected for the programme if they had a history of mental illness, were in a violent relationship, or reported drug or alcohol problems. Findings – A significant, positive relationship was found between maternal involvement, positive HOME environment and maternal responsivity scores. Furthermore, the mothers with the highest scores for HOME environment and responsivity to their infant ' s cues at six months were mothers experiencing deteriorating symptoms of depression. These mothers had the highest levels of involvement with the programme. Despite their mothers’ deteriorating mental health, infants whose mothers received the greatest number of visits from a nurse received the greatest benefit ameliorating their risk for developing poor attachment and impaired behavioural, emotional and cognitive development. Originality/value – This is the first study to examine the relationship between changes in maternal depression and programme outcomes in a home visiting programme. It is one of the first explorations of the relationship between maternal involvement and programme outcomes in a targeted nurse home visiting programme to prevent child maltreatment. The findings from this study are critical to future home visiting programme development and evaluation.
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Sutherland, Nigel, Bryn Jones, Sofia Westcamp Aguero, Tristan Melchiori, Karin du Plessis, Igor E. Konstantinov, Michael M. H. Cheung, and Yves d’Udekem. "Home- and hospital-based exercise training programme after Fontan surgery." Cardiology in the Young 28, no. 11 (August 28, 2018): 1299–305. http://dx.doi.org/10.1017/s1047951118001166.
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AbstractBackgroundExercise training has been shown to increase exercise capacity in survivors of Fontan surgery. The geographic distribution of the Fontan population has been a barrier to hospital-based exercise training programmes. The objective of this study was to establish whether a home exercise training programme could achieve similar improvements to a hospital programme.MethodsAdolescents with a Fontan circulation aged 12–19 years were prospectively recruited in a hospital or home exercise training programme. Patients underwent cardiopulmonary exercise testing and completed the Paediatric Quality of Life Inventory at initial assessment and after completion of an 8-week programme. Both groups performed two 1-hour training sessions per week. Patients in the home training programme had their first session in the hospital, and then progressed independently with one phone consult per week and one home visit by a physiotherapist.ResultsIn total, 17 patients, with a mean age of 15±3 years, completed the training programme (six hospital). Characteristics and baseline performance of patients were similar in both groups. Oxygen consumption at anaerobic threshold increased from 19.3±3.8 to 21.6±6.0 ml/kg/minute (p=0.02) and peak oxygen pulse increased from 8.8±2.5 to 9.5±2.7 ml/beat (p=0.049). Total quality of life scale improved from 68 to 74% (p=0.01) and psychosocial health improved from 67 to 74% (p=0.02). No patient experienced training-related complications.ConclusionsExercise training is beneficial and most likely safe after Fontan, resulting in improved exercise capacity and self-reported quality of life. Home exercise training programmes are probably as effective as hospital programmes. Home exercise training programmes should be integrated in the follow-up care of patients undergoing Fontan surgery.
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Drew, R. S., G. Mgombane, T. Nyaruwa, and G. Foster. "Estimating Coverage of a Community-Based Home Care Programme." Tropical Doctor 27, no. 4 (October 1997): 210–14. http://dx.doi.org/10.1177/004947559702700408.
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The Family AIDS Caring Trust (FACT) was formed in Mutare, Zimbabwe's third largest city, in 1987. FACT'S home care programme started in 1992. The programme operates in the urban area of Mutare which contains three townships with a population of 131 367. The area employs a trained nurse as a coordinator and four assistants, each assigned a zone within the city, who carry out the bulk of the visits. As part of an evaluation of the programme we attempted to estimate its coverage using different models. Using these models the FACT programme has a coverage of between 2.5%–23%. It is important that all home care programmes think in terms of coverage and do not simply strive to provide high quality services to a few patients.
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Ko, Stephanie Q., Joel Goh, Yee Kian Tay, Norshima Nashi, Benjamin MY Hooi, Nan Luo, Win Sen Kuan, et al. "Treating acutely ill patients at home: Data from Singapore." Annals of the Academy of Medicine, Singapore 51, no. 7 (July 28, 2022): 392–99. http://dx.doi.org/10.47102/annals-acadmedsg.2021465.
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Introduction: Hospital-at-home programmes are well described in the literature but not in Asia. We describe a home-based inpatient substitutive care programme in Singapore, with clinical and patient-reported outcomes. Methods: We conducted a retrospective cohort study of patients admitted to a hospital-at-home programme from September 2020 to September 2021. Suitable patients, who otherwise required hospitalisation, were admitted to the programme. They were from inpatient wards, emergency department and community nursing teams in the western part of Singapore, where a multidisciplinary team provided hospital-level care at home. Electronic health record data were extracted from all patients admitted to the programme. Patient satisfaction surveys were conducted post-discharge. Results: A total of 108 patients enrolled. Mean age was 67.9 (standard deviation 16.7) years, and 46% were male. The main diagnoses were skin and soft tissue infections (35%), urinary tract infections (29%) and fluid overload (18%). Median length of stay was 4 (interquartile range 3–7) days. Seven patients were escalated back to the hospital, of whom 2 died after escalation. One patient died at home. There was 1 case of adverse drug reaction and 1 fall at home, and no cases of hospital-acquired infections. Patient satisfaction rates were high and 94% of contactable patients would choose to participate again. Conclusion: Hospital-at-home programmes appear to be safe and feasible alternatives to inpatient care in Singapore. Further studies are warranted to compare clinical outcomes and cost to conventional inpatient care. Keywords: Home-based, hospital-at-home, hospital care, internal medicine, public health
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Emmerson, Kellie B., Katherine E. Harding, and Nicholas F. Taylor. "Home exercise programmes supported by video and automated reminders compared with standard paper-based home exercise programmes in patients with stroke: a randomized controlled trial." Clinical Rehabilitation 31, no. 8 (December 5, 2016): 1068–77. http://dx.doi.org/10.1177/0269215516680856.
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Objective: To determine whether patients with stroke receiving rehabilitation for upper limb deficits using smart technology (video and reminder functions) demonstrate greater adherence to prescribed home exercise programmes and better functional outcomes when compared with traditional paper-based exercise prescription. Design: Randomized controlled trial comparing upper limb home exercise programmes supported by video and automated reminders on smart technology, with standard paper-based home exercise programmes. Setting: A community rehabilitation programme within a large metropolitan health service. Subjects: Patients with stroke with upper limb deficits, referred for outpatient rehabilitation. Interventions: Participants were randomly assigned to the control (paper-based home exercise programme) or intervention group (home exercise programme filmed on an electronic tablet, with an automated reminder). Both groups completed their prescribed home exercise programme for four weeks. Main measures: The primary outcome was adherence using a self-reported log book. Secondary outcomes were change in upper limb function and patient satisfaction. Results: A total of 62 participants were allocated to the intervention ( n = 30) and control groups ( n = 32). There were no differences between the groups for measures of adherence (mean difference 2%, 95% CI −12 to 17) or change in the Wolf Motor Function Test log transformed time (mean difference 0.02 seconds, 95% CI −0.1 to 0.1). There were no between-group differences in how participants found instructions ( p = 0.452), whether they remembered to do their exercises ( p = 0.485), or whether they enjoyed doing their exercises ( p = 0.864). Conclusions: The use of smart technology was not superior to standard paper-based home exercise programmes for patients recovering from stroke. This trial design was registered prospectively with the Australian and New Zealand Clinical Trials Register, ID: ACTRN 12613000786796. http://www.anzctr.org.au/trialSearch.aspx
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Flemington, Tara, and Jennifer Anne Fraser. "Maternal involvement in a nurse home visiting programme to prevent child maltreatment." Journal of Children's Services 11, no. 2 (June 20, 2016): 124–40. http://dx.doi.org/10.1108/jcs-02-2015-0003.
