Browsing by Author "Russell, Trevor"
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- ItemCost-Utility Analysis of Home-based Telerehabilitation Compared with Centre-based Rehabilitation in Patients with Heart Failure.(0000-00-00) Hwang, Rita; Morris, Norman R; Mandrusiak, Allison; Bruning, Jared; Peters, Robyn; Korczyk, Dariusz; Russell, TrevorBACKGROUND Whilst home based telerehabilitation has been shown non inferior to traditional centre based rehabilitation in patients with chronic heart failure its economic sustainability remains unknown This study aimed to investigate the cost utility of a home based telerehabilitation program METHODS A comparative trial based incremental cost utility analysis was conducted from a health care provider s perspective We collected data as part of a multi centre two arm non inferiority randomised controlled trial with 6 months follow up There were 53 participants randomised to either a telerehabilitation program consisting of 12 weeks of group based exercise and education delivered into the home via online videoconferencing or a traditional centre based program Health care costs including personnel equipment and hospital readmissions due to heart failure were extracted from health system records and calculated in Australian dollars using 2013 as the base year Health utilities were measured using the EuroQol five dimensional EQ 5D questionnaire Estimates were presented as means and 95 confidence intervals CIs based on bootstrapping Costs and utility differences were plotted on a cost effectiveness plane RESULTS Total health care costs per participant were significantly lower in the telerehabilitation group 1 590 95 CI 2 822 359 during the 6 months No significant differences in quality adjusted life years 0 95 CI 0 06 0 05 were seen between the two groups CONCLUSIONS Heart failure telerehabilitation appears to be less costly and as effective for the health care provider as traditional centre based rehabilitation
- ItemInvestigating the cost-effectiveness of videotelephone based support for newly diagnosed paediatric oncology patients and their families: design of a randomised controlled trial.(2007-03-15) Bensink, Mark; Wootton, Richard; Irving, Helen; Hallahan, Andrew; Theodoros, Deborah; Russell, Trevor; Scuffham, Paul; Barnett, Adrian GProviding ongoing family centred support is an integral part of childhood cancer care For families living in regional and remote areas opportunities to receive specialist support are limited by the availability of health care professionals and accessibility which is often reduced due to distance time cost and transport The primary aim of this work is to investigate the cost effectiveness of videotelephony to support regional and remote families returning home for the first time with a child newly diagnosed with cancer
- ItemPre-admission orthopaedic occupational therapy home visits conducted using the Internet.(2008-03-19) Hoffmann, Tammy; Russell, TrevorWe evaluated the feasibility and accuracy of conducting occupational therapy home visits using the Internet Studies were conducted at the homes of 40 patients who were scheduled to undergo a total hip or knee replacement home visits were conducted on the same day by both a face to face therapist and an online therapist The online therapist conducted the visit via a low speed dial up Internet connection using a specially developed telerehabilitation system This system combines real time videoconferencing 320 x 240 pixel resolution with a suite of calibrated assessment tools which the operator can use to measure real scale angular displacement velocity and linear distances during the videoconference Both therapists completed a home environment questionnaire assessed patients transfer ability and measured the heights of six objects pieces of furniture For the questionnaire items which related to variables in the home environment the mean percentage exact agreement was 98 9 SD 2 6 range 90 100 while there was 100 agreement on the items related to transfers The mean absolute difference in measured heights between the two therapists ranged from 0 1 3 3 cm The results suggest that conducting pre admission orthopaedic occupational therapy home visits via the Internet is both feasible and accurate
- ItemRemote measurement via the Internet of upper limb range of motion in people who have had a stroke.(2007-12-14) Hoffmann, Tammy; Russell, Trevor; Cooke, HanaAn Internet based goniometer has recently been developed which can be used for the remote quantification of joint range of motion ROM We evaluated the validity and intra and inter rater reliability of this goniometer for the measurement of upper limb ROM in 10 people who had had a stroke The movements on which the device was evaluated were shoulder flexion shoulder abduction elbow flexion wrist flexion wrist extension forearm supination and forearm pronation Measurements performed using the Internet based goniometer were compared with measurements made using the most widely accepted clinical joint ROM measurement tool the universal goniometer The Internet based goniometer was found to be a valid tool for the measurement of upper limb ROM with the disagreement between the two measurement tools ranging from 1 1 2 4 degrees The Internet based goniometer was also shown to possess a high level of intra and inter rater reliability all intra class correlation coefficients 0 93 The results suggest that therapists can confidently use the Internet based goniometer to measure the upper limb ROM in people who have had a stroke
