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dc.contributor.authorHoward, Roberten
dc.contributor.authorGathercole, Rebeccaen
dc.contributor.authorBradley, Rosieen
dc.contributor.authorHarper, Emmaen
dc.contributor.authorDavis, Lucyen
dc.contributor.authorPank, Lynnen
dc.contributor.authorLam, Natalieen
dc.contributor.authorTalbot, Emmaen
dc.contributor.authorHooper, Emmaen
dc.contributor.authorWinson, Rachelen
dc.contributor.authorScutt, Bethanyen
dc.contributor.authorOrdonez Montano, Victoriaen
dc.contributor.authorNunn, Samanthaen
dc.contributor.authorLavelle, Graceen
dc.contributor.authorBateman, Andrewen
dc.contributor.authorBentham, Peteren
dc.contributor.authorBurns, Alistairen
dc.contributor.authorDunk, Barbaraen
dc.contributor.authorForsyth, Kirstyen
dc.contributor.authorFox, Chrisen
dc.contributor.authorPoland, Fionaen
dc.contributor.authorLeroi, Iracemaen
dc.contributor.authorNewman, Stantonen
dc.contributor.authorO'Brien, Johnen
dc.contributor.authorHenderson, Catherineen
dc.contributor.authorKnapp, Martinen
dc.contributor.authorWoolham, Johnen
dc.contributor.authorGray, Richarden
dc.date.accessioned2020-11-18T13:42:35Z
dc.date.available2020-11-18T13:42:35Z
dc.date.issued2020
dc.identifierhttps://eresearch.qmu.ac.uk/bitstream/handle/20.500.12289/10876/10876.pdf
dc.identifier.citationHoward, R., Gathercole, R., Bradley, R., Harper, E., Davis, L., Pank, L., Lam, N., Talbot, E., Hooper, E., Winson, R., Scutt, B., Ordonez Montano, V., Nunn, S., Lavelle, G., Bateman, A., Bentham, P., Burns, A., Dunk, B., Forsyth, K., Fox, C., Poland, F., Leroi, I., Newman, S., O'Brien, J., Henderson, C., Knapp, M., Woolham, J. & Gray, R. (2020) The effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: A randomised controlled trial. Age & Ageing (In Press).
dc.identifier.issn1468-2834en
dc.identifier.issn0002-0729
dc.identifier.urihttps://academic.oup.com/ageing
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/10876
dc.description.abstractObjectives The use of assistive technology and telecare (ATT) has been promoted to manage risks associated with independent living in people with dementia but with little evidence for effectiveness.en
dc.description.abstractMethods Participants were randomly assigned to receive an ATT assessment followed by installation of all appropriate ATT devices or limited control of appropriate ATT. The primary outcomes were time to institutionalisation and cost-effectiveness. Key secondary outcomes were number of incidents involving risks to safety, burden and stress in family caregivers, and quality of life.
dc.description.abstractResults Participants were assigned to receive full ATT (248 participants) or the limited control (247 participants). After adjusting for baseline imbalance of activities of daily living score, HR for median pre-institutionalisation survival was 0.84; 95% CI, 0.63 to 1.12; p=0.20. There were no significant differences between arms in health and social care (mean -£909; 95% CI, -£5,336 to £3,345, p=0.678) and societal costs (mean -£3,545; 95% CI, -£13,914 to £6,581, p=0.499). ATT group members had reduced participant-rated quality-adjusted life years at 104 weeks (mean -0.105; 95% CI, -0.204 to -0.007, p=0.037) but did not differ in QALYs derived from proxy-reported EQ-5D.
dc.description.abstractDiscussion Fidelity of the intervention was low in terms of matching ATT assessment, recommendations and installation. This, however, reflects current practice within adult social care in England.
dc.description.abstractConclusions Time living independently outside a care home was not significantly longer in participants who received full ATT and ATT was not cost-effective. Participants with full ATT attained fewer QALYs based on participant-reported EQ-5D than controls at 104 weeks.
dc.description.urihttps://academic.oup.com/ageingen
dc.language.isoenen
dc.publisherBritish Geriatrics Societyen
dc.relation.ispartofAge and Ageingen
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record Howard, R., Gathercole, R., Bradley, R., Harper, E., Davis, L., Pank, L., Lam, N., Talbot, E., Hooper, E., Winson, R., Scutt, B., Ordonez Montano, V., Nunn, S., Lavelle, G., Bateman, A., Bentham, P., Burns, A., Dunk, B., Forsyth, K., Fox, C., Poland, F., Leroi, I., Newman, S., O'Brien, J., Henderson, C., Knapp, M., Woolham, J. & Gray, R. (2020) The effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: A randomised controlled trial. Age & Ageing (In Press). is available online at: xxxxxxx [insert URL and DOI of the article on the OUP website].
dc.titleThe effectiveness and cost-effectiveness of assistive technology and telecare for independent living in dementia: A randomised controlled trialen
dc.typeArticleen
dcterms.accessRightsrestricted
dcterms.dateAccepted2020-10-07
dc.description.ispublishedinpress
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2020
refterms.dateEmbargoEnd2021
refterms.dateFCD2020-11-18
refterms.depositExceptionNAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorForsyth, Kirstyen
qmu.centreCentre for Applied Social Sciencesen
dc.description.statusinpress
refterms.versionAMen
refterms.dateDeposit2020-11-18
refterms.dateFreeToRead2021
refterms.dateFreeToDownload2021
refterms.dateToSearch2021


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