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Purpose – Nurse home visiting programmes designed to reduce the likelihood of child maltreatment in families at risk have been widely implemented in Australia and overseas. The purpose of this paper is to examine the intensity and duration of maternal involvement in a nurse home visiting programme to prevent child maltreatment. Design/methodology/approach – A retrospective, longitudinal design was employed. The clinical records of 40 mothers who had received nurse home visits following the birth of a new baby for at least six months, and had provided consent for their details to be accessed for research purposes, were selected for analysis. The influence of antenatal characteristics and well-being on maternal involvement in a nurse home visiting programme was examined using reliability of change indices. Findings – Mothers with impaired family functioning reporting they experienced violence at home were more likely to leave the programme early and received fewer than the prescribed number of home visits compared to mothers who had been enroled into the programme for other complex psychosocial needs. At the same time, mothers enroled on the basis of impaired psychological functioning and who did not report violence in the home remained, and received more than the prescribed number of home visits over the course of their involvement. Originality/value – Results showed that domestic violence increased the risk of poor engagement with a targeted nurse home visiting programme. At the same time, home visitors responded to complex individual and family needs by increasing the number of home visits accordingly. This theoretically based pilot research has helped to disentangle antecedents of maternal involvement and the subsequent impact on programme outcomes. Further investigation using a larger study sample is needed.
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Verdonschot, Angeliek, Emely de Vet, Natalie van Seeters, Jolieke Warmer, Clare E. Collins, Tamara Bucher, and Annemien Haveman-Nies. "Caregivers’ Role in the Effectiveness of Two Dutch School-Based Nutrition Education Programmes for Children Aged 7–12 Years Old." Nutrients 13, no. 1 (January 1, 2021): 140. http://dx.doi.org/10.3390/nu13010140.
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Childhood eating behaviours can track into adulthood. Therefore, programmes that support early healthy eating, including school-based nutrition education programmes, are important. Although school-based programmes may be beneficial in improving nutrition knowledge, impact on actual fruit and vegetable (FV) intake is generally limited as FV intake is also influenced by the home environment. The current study includes secondary analyses of data from an evaluation study on Dutch nutrition education and examined the role of caregivers’ health promotion behaviours (HPB) in influencing healthy eating behaviours in primary school children (n = 1460, aged 7–12 years) and whether caregivers’ HPB contribute to programme effectiveness. Children’s nutrition knowledge, FV intake and caregivers’ HPB (FV/sugar-sweetened beverages/sweets provision to take to school, cooking together and talking about healthy food at home) were measured by child-reported questionnaires at baseline, during, and 6 months post-programme. Results indicated that caregivers’ HPB was positively associated with children’s healthy eating behaviours and that programme effectiveness was highest in those in the lower HPB subcategory. In conclusion, children with less encouragement to eat healthily at home potentially benefit more from school-based nutrition education programmes than children receiving more encouragement. This highlights the important role of the home environment in supporting healthy eating behaviour in children.
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Murphy, Patricia. "Rising to the challenge: a COVID-19 vaccination service for the housebound population." British Journal of Community Nursing 26, no. 7 (July 2, 2021): 328–33. http://dx.doi.org/10.12968/bjcn.2021.26.7.328.
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The COVID-19 pandemic has necessitated innovations in practice in almost all areas of healthcare, not least community nursing services. This article details how one organisation planned and executed a home vaccination programme for housebound members of the population in its remit. It discusses the challenges faced by the team, as well as the key learnings achieved from this programme, which will guide future home immunisation programmes. Implementation of this programme required excellent coordination between clinicians and administrative staff. Importantly, support from the procurement and IT teams and the medicines management committee went a long way in the ironing out of early hiccups and in ensuring smooth running of the programme.
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Formosa, Marvin. "Active ageing in the fourth age: The experiences and perspectives of older persons in long-term care." Geopolitical, Social Security and Freedom Journal 2, no. 1 (November 1, 2019): 78–92. http://dx.doi.org/10.2478/gssfj-2019-0008.
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Abstract Aim: This article reports upon a research study whose aim was to evaluate the running of an active ageing programme for older persons residing in a care home for older persons in Malta. Method: The research study opted for a multi-method research design. The first phase consisted of carrying out observation of the active ageing programme over a two-month period. The second phase was conducting semi-structured interviews with participants and facilitators. Results: First, that for active ageing programme in care homes to be successful the activities must be meaningful to residents. Second, that active ageing programme in care homes has the potential to improve the levels of social and emotional wellbeing, whilst also having benefits for facilitators. Finally, that active ageing programmes include a number of challenges - namely, further training for all staff in gerontological and geragogical principles, overlooking family relatives, and enabling even frail residents to join in the activities. Conclusion. Active ageing policies should go beyond a ‘third age’ lens in their endeavour to improve the quality of life of incoming and current older persons and focus more assiduously on frail and vulnerable elders. The key factor in organising active ageing programmes in a care home that are successful in enabling good quality interaction is the ability of planners to have insight on the subjective world of residents so that they gain the sensitivity and skills to coordinate activities that are meaningful to residents.
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Fitzgerald, Paul, and Jayashri Kulkarni. "Home-oriented management programme for people with early psychosis." British Journal of Psychiatry 172, S33 (June 1998): 39–44. http://dx.doi.org/10.1192/s000712500029764x.
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Background The HOMES (Home-Oriented Management of Early Psychosis) programme is a new home-based management programme for people presenting for the firsttime with psychotic illnesses. The present paper aims to present preliminary data as to the efficacy of this programme and factors identified as being associated with successful prevention of hospital admission.Method The programme applied to all the people presenting to the Dandenong Hospital Department of Psychiatry with first-episode psychosis who are considered suitable at first assessment for home-based management. A programme description is included in the paper. Prospective evaluation data on the first 31 people managed within the programme is presented.Results Twenty-two out of 31 people were managed without the necessity for hospital admission. Illness severity was not related to the ability to manage this group of people outside of hospital. The level of social support and duration of untreated psychosis prior to treatment, may be most closely related to home-based treatment success.Conclusions Home-based management of people with first-episode psychosis is feasible and offers a viable alternative to admission for this group. Home-based treatment is dependent on the degree of social support but is independent of the degree of illness severity.
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Tan, Chao Min, and Michael Koon Boon Tan. "回艺 (huí yì): Exploring art-based life review to support the relocation process for older adults with dementia in nursing homes." Journal of Applied Arts & Health 11, no. 3 (November 1, 2020): 221–37. http://dx.doi.org/10.1386/jaah_00011_1.
