Eight-year post-trial follow-up of health care and long-term care costs of tele-based health coaching

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dc.contributorAalto-yliopistofi
dc.contributorAalto Universityen
dc.contributor.authorMustonen, Erjaen_US
dc.contributor.authorHorhammer, Iirisen_US
dc.contributor.authorAbsetz, Pilvikkien_US
dc.contributor.authorPatja, Kristiinaen_US
dc.contributor.authorLammintakanen, Johannaen_US
dc.contributor.authorTalja, Marttien_US
dc.contributor.authorKuronen, Ristoen_US
dc.contributor.authorLinna, Miikaen_US
dc.contributor.departmentDepartment of Industrial Engineering and Managementen
dc.contributor.organizationPäijät-Häme Joint Authority for Health and Wellbeingen_US
dc.contributor.organizationUniversity of Eastern Finlanden_US
dc.contributor.organizationUniversity of Helsinkien_US
dc.date.accessioned2020-12-31T08:37:57Z
dc.date.available2020-12-31T08:37:57Z
dc.date.embargoinfo:eu-repo/date/embargoEnd/2020-12-29en_US
dc.date.issued2020-04en_US
dc.description.abstractObjective To evaluate the long-term effect of telephone health coaching on health care and long-term care (LTC) costs in type 2 diabetes (T2D) and coronary artery disease (CAD) patients. Data Sources/Study Setting Randomized controlled trial (RCT) data were linked to Finnish national health and social care registries and electronic health records (EHR). Post-trial eight-year economic evaluation was conducted. Study Design A total of 1,535 patients (>= 45 years) were randomized to the intervention (n = 1034) and control groups (n = 501). The intervention group received monthly telephone health coaching for 12 months. Usual health care and LTC were provided for both groups. Principal Findings Intention-to-treat analysis showed no significant change in total health and long-term care costs (intervention effect euro1248 [3 percent relative reduction], CI -6347 to 2217) in the intervention compared to the control group. There were also no significant changes among subgroups of patients with T2D or CAD. Conclusions Health coaching had a nonsignificant effect on health care and long-term care costs in the 8-year follow-up among patients with T2D or CAD. More research is needed to study, which patient groups, at which state of the disease trajectory of T2D and cardiovascular disease, would best benefit from health coaching.en
dc.description.versionPeer revieweden
dc.format.extent7
dc.format.extent211-217
dc.format.mimetypeapplication/pdfen_US
dc.identifier.citationMustonen, E, Horhammer, I, Absetz, P, Patja, K, Lammintakanen, J, Talja, M, Kuronen, R & Linna, M 2020, ' Eight-year post-trial follow-up of health care and long-term care costs of tele-based health coaching ', Health Services Research, vol. 55, no. 2, pp. 211-217 . https://doi.org/10.1111/1475-6773.13251en
dc.identifier.doi10.1111/1475-6773.13251en_US
dc.identifier.issn0017-9124
dc.identifier.otherPURE UUID: 1e854492-1bf0-4911-8fe3-a41fe6f1aa5aen_US
dc.identifier.otherPURE ITEMURL: https://research.aalto.fi/en/publications/1e854492-1bf0-4911-8fe3-a41fe6f1aa5aen_US
dc.identifier.otherPURE LINK: http://www.scopus.com/inward/record.url?scp=85077860270&partnerID=8YFLogxKen_US
dc.identifier.otherPURE FILEURL: https://research.aalto.fi/files/54138152/Oksman_Eight_Year.Manuscript_HSR_Health_coaching_costs.pdfen_US
dc.identifier.urihttps://aaltodoc.aalto.fi/handle/123456789/101421
dc.identifier.urnURN:NBN:fi:aalto-2020123160242
dc.language.isoenen
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofseriesHEALTH SERVICES RESEARCHen
dc.relation.ispartofseriesVolume 55, issue 2en
dc.rightsopenAccessen
dc.subject.keywordcoronary artery diseaseen_US
dc.subject.keywordcostsen_US
dc.subject.keywordeffectivenessen_US
dc.subject.keywordhealth coachingen_US
dc.subject.keywordtype 2 diabetesen_US
dc.subject.keywordPEOPLEen_US
dc.titleEight-year post-trial follow-up of health care and long-term care costs of tele-based health coachingen
dc.typeA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessäfi
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