Rebekah Harris PT, DPT, PhD , Elisa F. Ogawa PhD , Rachel E. Ward MPH, PhD , Emma Fitzelle-Jones MPH , Thomas Travison PhD , Jennifer S. Brach PT, PhD, FAPTA , Jonathan F. Bean MD, MPH
{"title":"为行动不便的中老年退伍军人提供虚拟康复服务的可行性和初步效果：一项试点研究","authors":"Rebekah Harris PT, DPT, PhD , Elisa F. Ogawa PhD , Rachel E. Ward MPH, PhD , Emma Fitzelle-Jones MPH , Thomas Travison PhD , Jennifer S. Brach PT, PhD, FAPTA , Jonathan F. Bean MD, MPH","doi":"10.1016/j.arrct.2024.100325","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the feasibility and preliminary efficacy of the transition of an outpatient center-based rehabilitation program for middle and older aged Veterans with mobility limitations to a tele-health platform.</p></div><div><h3>Design</h3><p>Non-randomized non-controlled pilot study including 10 treatment sessions over 8 weeks and assessments at baseline, 8, 16, and 24 weeks.</p></div><div><h3>Setting</h3><p>VA Boston Healthcare System ambulatory care between August 2020 and March 2021.</p></div><div><h3>Participants</h3><p>Veterans aged 50 years and older (n=178) were contacted via letter to participate, and 21 enrolled in the study.</p></div><div><h3>Intervention</h3><p>Participants had virtual intervention sessions with a physical therapist who addressed impairments linked to mobility decline and a coaching program promoting exercise adherence.</p></div><div><h3>Main Outcome Measures</h3><p>Ambulatory Measure for Post-Acute Care (AM-PAC), Phone-FITT, and Self-Efficacy for Exercise (SEE) scale.</p></div><div><h3>Results</h3><p>Completers (n=14, mean age 74.9 years, 86% men) averaged 9.8 out of 10 visits. Changes in the Ambulatory Measure for Post-Acute Care (AM-PAC) exceeded clinically meaningful change after 8 and 24 weeks of treatment, at 4.1 units and 4.3 units respectively. Statistically significant improvements from baseline in AM-PAC and Phone-FITT were observed after 8 weeks of treatment and at 24 weeks. No significant changes were observed in exercise self-efficacy.</p></div><div><h3>Conclusions</h3><p>In this group of veterans, telerehab was feasible and demonstrated preliminary efficacy in both mobility and physical activity, thus justifying further investigation in a larger scale clinical trial.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 2","pages":"Article 100325"},"PeriodicalIF":1.9000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000089/pdfft?md5=c86967f9d37a69c58a15744206230534&pid=1-s2.0-S2590109524000089-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Feasibility and Preliminary Efficacy of Virtual Rehabilitation for Middle and Older Aged Veterans With Mobility Limitations: A Pilot Study\",\"authors\":\"Rebekah Harris PT, DPT, PhD , Elisa F. Ogawa PhD , Rachel E. Ward MPH, PhD , Emma Fitzelle-Jones MPH , Thomas Travison PhD , Jennifer S. Brach PT, PhD, FAPTA , Jonathan F. Bean MD, MPH\",\"doi\":\"10.1016/j.arrct.2024.100325\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To evaluate the feasibility and preliminary efficacy of the transition of an outpatient center-based rehabilitation program for middle and older aged Veterans with mobility limitations to a tele-health platform.</p></div><div><h3>Design</h3><p>Non-randomized non-controlled pilot study including 10 treatment sessions over 8 weeks and assessments at baseline, 8, 16, and 24 weeks.</p></div><div><h3>Setting</h3><p>VA Boston Healthcare System ambulatory care between August 2020 and March 2021.</p></div><div><h3>Participants</h3><p>Veterans aged 50 years and older (n=178) were contacted via letter to participate, and 21 enrolled in the study.</p></div><div><h3>Intervention</h3><p>Participants had virtual intervention sessions with a physical therapist who addressed impairments linked to mobility decline and a coaching program promoting exercise adherence.</p></div><div><h3>Main Outcome Measures</h3><p>Ambulatory Measure for Post-Acute Care (AM-PAC), Phone-FITT, and Self-Efficacy for Exercise (SEE) scale.</p></div><div><h3>Results</h3><p>Completers (n=14, mean age 74.9 years, 86% men) averaged 9.8 out of 10 visits. Changes in the Ambulatory Measure for Post-Acute Care (AM-PAC) exceeded clinically meaningful change after 8 and 24 weeks of treatment, at 4.1 units and 4.3 units respectively. Statistically significant improvements from baseline in AM-PAC and Phone-FITT were observed after 8 weeks of treatment and at 24 weeks. No significant changes were observed in exercise self-efficacy.</p></div><div><h3>Conclusions</h3><p>In this group of veterans, telerehab was feasible and demonstrated preliminary efficacy in both mobility and physical activity, thus justifying further investigation in a larger scale clinical trial.</p></div>\",\"PeriodicalId\":72291,\"journal\":{\"name\":\"Archives of rehabilitation research and clinical translation\",\"volume\":\"6 2\",\"pages\":\"Article 100325\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2590109524000089/pdfft?md5=c86967f9d37a69c58a15744206230534&pid=1-s2.0-S2590109524000089-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of rehabilitation research and clinical translation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2590109524000089\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of rehabilitation research and clinical translation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590109524000089","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
Feasibility and Preliminary Efficacy of Virtual Rehabilitation for Middle and Older Aged Veterans With Mobility Limitations: A Pilot Study
Objective
To evaluate the feasibility and preliminary efficacy of the transition of an outpatient center-based rehabilitation program for middle and older aged Veterans with mobility limitations to a tele-health platform.
Design
Non-randomized non-controlled pilot study including 10 treatment sessions over 8 weeks and assessments at baseline, 8, 16, and 24 weeks.
Setting
VA Boston Healthcare System ambulatory care between August 2020 and March 2021.
Participants
Veterans aged 50 years and older (n=178) were contacted via letter to participate, and 21 enrolled in the study.
Intervention
Participants had virtual intervention sessions with a physical therapist who addressed impairments linked to mobility decline and a coaching program promoting exercise adherence.
Main Outcome Measures
Ambulatory Measure for Post-Acute Care (AM-PAC), Phone-FITT, and Self-Efficacy for Exercise (SEE) scale.
Results
Completers (n=14, mean age 74.9 years, 86% men) averaged 9.8 out of 10 visits. Changes in the Ambulatory Measure for Post-Acute Care (AM-PAC) exceeded clinically meaningful change after 8 and 24 weeks of treatment, at 4.1 units and 4.3 units respectively. Statistically significant improvements from baseline in AM-PAC and Phone-FITT were observed after 8 weeks of treatment and at 24 weeks. No significant changes were observed in exercise self-efficacy.
Conclusions
In this group of veterans, telerehab was feasible and demonstrated preliminary efficacy in both mobility and physical activity, thus justifying further investigation in a larger scale clinical trial.
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