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Relocation to a nursing home can be a highly stressful process for older adults with dementia, yet programmes to support them are limited. This study developed an art-based life review programme (Project 回艺; huí yì) and examined its capability to support the process of relocation into the nursing home for older adults. The programme took place over six weeks with twelve older adults in two nursing homes. Each session comprised art-making and storytelling activities to create content that contributed to an individualized life review artbook. Data were gathered through qualitative interviews and observation of participants in sessions. Constant comparative analysis of qualitative data revealed three themes: empowering environment, identity reconstruction and personal biography. The three themes provide guidance for future art-based life review projects through a proposed practice framework.
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Milenkovic, Branislava, Slavica Zizic-Borjanovic, Srdjan Borjanovic, and Predrag Rebic. "Home-based exercise training in chronic obstructive pulmonary disease." Srpski arhiv za celokupno lekarstvo 135, no. 7-8 (2007): 419–24. http://dx.doi.org/10.2298/sarh0708419m.
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Introduction The role of rehabilitation programmes in chronic obstructive pulmonary disease (COPD) patients is to lower dyspnoea, improve exercise tolerance and quality of life. Objective We have developed a short-course, home-based, rehabilitation programme of physical exercise for lower limb muscles, based on walking at patients? fastest pace. The aim of the study was to investigate the effectiveness of such a programme regarding the exercise tolerance, pulmonary functions and quality of life. Method Twenty-nine individuals with stable COPD (22 males, 7 females), with a mean age of 59.6?8.9 years participated in the study. Subjects were assessed before and after the 8-week rehabilitation programme using the six-minute walking test (6MWT), Borg breathlessness score, oxygen saturation, St. George?s Hospital Respiratory Questionnaire (SGRQ), the Hospital Anxiety and Depression Scale (HADS) and spirometry. Results The 6MWT distance improved significantly from 337 to 362 m, representing 8.3% (25 m) improvement over baseline. SGRQ activity, impact and total scores improved significantly after the rehabilitation programme (p<0.01) and quality of life, too. Anxiety and depression scores were significantly lower than the baseline (p<0.01), as well as dyspnoea sensation (p<0.01). Pulmonary function improved after an eight-week exercise programme, too (p<0.01). Conclusion This short-term and simple home-based exercise programme improved health status in COPD. It also improved exercise tolerance, breathlessness sensation and quality of life in COPD patients.
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Olagunju, T. J., M. D. Fatudimu, and T. K. Hamzat. "Clinical-Demographic Variables and Compliance with Home Programme among Nigerian Informal Caregivers of Children with Cerebral Palsy." Medical Journal of Zambia 44, no. 3 (March 14, 2018): 157–65. http://dx.doi.org/10.55320/mjz.44.3.82.
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Background and Purpose of Study: Prescription of home exercise programme is a common component of physiotherapy intervention in managing children with Cerebral Palsy (CP). Home programme has been shown to accelerate the success of rehabilitation intervention and improve motor functions in the patient. Many factors related to the caregiver are thought to influence their compliance with home programmes. Such factors have however not been studied among Nigerian informal caregivers of children with cerebral palsy. Identification of such factors may help clinicians’ spot patients at risk of non-compliance and suggest methods to reduce the impact of these limiting factors thereby improving compliance with prescribed home programmes. This study was carried out to highlight clinical and demographic factors associated with compliance with home programme among informal caregivers of Nigerian children with cerebral palsy.
Methods: Forty-seven consecutively recruited informal caregivers that had been bringing their children/wards consistently for physiotherapy at selected hospitals in Ibadan for at least 6 months preceding this study constituted the study sample. A validated questionnaire was used to obtain information on the selected clinico-demographic variables and assess compliance with home programme. Compliance was rated as one of the following: “1-2 times per week”, “3-4 times per week”, “5-6 times per week” and “Greater than 6 times per week”. These figures were then interpreted as “Sometimes”, “When time permits”, “Always” and “Regularly” respectively. Data were summarised using descriptive statistics while Chi-square test at 0.05 alpha level was used for the inferential statistic.
Results: 51.1% of the caregivers carried out prescribed home programme regularly. There was no significant association between any of the selected clinico-demographic variables and the level of compliance of the caregivers.
Conclusions: About half of the informal caregivers of children with cerebral palsy carried out home programme regularly. This has clinical significance in physiotherapy practice with respect to total management of children with cerebral palsy. It is worthy of note that no clinic-demographic variable of the caregivers determined their compliance. The study sample size calls for cautious generalisation of the findings from this study.
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Blok, Henk, Ruben G. Fukkink, Eveline C. Gebhardt, and Paul P. M. Leseman. "The relevance of delivery mode and other programme characteristics for the effectiveness of early childhood intervention." International Journal of Behavioral Development 29, no. 1 (January 2005): 35–47. http://dx.doi.org/10.1080/01650250444000315.
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Although it is generally believed that early intervention programmes are an effective means to stimulate children’s cognitive development, many questions remain concerning programme design and delivery. This article reviews 19 studies into the effectiveness of early intervention programmes published from 1985 onward. The database comprised 85 different outcomes or effect sizes (71 in the cognitive domain, 14 in the socioemotional domain). The overall effect size estimate was d 1/40.32 ( SE 1/4 0.05) in the cognitive domain, and d 1/4 0.05 ( SE 1/4 0.02) in the socioemotional domain. Effect sizes were found to depend on delivery mode. Centre-based interventions and interventions following the combined home- and centre-based delivery mode produced greater effect sizes than did home-based programmes in the cognitive domain, but not in the socioemotional domain. The programme inclusion of coaching of parenting skills was also positively related to outcomes in the cognitive domain. Several other programme characteristics, including age of onset, programme length and intensity, continuation after kindergarten, and the inclusion of social or economic support, appeared not to be uniquely related to outcomes.
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Chartier, Mariette, Nathan C. Nickel, Dan Chateau, Jennifer E. Enns, Michael R. Isaac, Alan Katz, Joykrishna Sarkar, Elaine Burland, Carole Taylor, and Marni Brownell. "Families First Home Visiting programme reduces population-level child health and social inequities." Journal of Epidemiology and Community Health 72, no. 1 (November 9, 2017): 47–53. http://dx.doi.org/10.1136/jech-2017-209321.
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BackgroundHome visiting has been shown to reduce child maltreatment and improve child health outcomes. In this observational study, we explored whether Families First, a home visiting programme in Manitoba, Canada, decreased population-level inequities in children being taken into care of child welfare and receiving complete childhood immunisations.MethodsDe-identified administrative health and social services data for children born 2003–2009 in Manitoba were linked to home visiting programme data. Programme eligibility was determined by screening for family risk factors. We compared probabilities of being taken into care and receiving immunisations among programme children (n=4575), eligible children who did not receive the programme (n=5186) and the general child population (n=87 897) and tested inequities using differences of risk differences (DRDs) and ratios of risk ratios (RRRs).ResultsProgramme children were less likely to be taken into care (probability (95% CI) at age 1, programme 7.5 (7.0 to 8.0) vs non-programme 10.0 (10.0 to 10.1)) and more likely to receive complete immunisations (probability at age 1, programme 77.3 (76.5 to 78.0) vs non-programme 73.2 (72.1 to 74.3)). Inequities between programme children and the general population were reduced for both outcomes (being taken into care at age 1, DRD −2.5 (−3.7 to 1.2) and RRR 0.8 (0.7 to 0.9); complete immunisation at age 1, DRD 4.1 (2.2 to 6.0) and RRR 1.1 (1.0 to 1.1)); these inequities were also significantly reduced at age 2.ConclusionHome visiting programmes should be recognised as effective strategies for improving child outcomes and reducing population-level health and social inequities.
