Ssm Fong

A cost-effectiveness analysis of teledietetics in short-, intermediate-, and long-term weight reduction

Introduction To evaluate the effectiveness of teledietetics in weight loss for 24 weeks and the cost-effectiveness of weight loss between face-to-face and teledietetics services. Methods The study was conducted at a community health center and a community dietetics clinic. The study was a quasiexperimental design. Fifty adults aged 20–50 with a BMI ≥23 participated in the study. The face-to-face (FD) group received 12 dietary counselling sessions and recorded their diet in a log book. The teledietetics (TD) group attended three group nutrition seminars and recorded their diet on a Web-based platform. Changes in variables were compared using an independent t-test. Direct and indirect costs were applied to compute cost-effectiveness ratios. Results At week 6, the FD group showed greater reductions in all variables than did the TD group. At week 12, the effects reversed. At week 24, the accumulated reductions in weight and fat in the TD group were significantly higher than those in the FD group (all at p < 0.0001). The observed direct costs for 1% weight loss and 1% fat loss were USD 28.24 and USD17.09, respectively. Discussion A dietetic service delivered as a teledietetics model is more cost-effective than the face-to-face dietetics model in weight reduction.

Lateral step up test (LSUT): reliability and associations with motor functions in people with chronic stroke

Annual Conference of the Asia Pacific Stroke Organization (APSO) Combined with Stroke Society of Australasia, Brisbane, Qld, Australia, July 14-17, 2016Annual Conference of the Asia Pacific Stroke Organization (APSO) Combined with Stroke Society of Australasia, Brisbane, Qld, Australia, July 14-17, 2016

Toe tap test (TTT) for assessing people with chronic stroke

Annual Conference of the Asia Pacific Stroke Organization (APSO) Combined with Stroke Society of Australasia, Brisbane, Qld, Australia, July 14-17, 2016Annual Conference of the Asia Pacific Stroke Organization (APSO) Combined with Stroke Society of Australasia, Brisbane, Qld, Australia, July 14-17, 2016

Dynamic sitting balance control tests in stroke survivors: a study of reliability and validity

Background: A rural feedback survey, highlighted need for user friendly, accessible stroke education for generalist staff. Funded by a scholarship from Rural Division of CETI. Developed in partnership by Stroke Care Coordinators within the Hunter New England Area Health Service (HNEAHS), North Coast Area Health Service (NCAHS). Located on the National Stroke Foundation Web Site. Aims: eStroke was designed for clinicians working in Stroke, as well as generalist staff. The primary aim is to provide information to clinicians working within rural facilities. Methods: Built on the evidence-based guidelines and advice from expert multidisciplinary stroke clinicians. E-learning format, easily accessed, at no cost to metropolitan, rural and remote clinicians. Guidance and governance provided by HNEAHS and NCAHS. The Online Package has the ability to collect feedback data on site usage and comments. Results: Consultation with expert clinicians resulted in 10 packages covering pre hospital, acute stroke management, rehabilitation and beyond has been developed. This includes the utilisation of five case studies to demonstrate a practical approach to stroke management. The National Stroke Foundation has collated feedback from the go live date of the rural component of estroke. Conclusion: Provides easily accessible, practical Stroke information for beginner to intermediate in an e learning format. Opportunity to develop and build on existing skill base and develop more specialized skills. To date e Stroke Online package has attracted high volume of users with positive feedback.