Publications by authors named "L Clemson"
Background: We investigated the effectiveness of an Interdisciplinary Home-bAsed Reablement Programme (I-HARP) on improving functional independence, health and well-being of people with dementia, family carer outcomes and costs.
Method: A multicentre pragmatic parallel-arm randomised controlled trial compared I-HARP to usual care in community-dwelling people with mild to moderate dementia and their family carers in Sydney, Australia (2018-2022). I-HARP is a 4-month, home-based, dementia rehabilitation model delivered by an interdisciplinary team.
Unlabelled: The iSOLVE implementation project established and evaluated integrated processes and pathways, including a decision-making tool and educational interventions for general medical practitioners (GPs) and the upskilling of allied health professionals (AHPs). The study used a mixed-methods (parallel) design comprising surveys, qualitative methodologies, and an embedded cluster randomized controlled trial (RCT). Sampling was conducted within a Primary Health Network (PHN) geographic area in Sydney, Australia.
View Article and Find Full Text PDFPurpose: The Falls After Stroke Trial (FAST) intervention involves habit-forming functional exercise and mobility practice which may increase physical activity. This substudy of FAST explores physical activity in community-dwelling people after stroke comparing the FAST intervention to usual care.
Methods: This study used a subset of 49 participants from a randomised trial.
We study the monetary value and the relative importance of several program characteristics for an evidence-based intervention provided at home for people living with dementia and their carers in Australia. Using a discrete choice experiment, advised through an expert and consumer co-design approach, we consider the total number of sessions, the delivery mode, the primary outcome and focus of the program as well as its costs as attributes. Results from a representative sample of the Australian adult population show a high willingness to pay for the program overall, even greater than the actual costs.
View Article and Find Full Text PDFArticle Synopsis
- StandingTall is an eHealth program designed to improve balance and strength through exercises, and its effectiveness has been backed by clinical trials showing reduced falls and high user adherence.
- The study involved 246 older participants from Australia and the UK over a 6-month period, using a mixed-methods evaluation to measure the program's uptake and user satisfaction, despite challenges posed by COVID-19.
- Although the program faced issues with implementation and funding, participant feedback was largely positive, with many expressing improved balance and a desire for its continued support, suggesting potential for future applications if resources are made available.