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Harris, Jess, and Jill Manthorpe. "The “Cameos of Care Homes” project – care home staff’s Vanguard involvement and reflections." Working with Older People 23, no. 2 (June 10, 2019): 107–15. http://dx.doi.org/10.1108/wwop-11-2018-0024.
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Purpose The Cameos of Care Homes project is an opportunity to use the medium of film to showcase the experiences and reflections of frontline care home staff whose employers participated in the National Health Service (NHS) England Vanguard programme. Reflecting on their involvement in one of the Enhanced Health in Care Homes Vanguards, 12 staff describe, in front of the camera, the impact on themselves and their colleagues, on their care for their older residents, and on the wider culture of the care home. The paper aims to discuss this initiative. Design/methodology/approach The paper reports the experiences of care home staff that were purposefully recorded on film about their participation in a care home Vanguard. The recruitment of the care homes and staff is described, as are the development of interview questions and approaches needed when filming is considered as a research method. Findings Participating care home staff reported that their involvement in the Vanguard programme had improved knowledge, confidence, morale, communication skills and the homes’ learning cultures. They were enthusiastic about reporting their experiences on film. Examples were given of proactive early support from local NHS staff leading to improvements in care, thereby reducing demand on the NHS. However, participation was resource intensive for care homes. Care home staff hoped the support that accompanied the Vanguard programme would continue but were uncertain to what degree this would happen once the Vanguard programme ceased. Research limitations/implications The interviews were undertaken with a self-selecting group of care home staff from two care homes operating in one of the six Vanguard sites in England. By their very nature, interviews for a public film cannot provide anonymity. Practical implications Researchers seeking the views of care home staff may wish to consider filming interviews and presenting the film as a research output that is engaging and informative for care home and wider audiences. Originality/value The paper presents an analysis of filmed interviews with care home managers and care workers working with older people. Their views on the Vanguard initiative have not been widely considered, in contrast to the sizeable literature relating to NHS activity and expenditure.
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Muijen, M., I. M. Marks, J. Connolly, B. Audini, and G. McNamee. "The Daily Living Programme." British Journal of Psychiatry 160, no. 3 (March 1992): 379–84. http://dx.doi.org/10.1192/bjp.160.3.379.
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Patients with a serious mental illness requiring admission were randomised to home care or standard hospital care. Over the initial 18 months, 60 patients entered each group and were studied for a mean of 10 months. Home care reduced hospital use by 80%, with patients being admitted for a mean of 14 days, compared with 72 days for the standard group, but this bed-saving made no difference in direct treatment costs. Home care offers individualised treatment, and many patients require continuing support with the emphasis on areas such as finances and housing.
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Racic, Maja, Srebrenka Kusmuk, and Vesna Krstovic-Spremo. "Effectiveness of the Home-based Habilitation Programme for Children with Cerebral Palsy." Indian Journal of Physical Medicine and Rehabilitation 25, no. 1 (2014): 6–12. http://dx.doi.org/10.5005/ijopmr-25-1-6.
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Abstract Objective This study was undertaken with the aim to compare the effects of home-based habilitation programmes with the effects of hospital-based habilitation programme for children with cerebral palsy (CP) on motor performance and daily functioning. Patients and methods The study was conducted on a sample of 60 children with cerebral palsy. First group included 30 children, 5 to 12 years old, who had a continued physical home treatment and education in public/special school. The second group consisted of 30 children, from Banja Luka region, who continued inpatient habilitation programme and training. Habilitation outcomes were analysed by measuring muscle tone (using original Tardieu Scale), muscle strength, range of motion (ROM), gross motor functions (gross motor function measure-88) and the Barthel Index of activities of daily living (ADL). Results The proportion of clinically significant change in gross motor functions, ADLs, ROM and muscle strength didn't show major differences between the two groups. Conclusion There were no significant differences in effectiveness between home-based and hospital-based habilitation programmes according to the treatment outcomes. The effectiveness of home-based programme increases when supplemented by frequent consultations with the rehabilitation team members and occasional out-patient physical therapy treatment, education as well as counselling and support for parents.
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Wait, Morgan. "Writing the history of women’s programming at Telifís Éireann." Alphaville: Journal of Film and Screen Media, no. 20 (January 27, 2021): 38–53. http://dx.doi.org/10.33178/alpha.20.04.
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The history of women’s programming at the Irish television station Teilifís Éireann has long been neglected within the historiography of Irish television. Seminal studies within the field have focused quite specifically on the institutional history of the Irish station and have not paid much attention to programming. This is particularly true in regards to women’s programmes. This paper addresses this gap in the literature by demonstrating a methodological approach for reconstructing this lost segment of programming using the example of Home for Tea, a women’s magazine programme that ran on TÉ from 1964 to 1966. It was the network’s flagship women’s programme during this period but is completely absent from within the scholarship on Irish television. Drawing on the international literature on the history of women’s programmes this paper utilises press sources to reconstruct the Home for Tea’s content and discourse around it. It argues that, though Home for Tea has been neglected, a reconstruction of the programme illuminates wider themes of the everyday at Teilifís Éireann, such as a middle-class bias and the treatment of its actors. As such, its reconstruction, and that of other similar programmes, are exceptionally important in moving towards a more holistic history of the Irish station.
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Meyer, Julienne, and Tom Owen. "Guest Editorial: My home life programme." International Journal of Older People Nursing 2, no. 4 (December 2007): 239–40. http://dx.doi.org/10.1111/j.1748-3743.2007.00098.x.
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Steinmetz, D., E. Berkovits, H. Edelstein, E. Flatau, A. Almany, and R. Raz. "Home Intravenous Antibiotic Therapy Programme, 1999." Journal of Infection 42, no. 3 (May 2001): 176–80. http://dx.doi.org/10.1053/jinf.2001.0824.
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Hendy, Steve. "A home-based parent training programme." Clinical Psychology Forum 1, no. 69 (July 1994): 7–9. http://dx.doi.org/10.53841/bpscpf.1994.1.69.7.
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Chelagat, Abigael, Simon Wanami, and Catherine Sempele. "Family Influence on the Choice of Careers in Home Science Education Programme." International Journal of Research and Innovation in Social Science 06, no. 06 (2022): 753–58. http://dx.doi.org/10.47772/ijriss.2022.6621.
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Many at times students experience challenges when making decisions on the choice of programmes to study especially at the institutions of higher learning. The family may play a role in shaping the career aspirations of its members. This study sought to establish the level of family influence on choice of Home Science Education programme in Kenyan Universities. The study was guided by the Social Cognitive Career Theory that explores how career choices are made by self-efficacy, outcome expectations and personal goals. This study adopted the Convergent Parallel mixed method design employing both quantitative and qualitative approach. The study was conducted in Uasin Gishu and Kiambu counties which have universities with programmes that train Home Science educators. Purposive sampling technique was used to select two universities offering the Home Science Education programmes where 2 Heads of Department/Chairs of Department were purposively selected while the 254 students were conveniently selected. Data for the study was obtained by using questionnaires, interview schedules and focus group discussion guides. Quantitative data was analyzed and then presented using distribution tables and graphs. Qualitative data was analyzed thematically and then used to compare with that of quantitative data. The findings of this study revealed that the family influence was considered to have a minor consideration in the choice of careers in Home Science Education programme. Majority of the respondents made their career choices in Home Science Education programme with minimal family influence. The study recommends the need to sensitize the family on their role of guiding their children in making career choices based on their own interests and disregard the family’s expectations on the society’s most preferred profession.