- ItemTelerehabilitation: current perspectives.(2008-04-23) Theodoros, Deborah; Russell, TrevorTelerehabilitation in which rehabilitation services are provided at a distance using communication technologies is a new and developing field of telehealth Primarily developed to provide equitable access to individuals who are geographically remote and to those who are physically and economically disadvantaged telerehabilitation also has the capacity to improve the quality of rehabilitation health care Online delivery of rehabilitation enables the rehabilitation therapist to optimize the timing intensity and duration of therapy that is often not possible within the constraints of face to face treatment protocols in current health systems This chapter outlines the advances made to date in telerehabilitation applications in the fields of physiotherapy speech language pathology occupational therapy and biomedical engineering and provides evidence for the success of these applications Applications to date encompass systems ranging from low bandwidth low cost videophones to highly expensive fully immersive virtual reality systems with haptic interfaces A number of barriers to the establishment and advancement of telerehabilitation within health care systems have been outlined and include professional issues relating to the inherent hands on approach of some treatments licensure laws professional skill development patient disability reimbursement and the paucity of online assessment and treatment tools and outcomes data In response possible solutions to these barriers such as the development and validation of alternative assessment and treatment procedures involvement in the international policy debate as well as the resolution of national professional policies which hinder the wider uptake of telerehabilitation technologies have been outlined The future of telerehabilitation is promising as a new yet complex form of telehealth with the capacity to provide a wide range of services specifically designed to suit the needs of the individual
- ItemTreating disordered speech and voice in Parkinson's disease online: a randomized controlled non-inferiority trial.(2011-02-01) Constantinescu, Gabriella; Theodoros, Deborah; Russell, Trevor; Ward, Elizabeth; Wilson, Stephen; Wootton, RichardTelerehabilitation may be a feasible solution to the current problems faced by people with Parkinson s disease in accessing speech pathology services
- ItemUsing the Internet to assess activities of daily living and hand function in people with Parkinson's disease.(2008-06-18) Hoffmann, Tammy; Russell, Trevor; Thompson, Leah; Vincent, Amy; Nelson, MarkThe ability to measure activities of daily living ADL and hand function for people with Parkinson s disease via an Internet based telerehabilitation system would have a significant impact on the equity accessibility and management of the condition for patients who live in rural and remote communities A low bandwidth computer based telerehabilitation system which incorporates videoconferencing with calibrated assessment tools has been recently developed at the University of Queensland This study aimed to determine the validity intra and inter rater reliability of the telerehabilitation system in measuring ADL and hand function in 12 people with Parkinson s disease ADL status was assessed using the motor component of the Functional Independence Measure FIM and selected items from the Unified Parkinson s Disease Rating Scale UPDRS The Nine Hole Peg Test Jamar dynamometer and Preston pinch gauge were also used to assess hand function For half of the participants an assessor administered assessments in the traditional face to face manner while another assessor simultaneously scored the same assessments via the telerehabilitation system For the remaining participants the telerehabilitation assessor administered the assessments via the telerehabilitation system while a face to face assessor simultaneously scored the assessments The telerehabilitation system was found to be a valid measure of ADL status and hand function in people with Parkinson s disease and to have a high level of intra and inter rater reliability all ICCs 0 80 These results suggest that therapists can confidently use a low bandwidth telerehabilitation system to assess ADL status and hand function in people with Parkinson s disease