BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study Comparative Study
Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial.
To compare the clinical effectiveness of a programme of physiotherapy and occupational therapy with standard care in care home residents who have mobility limitations and are dependent in performing activities of daily living. ⋯ The three month occupational therapy and physiotherapy programme had no significant effect on mobility and independence. On the other hand, the variation in residents' functional ability, the prevalence of cognitive impairment, and the prevalence of depression were considerably higher in this sample than expected on the basis of previous work. Further research to clarify the efficacy of occupational therapy and physiotherapy is required if access to therapy services is to be recommended in this population.
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Randomized Controlled Trial Multicenter Study Comparative Study
ARTIST (osteoarthritis intervention standardized) study of standardised consultation versus usual care for patients with osteoarthritis of the knee in primary care in France: pragmatic randomised controlled trial.
To evaluate the impact of standardised consultations on patients with osteoarthritis of the knee. ⋯ A structured consultation programme for patients with osteoarthritis of the knee resulted in short term improvement in weight loss and time spent on physical activity.
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Randomized Controlled Trial Multicenter Study
Economic evaluation of arthritis self management in primary care.
To assess the cost effectiveness of a self management programme plus education booklet for arthritis in primary care. ⋯ Cost effectiveness of an arthritis self management programme is not suggested on the basis of current National Institute for Health and Clinical Excellence cost perspectives and QALY thresholds. The probability of cost effectiveness is greater when broader costs and other quality of life outcomes are considered. These results suggest that the cost effectiveness of the Department of Health's expert patients programme cannot be assumed across all clinical conditions and that further rigorous evaluations for other conditions may be needed.
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Randomized Controlled Trial Multicenter Study Comparative Study
Cost effectiveness analysis of larval therapy for leg ulcers.
To assess the cost effectiveness of larval therapy compared with hydrogel in the management of leg ulcers. ⋯ Debridement of sloughy or necrotic leg ulcers with larval therapy is likely to produce similar health benefits and have similar costs to treatment with hydrogel.
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Randomized Controlled Trial Multicenter Study
Community involvement in dengue vector control: cluster randomised trial.
To assess the effectiveness of an integrated community based environmental management strategy to control Aedes aegypti, the vector of dengue, compared with a routine strategy. ⋯ A community based environmental management embedded in a routine control programme was effective at reducing levels of Aedes infestation.