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Craig, Linda, Radi Haloub, Heather Reid, Dalrene Masson, Hannah Mccalmont, Kathy Fodey, Barbara R. Conway, et al. "Exploration of the Experience of Care Home Managers of COVID-19 Vaccination Programme Implementation and Uptake by Residents and Staff in Care Homes in Northern Ireland." Vaccines 9, no. 10 (October 10, 2021): 1160. http://dx.doi.org/10.3390/vaccines9101160.
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The Coronavirus 2019 (COVID-19) pandemic disproportionately affected people living and working in care homes. This study aimed to explore the experience of care home managers on the implementation and uptake of the COVID-19 vaccination programme by residents and staff in care homes in Northern Ireland. An exploratory mixed methods approach was used, i.e., semi-structured interviews to design the cross-sectional survey and content analysis of statements using open ended questions. Care home managers were approached and sixty-seven valid quantitative and forty-nine descriptive responses were analysed. The study identified eight themes which described factors that motivated residents (family visits and relationship with managers and staff), and staff vaccine uptake (return to normal life at work and trust in care home managers). The identified themes also confirmed that vaccine uptake is negatively influenced by perceived side effects. The findings indicated that social media can promote or decelerate the uptake of vaccine despite the accessibility to a successful vaccination programme. The study highlights the important role of managers in handling the challenges through building trust and establishing relationships with staff and residents. The findings identified challenges to the uptake of the COVID-19 vaccine by staff and residents that can inform the implementation of future vaccination programmes.
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Harji, Madhubala Bava, Kavitha Balakrishnan, and Krishnanveni Letchumanan. "SPIRE Project: Parental Involvement in Young Children’s ESL Reading Development." English Language Teaching 9, no. 12 (November 6, 2016): 1. http://dx.doi.org/10.5539/elt.v9n12p1.
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<p>Realising the clear dichotomy between schools and homes, the Malaysia government has now turned its attention to stakeholders and called for an increase involvement of parents, who are critical in transforming the education system.<strong><em> </em></strong>However, a clear line of demarcation continues to exist between the two prime educators of young children. Schools have yet to fully embrace the concept of active parental involvement, particularly in academic matters and have yet to design formalised programmes that provide avenues for active parental involvement. The six month Smart Partnership in Reading in English (SPIRE) formalised programme, which created a platform for non-native parents to play a more active role in developing early literacy skills in young children, particularly, reading skills in English language, was explored as an option. 25 non-native five year old children, 25 parents and the class teacher were involved in the programme. A rich ESL literacy environment was created both at school and homes by making a wide range of English storybooks and multimedia materials available for the children to be taken home. The parent-teacher partnership scaffold the children’s reading development. The teacher reads storybooks in school and the parents at home. Qualitative data gathered via interviews, home visits, meetings and informal conference provided evidence for parents’ positive attitudes towards reading English storybooks and towards being involved in their child’s reading development, a positive link between levels of parental involvement and reading development, and the plausibility of involving non-native parents through a formalised reading programme. The SPIRE programme explored in the Malaysian context can also be adopted in non English speaking countries for similar purposes.</p>
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Horton, Elizabeth J., Katy E. Mitchell, Vicki Johnson-Warrington, Lindsay D. Apps, Louise Sewell, Mike Morgan, Rod S. Taylor, and Sally J. Singh. "Comparison of a structured home-based rehabilitation programme with conventional supervised pulmonary rehabilitation: a randomised non-inferiority trial." Thorax 73, no. 1 (July 29, 2017): 29–36. http://dx.doi.org/10.1136/thoraxjnl-2016-208506.
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BackgroundStandardised home-based pulmonary rehabilitation (PR) programmes offer an alternative model to centre-based supervised PR for which uptake is currently poor. We determined if a structured home-based unsupervised PR programme was non-inferior to supervised centre-based PR for participants with COPD.MethodsA total of 287 participants with COPD who were referred to PR (187 male, mean (SD) age 68 (8.86) years, FEV1% predicted 48.34 (17.92)) were recruited. They were randomised to either centre-based PR or a structured unsupervised home-based PR programme including a hospital visit with a healthcare professional trained in motivational interviewing, a self-management manual and two telephone calls. Fifty-eight (20%) withdrew from the centre-based group and 51 (18%) from the home group. The primary outcome was dyspnoea domain in the chronic respiratory disease questionnaire (Chronic Respiratory Questionnaire Self-Report; CRQ-SR) at 7 weeks. Measures were taken blinded. We undertook a modified intention-to-treat (mITT) complete case analysis, comparing groups according to original random allocation and with complete data at follow-up. The non-inferiority margin was 0.5 units.ResultsThere was evidence of significant gains in CRQ-dyspnoea at 7 weeks in both home and centre-based groups. There was inconclusive evidence that home-based PR was non-inferior to PR in dyspnoea (mean group difference, mITT: −0.24, 95% CI −0.61 to 0.12, p=0.18), favouring the centre group at 7 weeks.ConclusionsThe standardised home-based programme provides benefits in dyspnoea. Further evidence is needed to definitively determine if the health benefits of the standardised home-based programme are non-inferior or equivalent to supervised centre-based rehabilitation.Trial registration numberISRCTN81189044.
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Larsson, Magnus, Robert Holmberg, and Steve Kempster. "‘It’s the organization that is wrong’: Exploring disengagement from organizations through leadership development." Leadership 16, no. 2 (September 29, 2019): 141–62. http://dx.doi.org/10.1177/1742715019879306.
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This research explores the relationship between participation in leadership development programmes and disengagement from the employing organization. Based on repeated interviews with 10 managers participating in an open leadership development programme, our analysis shows that half of the participants reflected a sense of distancing themselves from how their organizations practiced leadership, and for some, an emotional disengagement with their home organization which we see as analogous to changes in social identity. We problematize the role of management and leadership development programmes with regard to the relationship between organizations and employees. A series of paradoxes are reflected in our critique of this relationship. The most prominent in terms of implications is that a successful management and leadership development programme – recognized by employees and employers – can generate dissatisfaction with the home organization as a consequence of the purpose of the programme: to increase confidence and enhanced agency. This paradox has significant implication to the leadership development industry and we explore these implications.
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Li, Sabrina, and Kenneth Ka Yu Au Yeung. "Home modification programme for elderly home owners in Hong Kong." World Federation of Occupational Therapists Bulletin 72, no. 1 (January 2, 2016): 54–57. http://dx.doi.org/10.1080/14473828.2016.1144318.
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Leach, David J., and Alan Ralph. "Home-School Reinforcement: A Case Study." Behaviour Change 3, no. 1 (March 1986): 58–62. http://dx.doi.org/10.1017/s0813483900009128.
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A home-based reinforcement programme was implemented to decrease classroom rule violations by a 16-year-old boy with a long history of disruptive behaviour in a secondary school classroom. The critical features of the intervention are described and discussed, including the fading procedure employed to maintain the behavioural gains exhibited during the programme's operation. The usefulness of minimal interventions, such as home-based reinforcement programmes, in the management of problem behaviour in schools is discussed, and comment is made on some possible benefits to behavioural practice of the collaborative style of intervention exemplified.
