PS control: Participants were State Hope Scale encouraged to discuss current Service utilisation concerns and receive group support for solving problems. Findings: - No significant differences were found between IMR and problem-solving groups. - Participants in both groups improved significantly over time in symptom severity, illness management, and quality of life and had trial emergency department visits. Participation rates in both interventions were low. Only 28% of consumers assigned to IMR and 17% of those assigned to the problem-solving group participated in more than half the scheduled groups, and 23% and 34%, respectively, attended no sessions. Saxon et al. RCT, Veterans in additions treatment IG: randomised to medical centre Primary: medical service use (2006) Onsite group: N = 358, Average age: CG: randomised to SUD clinic among Health related quality of life US follow-up 45.4 [SD 7.7], Sex: 98% men VA pts who receive medical care Substance use disorder treatment Addiction Offsite group: N = 362, Average age: within the substance use disorder engagement 46.5 [SD 7.1], Sex: 98% men clinic and those referred to a general SUD treatment outcomes medicine clinic at the same facility VA costs Findings: Over the year, patients assigned to on-site care were more likely to attend primary care (adjusted odds ratio [AOR] = 2.20; 95% CI 1.53–3.15) and to remain engaged in SUD treatment for at least 3-months (OR 1.36, 1.00–1.84). Overall, outcomes on the Mental Component Summary (but not the Physical Component Summary) and the Addiction Severity Index improved significantly over time, but did not differ by treatment condition. Total VA costs did not differ reliably across conditions. Shahnazari et al. RCT, Veterans responsible for their own IG: Wellness coaching: Primary: reduction in BMI (2013) food selection, preparation, and Both IG and CG receive initial Secondary: changes in nutrition US follow up consumption individualised nutrition behaviours Physical education session from dietetics wellbeing (health students. behaviours, IG received individualised wellness eating) coaching weekly either face-to-face or telephone
PS control: Participants were encouraged to discuss current concerns and receive group support for solving problems. State Hope Scale Service utilisation Findings: - No significant differences were found between IMR and problem-solving groups. - Participants in both groups improved significantly over time in symptom severity, illness management, and quality of life and had emergency department visits. Participation rates in both interventions were low. Only 28% of consumers assigned to IMR and 17% of those assigned to the problem-solving group participated in more than half the scheduled groups, and 23% and 34%, respectively, attended no sessions. Saxon et al. (2006) US Addiction RCT, follow-up Veterans in additions treatment Onsite group: N = 358, Average age: 45.4 [SD 7.7], Sex: 98% men Offsite group: N = 362, Average age: 46.5 [SD 7.1], Sex: 98% men IG: randomised to medical centre CG: randomised to SUD clinic among VA pts who receive medical care within the substance use disorder clinic and those referred to a general medicine clinic at the same facility Primary: medical service use Health related quality of life Substance use disorder treatment engagement SUD treatment outcomes VA costs Findings: Over the year, patients assigned to on-site care were more likely to attend primary care (adjusted odds ratio [AOR] = 2.20; 95% CI 1.53–3.15) and to remain engaged in SUD treatment for at least 3-months (OR 1.36, 1.00–1.84). Overall, outcomes on the Mental Component Summary (but not the Physical Component Summary) and the Addiction Severity Index improved significantly over time, but did not differ by treatment condition. Total VA costs did not differ reliably across conditions. Shahnazari et al. (2013) US Physical wellbeing (health behaviours, eating) RCT, follow up Veterans responsible for their own food selection, preparation, and consumption IG: Wellness coaching: Both IG and CG receive initial individualised nutrition education session from dietetics students. IG received individualised wellness coaching weekly either face-to-face or telephone Primary: reduction in BMI Secondary: changes in nutrition behaviours trial
ARP1702_HealthyAgeing_REA_EP_June2018.docx