Michelle Beynon

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OBJECTIVE To assess the effect of second generation, home based telehealth on health related quality of life, anxiety, and depressive symptoms over 12 months in patients with long term conditions. DESIGN A study of patient reported outcomes (the Whole Systems Demonstrator telehealth questionnaire study; baseline n=1573) was nested in a pragmatic, cluster(More)
OBJECTIVE to assess the impact of telecare on the use of social and health care. Part of the evaluation of the Whole Systems Demonstrator trial. PARTICIPANTS AND SETTING a total of 2,600 people with social care needs were recruited from 217 general practices in three areas in England. DESIGN a cluster randomised trial comparing telecare with usual care,(More)
BACKGROUND home-based telecare (TC) is utilised to manage risks of independent living and provide prompt emergency responses. This study examined the effect of TC on health-related quality of life (HRQoL), anxiety and depressive symptoms over 12 months in patients receiving social care. DESIGN a study of participant-reported outcomes [the Whole Systems(More)
PURPOSE OF THE STUDY to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. DESIGN AND METHODS a pragmatic cluster-randomised controlled(More)
Introduction: The Whole Systems Demonstrator pilots introduced telehealth and telecare into three local authority areas using an integrated approach to deliver health and social care to those with high care needs and long-term conditions. Proponents of these technologies have given cost savings as one rationale for advocating their introduction and(More)
Introduction: Primary studies and systematic reviews that have examined the effect of Telehealth (TH) on Health-Related Quality of Life (HRQoL) typically conclude that TH leads to quality of life improvements. The evidence base on which such conclusions rest is charac-terised by methodologically weak studies that generate equivocal findings. The(More)
1 , Helen Doll senior research associate 2 , Peter Bower professor of health services research 6 , Martin Bardsley head of research 3 , Adam Steventon senior research analyst 3 , Martin Knapp professor of social policy 4 , Catherine Henderson research officer 4 , Anne Rogers professor of health systems implementation 5 , Caroline Sanders lecturer in medical(More)
Introduction: Much is written about the promise of Telehealth (TH) and there is great enthusiasm about its potential. However, many studies of TH do not meet orthodox quality standards. Evidence-based on assimilating findings from a few small trials of variable meth-odological quality presents equivocal findings and makes results difficult to interpret.(More)
Introduction: There is limited evidence for the effectiveness of TH on quality of life (QoL) in patients with COPD. A systematic review in the area inclusive of all respiratory conditions indicated that there were no UK based studies, or randomised controlled trials (RCTs) evaluating the effectiveness of TH for COPD (Janna et al. 2009). A more recent(More)
Introduction: Carers of individuals with social care needs (including frail elderly people, those at risk of falls and those requiring night sitting), are subject to high levels of carer burden, social isolation and poor psychological outcomes. Carers' worries and concerns include leaving the individual alone; risks of harm to the care-recipient; or(More)
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