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Loto, Adekemi Omowonuola, Justinah Oghenerioborue Ogboru, and Omolabake Wosilat Adebayo. "Home Economics Programme as a Tool for Marital Conflict Management." International Journal of Home Economics, Hospitality and Allied Research 1, no. 2 (December 25, 2022): 306–17. http://dx.doi.org/10.57012/ijhhr.v1n2.014.
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The study investigated Home Economics programme as a tool for marital conflict management. A descriptive survey was used for the study. The population consisted of all members of Home Economics Teachers’ Association of Nigeria (HETAN), Ondo State chapter. Sample of one hundred and sixty-three (163) respondents were drawn from the total population using simple random sampling technique. A self-developed structured and validated questionnaire was used for data collection. Data were analyzed using mean. Findings reveal among others lack of trust; parental interference; economic pressure and unrealistic expectation as part of the factors responsible for marital conflict. Findings also revealed mental health issue; inappropriate care for children; communication breakdown and economic instability as part of the implications of inappropriate handling of marital conflict in homes. Furthermore, decision-making process to attain family goals; principles of selection and utilization of family resources and homes and family in a changing world were revealed as part of the contents of Home Economics programme that could help in marital conflicts management. As people consider going for counselling in preparation for marriage, they should also consider taking at least a remedial course in Home Economics to further equip them for stable marital life.
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Sidhu, Manbinder, Ian Litchfield, Robin Miller, Naomi J. Fulop, Barbara Janta, Jamie-Rae Tanner, Giulia Maistrello, Jenny Bousfield, Cecilia Vindrola-Padros, and Jon Sussex. "Using pulse oximeters in care homes for residents with COVID-19 and other conditions: a rapid mixed-methods evaluation." Health and Social Care Delivery Research 10, no. 35 (November 2022): 1–84. http://dx.doi.org/10.3310/pqwc3425.
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Background There are over 15,000 care homes in England, with a total of approximately 450,000 beds. Most residents are older adults, some with dementia, and other residents are people of any age with physical or learning disabilities. Using pulse oximetry in care homes can help the monitoring and care of residents with COVID-19 and other conditions. Objectives To explore the views of care home staff, and the NHS staff they interact with, with regard to using pulse oximetry with residents, as well as the NHS support provided for using pulse oximetry. Design We carried out a rapid mixed-methods evaluation of care homes in England, comprising (1) scoping interviews with NHS leaders, care association directors and care home managers, engaging with relevant literature and co-designing the evaluation with a User Involvement Group; (2) an online survey of care homes; (3) interviews with care home managers and staff, and with NHS staff who support care homes, at six purposively selected sites; and (4) synthesis, reporting and dissemination. The study team undertook online meetings and a workshop to thematically synthesise findings, guided by a theoretical framework. Results We obtained 232 survey responses from 15,362 care homes. Although this was a low (1.5%) response rate, it was expected given exceptional pressures on care home managers and staff at the time of the survey. We conducted 31 interviews at six case study sites. Pulse oximeters were used in many responding care homes before the pandemic and use of pulse oximeters widened during the pandemic. Pulse oximeters are reported by care home managers and staff to provide reassurance to residents and their families, as well as to staff. Using pulse oximeters was usually not challenging for staff and did not add to staff workload or stress levels. Additional support provided through the NHS COVID Oximetry @home programme was welcomed at the care homes receiving it; however, over half of survey respondents were unaware of the programme. In some cases, support from the NHS, including training, was sought but was not always available. Limitations The survey response rate was low (1.5%) and so findings must be treated with caution. Fewer than the intended number of interviews were completed because of participant unavailability. Throughout the COVID-19 pandemic, care homes may have been asked to complete numerous other surveys etc., which may have contributed to these limitations. Owing to anonymity, the research team was unable to determine the range of survey respondents across location, financial budget or quality of care. Conclusions Using pulse oximeters in care homes is considered by managers and staff to have been beneficial to care home residents. Ongoing training opportunities for care home staff in use of pulse oximeters would be beneficial. Escalation processes to and responses from NHS services could be more consistent, alongside promoting the NHS COVID Oximetry @home programme to care homes. Future research Further research should include the experiences of care home residents and their families, as well as finding out more from an NHS perspective about interactions with care home staff. Research to investigate the cost-effectiveness of pulse oximetry in care homes, and of the NHS COVID Oximetry @home programme of support, would be desirable. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 35. See the NIHR Journals Library website for further project information.
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Ayton, Darshini, Renée O'Donnell, Dave Vicary, Catherine Bateman, Chris Moran, Velandai K. Srikanth, Julie Lustig, et al. "Psychosocial volunteer support for older adults with cognitive impairment: development of MyCare Ageing using a codesign approach via action research." BMJ Open 10, no. 9 (September 2020): e036449. http://dx.doi.org/10.1136/bmjopen-2019-036449.
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Background and objectivesOlder adults with cognitive impairment are vulnerable to frequent hospital admissions and emergency department presentations. The aim of this study was to use a codesign approach to develop MyCare Ageing, a programme that will train volunteers to provide psychosocial support to older people with dementia and/or delirium in hospital and at home when discharged from hospital.SettingMelbourne, Victoria, Australia.Research designThis study adopts an action research methodology. We report on two co-design workshops with keystakeholders: Workshop 1: identification of components from three existing programmes to inform the development of the MyCare Ageing program logic and, Workshop 2: identification of implementation strategies.ParticipantsThe key stakeholders and workshop participants included clinicians (geriatricians, nurses and allied health), hospital staff (volunteer coordinators and hospital executives), Baptcare staff, a consumer, researchers and implementation experts and project staff.ResultsWorkshop 1 identified the components from three existing programmes—the Volunteer Dementia and Delirium Care programme, Home-Start and MyCare for inclusion in MyCare Ageing. In workshop 2, the p implementation plan was developed taking into consideration hospital-specific processes, training and support needs of volunteers and safety and risk management processes.Discussion and conclusionThe codesign process was successfully applied to develop the MyCare Ageing programme to provide volunteer support to patients with dementia and/or delirium in hospital and their transition home. MyCare Ageing is an innovative programme that meets an identified need from hospitals and consumers to support patients with dementia and/or delirium to improve psychosocial outcomes on discharge from hospital.
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Logan, Philippa A., Jane C. Horne, Frances Allen, Sarah J. Armstrong, Allan B. Clark, Simon Conroy, Janet Darby, et al. "A multidomain decision support tool to prevent falls in older people: the FinCH cluster RCT." Health Technology Assessment 26, no. 9 (January 2022): 1–136. http://dx.doi.org/10.3310/cwib0236.
