A Pilot Home-Telehealth Program to Enhance Functional Ability, Physical Performance, and Physical Activity in Older Adult Veterans Post-Hospital Discharge.
Daniel Liebzeit, Kristin K Phillips, Robert V Hogikyan, Christine T Cigolle, Neil B Alexander
{"title":"A Pilot Home-Telehealth Program to Enhance Functional Ability, Physical Performance, and Physical Activity in Older Adult Veterans Post-Hospital Discharge.","authors":"Daniel Liebzeit, Kristin K Phillips, Robert V Hogikyan, Christine T Cigolle, Neil B Alexander","doi":"10.3928/19404921-20241105-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To test a pilot home-telehealth program to enhance functional ability, physical performance, and objective physical activity in Veterans after hospital discharge.</p><p><strong>Method: </strong>A physical activity trainer and multidisciplinary team supported the progression of rehabilitation goals via a 6-month home exercise program. Pilot program feasibility, including recruitment, retention, reasons for early withdrawal, differences between those who did and did not complete the program, and completion of outcome measures are reported. Outcomes include changes in functional ability, physical performance, and physical activity (using actigraphy) from baseline to endpoint.</p><p><strong>Results: </strong>Twenty-one of 45 Veterans enrolled did not complete the 6-month program. No baseline differences were found comparing completers and non-completers. The majority of completers (<i>n</i> = 24) were White men with a mean age of 74 years (<i>SD</i> = 8 years, range = 64 to 93 years) and included those with no (<i>n</i> = 8), mild (<i>n</i> = 13), and moderate (<i>n</i> = 3) cognitive impairment. Although there were borderline improvements in functional ability and physical performance from baseline to endpoint, mean steps per day increased from 2,206 (<i>SD</i> = 1,780) to 3,888 (<i>SD</i> = 2,895) (<i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>The pilot home-telehealth program is feasible and may address declines in function and activity observed during hospital-to-home transitions, including among those with cognitive impairment. [<i>Research in Gerontological Nursing, 17</i>(6), 271-279.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 6","pages":"271-279"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Gerontological Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/19404921-20241105-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To test a pilot home-telehealth program to enhance functional ability, physical performance, and objective physical activity in Veterans after hospital discharge.
Method: A physical activity trainer and multidisciplinary team supported the progression of rehabilitation goals via a 6-month home exercise program. Pilot program feasibility, including recruitment, retention, reasons for early withdrawal, differences between those who did and did not complete the program, and completion of outcome measures are reported. Outcomes include changes in functional ability, physical performance, and physical activity (using actigraphy) from baseline to endpoint.
Results: Twenty-one of 45 Veterans enrolled did not complete the 6-month program. No baseline differences were found comparing completers and non-completers. The majority of completers (n = 24) were White men with a mean age of 74 years (SD = 8 years, range = 64 to 93 years) and included those with no (n = 8), mild (n = 13), and moderate (n = 3) cognitive impairment. Although there were borderline improvements in functional ability and physical performance from baseline to endpoint, mean steps per day increased from 2,206 (SD = 1,780) to 3,888 (SD = 2,895) (p = 0.04).
Conclusion: The pilot home-telehealth program is feasible and may address declines in function and activity observed during hospital-to-home transitions, including among those with cognitive impairment. [Research in Gerontological Nursing, 17(6), 271-279.].
期刊介绍：
Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
