In the case of people with serious illnesses Relaxation You can relieve symptoms and stress. This type of treatment helps both patients and their families, and clinical, social workers and clergy. These team members cooperate with other doctors Additional layer Treatment.
While the relaxation treatment plays a pivotal role in the patient, the data that shows its effectiveness and cost efficiency disarray and Select Bias.
For example, people with serious diseases are more likely to be relaxed. The seriousness of the disease is also related to the bad results. However, problems may arise if the analysis does not explain how to relieve relief treatment and the methods of poor results. This can lead to the wrong reasoning that relaxation treatment is harmful.
In order to better understand this relationship, the investigator of the Trinity College (Dublin) of Boston University and the Southern California University conducted a systematic review.Natural experiment ‘ In relaxation treatment.
Natural experiments, also known as semi -experiments, are useful for situations such as non -ethical or unpleasant relaxation treatment. In natural experiments, researchers apply statistical techniques to previously collected data to make treatment and comparison groups look similar as much as possible. In order to examine the degree of natural experiments in the relaxation document, researchers considered four research designs.
- Time series interruption: Repeat measurements of the results given from the population over time.
- Difference: A study controlled before and after the two groups of two or more times.
- Regression Discumeration: Compare the results of the two groups on both sides of any threshold.
- Tool variable: It explains changes in the treatment variables, but does not have an independent effect on the results.
With these research designs in mind, the investigator was guided by four questions.
- Did you use a research and a certain method that used the phosphorus framework to assess the relaxation treatment?
- What results have been reported in this study?
- What are the strengths and weaknesses of this study?
- What is the effect of expanding the use of this method of logical framework in which research projects have been given in mitigation treatment?
To answer these questions, the investigator confirmed fellow review studies in seven databases, two direct journals and gray literature. This search has been narrowed into 17 relevant studies that meet almost 750 articles and meet the included criteria. This study was provided in English and included research designs to investigate causal reasoning of observation data.
In order to ensure thoroughness and quality, several reviewers have reached an agreement on research including research during data extraction and screening. Individual research is a custom building tool Strove checklist.
result
Most of the research (7 out of 17) used differences in the difference between the difference. Five employment instruments variables and 5 other interrupted time series analysis. The study was from 2002 to 2021, and the midterm publication was in 2018.
In nine studies, we surveyed the strength of treatment (eg, acute hospitalization and intensive care room). Others investigated the effects of the cost of relaxation.
Overall, most studies have shown that relaxation treatment has reduced health care costs, lowered health management rates, and less active treatment at the end of life (consistent with prior review of the subject).
But there was a slight difference from the previous systematic review. For example, cost savings were lower than previously reported in less stringent research designs, and the NULL results were common (ie, relief treatment did not affect health care or costs).
Investigators mentioned some restrictions on individual studies and systematic reviews. In other words, the reporting standard depends on the three experimental frameworks used in individual studies (differences, interrupted time series, tool variables). In response to this systematic review, investigators mentioned that the standards included various treatments, policy changes and a wide range of people. Thus, researchers argue that only general conclusions can be made without deriving the meta -analysis effect.
Takeout
Relaxation is an important component of serious illness patients and their family’s health, but confusing and choice prejudice can lead to blurred research on this treatment. This systematic review shows that natural experiments are an important tool for efficiently strengthening the evidence of relaxation treatment for patients and more expensive to a wider system.
PEPREC is a team of health economists, public health researchers and policy analysts who support VA efforts to improve the lives of Veterans by using advanced quantum methods that are mostly funded by QUERI in the Veterans Health Bureau.