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Background Falls in care home residents are common, unpleasant, costly and difficult to prevent. Objectives The objectives were to evaluate the clinical effectiveness and cost-effectiveness of the Guide to Action for falls prevention in Care Homes (GtACH) programme. Design A multicentre, cluster, parallel, 1 : 1 randomised controlled trial with embedded process evaluation and economic evaluation. Care homes were randomised on a 1 : 1 basis to the GtACH programme or usual care using a secure web-based randomisation service. Research assistants, participating residents and staff informants were blind to allocation at recruitment; research assistants were blind to allocation at follow-up. NHS Digital data were extracted blindly. Setting Older people’s care homes from 10 UK sites. Participants Older care home residents. Intervention The GtACH programme, which includes care home staff training, systematic use of a multidomain decision support tool and implementation of falls prevention actions, compared to usual falls prevention care. Outcomes The primary trial outcome was the rate of falls per participating resident occurring during the 90-day period between 91 and 180 days post randomisation. The primary outcome for the cost-effectiveness analysis was the cost per fall averted, and the primary outcome for the cost–utility analysis was the incremental cost per quality adjusted life-year. Secondary outcomes included the rate of falls over days 0–90 and 181–360 post randomisation, activity levels, dependency and fractures. The number of falls per resident was compared between arms using a negative binomial regression model (generalised estimating equation). Results A total of 84 care homes were randomised: 39 to the GtACH arm and 45 to the control arm. A total of 1657 residents consented and provided baseline measures (mean age 85 years, 32% men). GtACH programme training was delivered to 1051 staff (71% of eligible staff) over 146 group sessions. Primary outcome data were available for 630 GtACH participants and 712 control participants. The primary outcome result showed an unadjusted incidence rate ratio of 0.57 (95% CI 0.45 to 0.71; p < 0.01) in favour of the GtACH programme. Falls rates were lower in the GtACH arm in the period 0–90 days. There were no other differences between arms in the secondary outcomes. Care home staff valued the training, systematic strategies and specialist peer support, but the incorporation of the GtACH programme documentation into routine care home practice was limited. No adverse events were recorded. The incremental cost was £20,889.42 per Dementia Specific Quality of Life-based quality-adjusted life-year and £4543.69 per quality-adjusted life-year based on the EuroQol-5 dimensions, five-level version. The mean number of falls was 1.889 (standard deviation 3.662) in the GtACH arm and 2.747 (standard deviation 7.414) in the control arm. Therefore, 0.858 falls were averted. The base-case incremental cost per fall averted was £190.62. Conclusion The GtACH programme significantly reduced the falls rate in the study care homes without restricting residents’ activity levels or increasing their dependency, and was cost-effective at current thresholds in the NHS. Future work Future work should include a broad implementation programme, focusing on scale and sustainability of the GtACH programme. Limitations A key limitation was the fact that care home staff were not blinded, although risk was small because of the UK statutory requirement to record falls in care homes. Trial registration This trial is registered as ISRCTN34353836. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 26, No. 9. See the NIHR Journals Library website for further project information.
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Hartfiel, Ned, John Gladman, Rowan Harwood, and Rhiannon Tudor Edwards. "Social Return on Investment of Home Exercise and Community Referral for People With Early Dementia." Gerontology and Geriatric Medicine 8 (March 2022): 233372142211068. http://dx.doi.org/10.1177/23337214221106839.
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Exercise can improve physical function and slow the progression of dementia. However, uncertainty exists around the costeffectiveness of exercise programmes for people with early dementia. The aim of this study was to determine whether a home-based supervised exercise programme (PrAISED – promoting activity, independence, and stability in early dementia) could generate a positive social return on investment (SROI). SROI analysis was conducted as part of a randomised controlled feasibility trial comparing PrAISED with usual care. Wellbeing valuation was used to compare the costs of the programme with the monetised benefits to participants, carers, and healthcare service providers. The PrAISED programme generated SROI ratios ranging from £3.46 to £5.94 for every £1 invested. Social value was created from improved physical activity, increased confidence, more social connection and PrAISED participants using healthcare services less often than usual care. This study found that home-based supervised exercise programmes could generate a positive SROI for people with early dementia. Trial registration: ClinicalTrials.gov: NCT02874300 (first posted 22 August 2016), ISRCTN: 10,550,694 (date assigned 31 August 2016).
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Osuka, Yosuke, Narumi Kojima, Masamitsu Sugie, Takuya Omura, Keiko Motokawa, Takuya Ueda, Kazushi Maruo, et al. "Effects of a home-based Radio-Taiso exercise programme on health-related quality of life in older adults with frailty: protocol for an assessor-blind randomised controlled trial." BMJ Open 12, no. 9 (September 2022): e063201. http://dx.doi.org/10.1136/bmjopen-2022-063201.
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IntroductionFew clinical trials have examined the effects of home-based exercise programmes on health-related quality of life (HR-QoL) in older adults with frailty. Radio-Taiso is the most famous exercise programme in Japan. A home-based Radio-Taiso exercise programme may serve as an accessible, scalable and sustainable care intervention for older adults with frailty. The primary aim of this trial is to test whether older adults with frailty who are prescribed our home-based Radio-Taiso exercise programme will receive greater benefits for HR-QoL compared with those who are not prescribed the exercise programme. Potential mechanisms underlying the effectiveness of the programme and the effects of the programme on daily lifestyle will also be investigated.Methods and analysisThis assessor-blind randomised controlled trial will be conducted at the Tokyo Metropolitan Institute of Gerontology (TMIG) in Itabashi-ku, Tokyo, Japan. From April to May 2022, 226 older adults with prefrailty or frailty according to the revised Japanese version of the Cardiovascular Health Study criteria will be included from a large database. After a baseline assessment in June 2022, participants will be randomly assigned to the intervention (home-based Radio-Taiso exercise and nutrition programme) or control (nutrition programme) groups at a 1:1 ratio. After intervention completion, a follow-up assessment will be conducted in September 2022. The primary outcome is the change in the mental domain of HR-QoL assessed using SF-36. Secondary outcomes include physical and role/social domains and subscales of HR-QoL, frailty phenotype, physical fitness, posture, cognition, exercise self-efficacy, depressive symptoms, brain-derived neurotrophic factor, social network, habitual energy intake, physical activity and sleep conditions.Ethics and disseminationThe Research Ethics Committee of TMIG has approved the research protocol. This trial will be conducted in accordance with the principles of the Declaration of Helsinki. The findings will be presented at international academic conferences and published in peer-reviewed international journals.Trial registration numberUMIN000047229.
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van Eck van der Sluijs, Anita, Brigit C. van Jaarsveld, Jennifer Allen, Karmela Altabas, Clémence Béchade, Anna A. Bonenkamp, Felix Burkhalter, et al. "Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 41, no. 6 (October 21, 2021): 533–41. http://dx.doi.org/10.1177/08968608211049882.
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Background: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by χ 2 tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07–10.68), non-academic centres (OR: 2.01; 95% CI: 1.09–3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35–6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was <10% (72% and 63%), while 27% of Scandinavian respondents reported a proportion of >30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21–3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76–4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported.
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Graefer, Anne. "No place like home." Critical Studies in Television: The International Journal of Television Studies 13, no. 1 (February 25, 2018): 24–41. http://dx.doi.org/10.1177/1749602017734129.
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In the current recession, German television has developed a particular proclivity for ‘emigration shows’. In this article, I explore the most prominent of these, Goodbye Deutschland – Die Auswanderer ( Goodbye Germany – The Emigrants, since 2006). Through a figurative analysis, I investigate how Goodbye Germany produces its female protagonists as failed national subjects worthy of social derision and contempt. By highlighting how the programme equates the departure from Germany with a departure from coherent feminine respectability, I show how we can understand this programme as a cultural expression of ‘commercial nationalism’ that produces Germany as a ‘safe haven’ within an economically unstable Europe.
