A single home visit improves adherence and reduces healthcare utilization in patients with frequent exacerbations of Severe Asthma and COPD

Ghimire, Anil; Allison, Richard; Lichtemberg, Yunuen; Vempilly, Jose Joseph; Jain, Vipul V.

doi:10.1016/j.yrmex.2021.100026

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Clark et al, proposed a model of clinician-patient partnership in asthma that would enhance patient perceptions and reduce health care use [ 40 ]. Ghimire et al reported that a single home visit by a MDT improved patient adherence to medication, clinic visits, and reduced healthcare utilisation [ 41 ]. Most of our interviewees recognised the importance of collaborative work, identifying the pharmacist’s role in promoting adherence [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Using a knowledge translation framework to identify health care professionals’ perceived barriers and enablers for personalised severe asthma care

et al. 2022

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Background Whilst multidimensional assessment enables the detection of treatable traits in severe asthma and has the potential to improve patient outcomes, healthcare disparities exist, and little is known about the factors influencing optimal management in severe asthma. This study aimed to explore perceived barriers, and enablers to implementing personalised care in severe asthma, from the healthcare professionals’ perspective. Methods A descriptive, qualitative study involving a single focus group (n = 7) and semi-structured interviews (n = 33) with multidisciplinary healthcare professionals involved in severe asthma care was conducted. A hybrid thematic and content analysis was undertaken to identify themes, which were then deductively mapped to the Theoretical Domains Framework (TDF). Results Overall, three emergent themes were identified: (1) Barriers- (2) Enablers- to optimal management; (3) Desired model of care. Across all TDF domains, 6 constructs influenced development and implementation of optimal care: (1) belief about consequences, (2) environmental context and resources, (3) belief about capabilities, (4) social/professional role and identity, (5) goals and (6) knowledge. Conclusion Implementation of personalised care in severe asthma is complex and non-linear. The use of a theory-based approach effectively demonstrated how a variety of behaviours could be targeted to optimise and promote personalised care in different clinical setting.

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Section: Discussionmentioning

confidence: 99%

Using a knowledge translation framework to identify health care professionals’ perceived barriers and enablers for personalised severe asthma care

et al. 2022

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“…Home visit merupakan salah strategi untuk pelayanan yang terbaik dan paling efisien (Aune et al, 2021). Home visit bertujuan untuk memperluas upaya peningkatan kesehatan berbasis komunitas (Ghimire et al, 2021). Home visit tidak hanya melakukan kunjungan rumah tetapi juga memberikan dukungan sosial dan psikologis untuk menangani masalah yang diamati (Kongensgaard et al, 2022).…”

Section: Home Visitunclassified

Implementasi Aplikasi Go-Yoga Untuk Pencegahan Gawat Janin

Astuti,

Gobel,

Yanti

et al. 2023

JMM

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Abstrak: Rendahnya partispasi ibu hamil dalam kelas antenatal menjadi penyebab kematian bayi sehingga perlu pendekatan personal. Tahun 2021 masih terjadi 3 kematian bayi baru lahir di Desa Tanggilingo sehingga diperlukan upaya pencegahan dengan melakukan yoga secara rutin. Penggunaan aplikasi go-yoga selama kehamilan dapat mencegah gawat janin sehingga tidak terjadi kematian bayi baru lahir. Tujuan kegiatan ini untuk mencegah gawat janin melalui penggunaan aplikasi go-yoga pada ibu hamil yang tidak aktif dalam kelas antenatal. Metode pelaksanaan melalui penyuluhan dan pemberian buku untuk meningkatkan pengetahuan tentang gawat janin dan implemmentasi aplikasi go-yoga pada ibu hamil trimester III, pendampingan yoga secara personal selama 3 bulan, pemeriksaan tanda-tanda vital dan detak jantung janin sebelum dan sesudah menggunakan aplikasi go-yoga. Hasilnya 30 ibu hamil mengalami peningkatan pengetahuan tentang gawat janin dari 70% berpengetahuan cukup menjadi 100% berpengetahuan baik. Monitoring dilakukan 3 kali seminggu selama 3 bulan. Luaran kegiatan selama monitoring tidak terjadi kematian bayi baru lahir yang disebabkan oleh gawat janin.Abstract: The low participation of pregnant women in antenatal classes is the cause of infant mortality so a personal approach is needed. In 2021, there are still 3 newborn deaths in Tanggilingo Village, so prevention efforts are needed by doing yoga regularly. The use of the go-yoga application during pregnancy can prevent fetal distress so that newborn death does not occur. The purpose of this activity is to prevent fetal distress through the use of the go-yoga application for pregnant women who are not active in antenatal classes. The implementation method is through counseling and giving books to increase knowledge about fetal distress and implementation of the go-yoga application in third trimester pregnant women, personal yoga assistance for 3 months, examination of vital signs and fetal heart rate before and after using the go-yoga application. As a result, 30 pregnant women experienced an increase in knowledge about fetal distress from 70% sufficient knowledge to 100% good knowledge. Monitoring is carried out 3 times a week for 3 months. The output of activities during monitoring did not occur newborn deaths caused by fetal distress.

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“…Aspects such as providing additional support and testing would not have been possible without a face‐to‐face approach. Furthermore, there is existing evidence are effective at increasing compliance with treatment recommendations, with single home visits by multidisciplinary teams having been effective in increasing asthma patients' adherence to maintaining inhaler use and reduced healthcare utilization a year after the intervention, and other studies showing multiple home visits by nurse practitioners or other trained health practitioners resulting in improved health outcomes (Ghimire et al., 2021; Lawlor et al., 2009; Shelledy et al., 2009; Trilla et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

“…In the health psychology literature, the provision of information and social support have been effective at increasing the level of desired outcomes in populations of interest (Swain et al., 2023). Systematic reviews have shown that factors that incentivize compliant behaviour and remove economic barriers to compliance have been effective at increasing adherence to health treatment guidelines, especially in the short run (Arad et al., 2021; Ghimire et al., 2021; Lutge et al., 2015; McDermott et al., 2016). Telephone‐based follow‐ups and interventions have been useful in increasing adherence to treatment guidelines among populations at risk, where telephone follow‐ups can be a source of further information.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of the impact of support visits on self‐isolation compliance: The Havering winter/spring support trial

Benny,

Smith,

Barnard

et al. 2023

British J Health Psychol

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ObjectivesLimited evidence exists on the policies to increase self‐isolation compliance, with no experimental evidence. This trial aimed to evaluate the effect of a home visiting intervention in the London Borough of Havering on compliance with self‐isolation guidance, relative to positive COVID‐19 cases who received no home visits.DesignMixed method evaluation involving a two‐arm randomized controlled trial (RCT) with an implementation and process evaluation.MethodsA total of 3878 cases who tested positive for COVID‐19 were randomly allocated with equal probability to receive home visits from Havering outreach team staff (n = 1946) or to a control group (n = 1932) who did not receive home visits. Randomization was implemented through a spreadsheet consisting of random numbers generated online that was used to randomly allocate cases to treatment and control. Check‐in calls were conducted by a separate blinded contact tracing team on day six of isolation to measure successful self‐isolation compliance. The primary intention‐to‐treat (ITT) analysis was conducted on 3860 cases as 18 patients were excluded from analysis because of the missing outcome data. For the implementation and process evaluation, qualitative, semi‐structured, one‐to‐one interviews were conducted with trial participants in the treatment arm of the RCT (n = 15) and stakeholders within the London Borough of Havering's Adult Social Care and Health Team (n = 8). Qualitative data was analysed thematically using a framework approach.ResultsPositive cases who were allocated to receive the home visiting intervention (n = 1933) were more likely to report successful self‐isolation compared to those allocated to the control group (n = 1927), an effect that was statistically significant (odds ratio 1.204 [95% CI: 1.052, 1.377]; absolute probability difference: 4.1 percentage points [95% CI: 1.2–6.9]). The implementation and process evaluation found that a key driver of compliance was altruistic motivation based on its perceived importance for protecting the community with some participants also reporting the potential of being caught not complying as a driving factor. Participants also reported that the intervention helped them ‘feel supported’, provided them with information about practical and financial support, and clarified their understanding or increased their awareness of self‐isolation and COVID‐19 guidance. No harms were reported from this trial. The trial was registered at the ISRCTN registry, number ISRCTN10030612.ConclusionsA home‐visiting intervention conducted between January and March 2022 increased the self‐isolation compliance of positive COVID‐19 cases allocated to receive home visits. The implementation and process evaluation highlighted that the intervention increased individuals' motivation to comply with guidance, and addressed some barriers associated with opportunity and capability to comply. This trial provides much‐needed evidence to inform the policy and intervention design to support public health and social measures in future outbreak scenarios.

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A single home visit improves adherence and reduces healthcare utilization in patients with frequent exacerbations of Severe Asthma and COPD

Cited by 4 publications

References 14 publications

Using a knowledge translation framework to identify health care professionals’ perceived barriers and enablers for personalised severe asthma care

Using a knowledge translation framework to identify health care professionals’ perceived barriers and enablers for personalised severe asthma care

Implementasi Aplikasi Go-Yoga Untuk Pencegahan Gawat Janin

A randomized controlled trial of the impact of support visits on self‐isolation compliance: The Havering winter/spring support trial

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