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de Loor, Sanne, and Tiny Jaarsma. "Nurse-Managed Heart Failure Programmes in the Netherlands." European Journal of Cardiovascular Nursing 1, no. 2 (June 2002): 123–29. http://dx.doi.org/10.1016/s1474-51510200007-5.
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Heart failure (HF) care in Europe is going through a lot of changes. Nurses have increasingly important roles in providing optimal care for these chronically ill patients in the Netherlands. The first steps to organise HF nurses have been taken and an overview of HF management programmes in Netherlands has been recently made available. A descriptive study was performed consisting of: (1) a screening phase in which all hospitals ( n=109) and 105 home care organisations were approached by telephone to assess availability of HF management programmes and (2) a questionnaires in which content and organisation of the programmes were described. At the moment, the majority of all the hospitals (75%) have, or are currently developing a HF management programme. In 19 home care organisations (18%) a programme was available and 3 organisations had concrete plans to start on short notice. Components of HF programmes differ considerably, with follow-up after discharge from the hospital as the most often reported component. Other components of programmes include patient education, increased access to health care professionals and adjusting medication. Exercise programmes are not often available. Organisational aspects in regard to setting, financing and staffing also differ between various programmes. It was concluded that there is a considerable increase in the number of HF management programmes in the Netherlands, both hospital based and home based. A lot of questions in regard to the most optimal content and the organisation of HF management programmes remain unanswered.
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KAUR, CHARANJEET, and LAVLEESH GARG. "Impact of KVK’s Home science training programme." INTERNATIONAL JOURNAL OF HOME SCIENCE EXTENSION & COMMUNICATION MANAGEMENT 4, no. 1 (January 15, 2017): 23–29. http://dx.doi.org/10.15740/has/ijhsecm/4.1/23-29.
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Willis, R. "Faecal Incontinence - Willis Home Bowel Washout Programme." European Journal of Pediatric Surgery 44, S 1 (December 1989): 46–47. http://dx.doi.org/10.1055/s-2008-1043294.
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Woodworth, Charlie. "Help The Aged: My home life programme." Nursing and Residential Care 10, no. 6 (June 2008): 299–301. http://dx.doi.org/10.12968/nrec.2008.10.6.29438.
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Ainsworth, Frank, and Patricia Hansen. "Incorporating Natural Family Members into Residential Programmes for Children and Youth." Children Australia 11, no. 1 (1986): 12–14. http://dx.doi.org/10.1017/s0312897000015575.
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Most agencies that provide residential services for children and youth make some attempt to work with natural family members; e.g. mother, father, grandmother, grandfather, sister, or brother of those placed within these programmes. Some common approaches to this include the employment of social workers or involvement of other social agencies to undertake this work. Alternatively, a member of the direct care staff in a residential programme may be designated as a family worker and required to make extra effort to maintain links between the child in the programme and the natural family. Under all of these arrangements, direct care practitioners in residential programmes are expected to be responsive to natural family members visiting a child in the programme. They are also expected to support a child planning to return home for a family visit or returning to the programme from such an event.
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Warby, Sarah A., Jon J. Ford, Andrew J. Hahne, Lyn Watson, Simon Balster, Ross Lenssen, and Tania Pizzari. "Effect of exercise-based management on multidirectional instability of the glenohumeral joint: a pilot randomised controlled trial protocol." BMJ Open 6, no. 9 (September 2016): e013083. http://dx.doi.org/10.1136/bmjopen-2016-013083.
Full textAbstract:
IntroductionThe most commonly recommended treatment for multidirectional instability (MDI) of the shoulder is exercise. Despite this recommendation, there is limited evidence to support the effectiveness of exercise. The aim of this paper is to describe a pilot randomised controlled trial comparing the effectiveness of 2 exercise programmes on outcomes of participants with MDI.Methods and analysisConsenting participants between 12 and 35 years, with non-traumatic MDI will be randomly allocated to participate in either the Rockwood Instability programme or the Watson MDI programme. Both programmes involve 1 consultation per week for 12 weeks with a physiotherapist to prescribe and progress a home exercise programme. Outcomes will be assessed at baseline, 6, 12, 24 and 52 weeks. Primary outcome measures include the Melbourne Instability Shoulder Score and Western Ontario Shoulder Index. Secondary outcomes include scapular coordinates, scapular upward rotation angles, muscle strength, symptomatic onset, limiting factor and angle of limiting factor in abduction range, incidence of complete glenohumeral joint dislocation, global rating of change, satisfaction scores, the Orebro Musculoskeletal Pain Questionnaire, adverse events and compliance with the home exercise programme. Data will be analysed on intention-to-treat principles and a per protocol basis.DiscussionThis trial will evaluate whether there are differences in outcomes between the Rockwood and the Watson MDI programmes for participants with MDI.Ethics and disseminationParticipant confidentiality will be maintained with publication of results. Ethics approval: Faculty of Health Sciences (FHEC12/201).Trial registration numberACTRN12613001240730; Pre-results.
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Copland, M., D. Murphy-Burke, A. Levin, R. S. Singh, P. Taylor, and L. Er. "Implementing a home haemodialysis programme without adversely affecting a peritoneal dialysis programme." Nephrology Dialysis Transplantation 24, no. 8 (March 27, 2009): 2546–50. http://dx.doi.org/10.1093/ndt/gfp130.
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Babiski, Laura, Nancy Sidle, and Maryann McColl. "Challenges in Achieving Health for All in the Boarding Home Sector." Canadian Journal of Occupational Therapy 63, no. 1 (April 1996): 33–43. http://dx.doi.org/10.1177/000841749606300105.
Full textAbstract:
The health promotion strategies outlined in Achieving Health for All: A Framework for Health Promotion (Epp, 1986) and the concepts in Mental Health: Striking a Balance (Epp, 1988) are important for occupational therapists to incorporate when designing and implementing effective community services for people who have severe and persistent mental illness. Application of health promotion concepts to community occupational therapy programmes in mental health in the literature is sparse. This paper describes an innovative Boarding Home Support Programme for an adult population with mental health problems utilizing concepts in the health promotion framework as described in the document Achieving Health for All (Epp, 1986). The overall aim of the Boarding Home Support Programme including health challenges and health promotion mechanisms will be outlined followed by a discussion of some of the dilemmas faced by clinicians and administrators in addressing these challenges.
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Cowley, Sarah. "Home visitors and child health in England: advances and challenges." Revista da Escola de Enfermagem da USP 45, spe2 (December 2011): 1810–16. http://dx.doi.org/10.1590/s0080-62342011000800030.
Full textAbstract:
There is increasing interest in the early years as a focus for reducing health inequalities as well as one that is important for the children themselves. This paper describes the introduction in England of Sure Start Local Programmes, which included home visiting within a community development approach, and an intensive home visiting programme, the Nurse-Family partnership, for disadvantaged teenage mothers. It reflects on changes and challenges in service provision to mothers and their pre-school children in England, explaining that a long tradition of home visiting was, paradoxically, reduced as attention focused on the newer initiatives. This is now being addressed, with attention to a range of evidence based programmes and a specific focus on heath visitor provision.