Providing Rural Veterans Access to Gerofit Through Clinical Video Tele-Health

Briggs, Bernard D.; Jain, C. K.; Blanchard, Erin; C, Lee; W, Marcos Valencia; Oursler, Kris Ann

doi:10.1093/geroni/igy023.008

Cited by 3 publications

(5 citation statements)

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“…As a substitute for a long-distance walk test, the 2-min step test will be performed as an established surrogate measure in space limited settings with a test–retest reliability of 0.88 (Rikli & Jones, 2013). All testing, apart from grip strength, will be performed by videoconferencing using the approach previously described (Briggs et al, 2018) and the same video equipment used in exercise training, but an exercise physiologist who is blinded to the participant's randomized group allocation will perform the testing.…”

Section: Methodsmentioning

confidence: 99%

“…We also built upon our experience with Gerofit, a center-based individualized exercise program delivered in a group setting in veterans of 65 years and older (Morey et al, 2018). We adapted Gerofit to videoconferencing delivery that included instructor-led exercise classes, which were broadcast to other Veterans Affairs (VA) locations (Briggs et al, 2018). Based on our observation of the importance of social support in the group setting, we chose to retain the small exercise group design in this trial.…”

mentioning

confidence: 99%

“…In frail, elderly individuals, lower intensity functional circuit interventions improved mobility (Gine-Garriga et al, 2010; Whitehurst et al, 2005). We demonstrated the feasibility of low-moderate intensity (rating of perceived exertion [RPE] 3–6) functional circuit exercise delivered by videoconferencing in adults of 65 years and older without HIV (Briggs et al, 2018). In a recent pilot study of six men older than 65 years without HIV, we found that 12 weeks of moderate-to-high intensity (RPE 4–7) functional circuit exercise performed as a small class improved performance on the timed arm curl (26.8%) and chair stand tests (30.3%; all p < .03).…”

mentioning

confidence: 99%

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Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Oursler¹,

Marconi²,

Briggs³

et al. 2021

J Assoc Nurses AIDS Care

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People with HIV (PWH) have reduced cardiorespiratory fitness, but a high intensity, easily disseminated exercise program has not yet been successfully developed in older PWH. The purpose of this article is to describe a synchronous telehealth exercise intervention in older PWH, delivered from one medical center to two other centers. Eighty older PWH ($50 years) on antiretroviral therapy will be randomized to exercise or delayed entry control groups. Functional circuit exercise training, which does not entail stationary equipment, will be provided by real-time videoconferencing, 3 times weekly for 12 weeks, to small groups. Continuous remote telemonitoring of heart rate will ensure high exercise intensity. We hypothesize that telehealth exercise will be feasible and increase cardiorespiratory fitness and reduce sarcopenia and frailty. Findings will provide new insight to target successful aging in older PWH and can also be widely disseminated to PWH of any age or other patient populations.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Oursler¹,

Marconi²,

Briggs³

et al. 2021

J Assoc Nurses AIDS Care

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“…TR ile yapılan performans değerlendirmelerinde, geleneksel denge ve fonksiyonel durum değerlendirmesinde kullanılan testlerin, evde yer kısıtlaması olabileceğinden değiştirilmesi gerekebilir. Örneğin, yürüme hızını ölçmek için 10 m yürüme testinin, 4 m yürüme testi ile değiştirilebileceği, alt ekstremitenin kas gücünün genel olarak değerlendirilmesi için 5 kez sandalyede otur-kalk testinin, denge değerlendirmesi için fonksiyonel uzanma testinin kullanılabileceği de belirtilmektedir [13,67].…”

Section: Yaşlilarda Telerehabi̇li̇tasyon Uygulamalari Ve Sonuçlariunclassified

Yaşlılarda Telerehabilitasyon

Seçer

2022

Geriatrik Bilimler Dergisi

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Prolonging life expectancy globally and developments in medical science and technology necessitated changing the way health services are delivered to the aging population. Telerehabilitation is a specialized field of telehealth that refers to clinical rehabilitation services that include assessment, diagnosis, and treatment. It has become an attractive option for the elderly population with chronic diseases and difficulties in accessing health services. Exercise and treatment programs need to be done face to face in order to discipline and direct them correctly. However, the elderly who want to receive rehabilitation need to go to rehabilitation centers or hospitals, and it requires time and cost. It has been determined that the most effective service that can be given to the elderly in terms of health services is the service performed in their own environment where the person feels comfortable. It has been reported that home-based programs are superior to center-based programs for elderly individuals, especially in terms of compliance with exercise and rehabilitation programs in the long term. The 2019 coronavirus disease (Covid-19) pandemic has required a change in the rehabilitation services provided to the elderly, especially the way they are delivered, as it increases the risk of developing serious diseases in the elderly. The COVID-19 pandemic has adversely affected physical activity and psychological state. During the pandemic, mandatory quarantine and social isolation conditions to avoid the risk of contamination, limited access to face-to-face services, and fear of potential exposure to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) have increased the requirement for telerehabilitation. Additionally, the use of telerehabilitation has been promoted by recent changes to rules, regulations, and insurance reimbursement. Changes and developments in medical science will inevitably lead to the development of new interdisciplinary research models and products for the care of the elderly. This article aims to examine the services and applications of telerehabilitation in the aging population.

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“…13 While falls among PACE participants are multifactorial, our findings demonstrated that a frequent primary or contributing factor is reduced physical function. [14][15][16] Existing programs targeting physical function in older adults 15,[17][18][19] are generally designed for those with greater levels of independence and who have fewer social, medical, or physical complexities compared to those in PACE. To address this gap, we worked with stakeholders to develop SHIFT (Screening and High-intensity interventions to Improve Falls risk and Transform expectations in age and aging) to improve physical function and independence.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a rehabilitation model in a Program of All‐Inclusive Care for the Elderly (PACE): Preliminary data

Gustavson

LeDoux²,

Himawan³

et al. 2022

J American Geriatrics Society

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Background: Nursing home eligible participants in the Program of All-inclusive Care for the Elderly (PACE) are at high risk for falls. Physical function is a modifiable predictor of falls and an important target for prevention. We engaged a PACE site to explore feasibility of implementing progressive intensive rehabilitation to improve physical function and preliminary patient-level improvements. Methods: The research involved a mixed-methods, pre-post implementation study with longitudinal patient follow-up at one Denver PACE site. Older adults at risk for institutionalization (N = 28) took part in Screening and highintensity interventions to Improve Falls risk and Transform expectations in age and aging (SHIFT) rehabilitation program over six weeks. Outcomes included the short physical performance battery (SPPB); 4-meter gait speed at baseline, discharge, and 6 and 12 months postdischarge from SHIFT. A focus group with staff explored facilitators and barriers to program implementation in the PACE setting and with complex patients and perceived effectiveness. Results: The rehabilitation team demonstrated high treatment fidelity to SHIFT (>80%). No treatment-specific adverse events were reported. SPPB scores and gait speeds improved significantly over time (p < 0.005). The average SPPB score at evaluation was 4.6 ± 0.24 compared to 7.7 ± 0.38 points at discharge. The average gait speed at evaluation was 0.58 ± 0.03 meters/second (m/s) compared to 0.79 ± 0.04 m/s at discharge. Common barriers to program completion included changes in health status and environmental factors (e.g., transportation). Conclusions: Rehabilitation therapists incorporated a high-intensity resistance training program into routine care of complex older adults in PACE and improved pre-post physical function to levels above independence thresholds (SPPB ≥6; gait speed ≥0.65 m/s). Our pilot implementation study informed Allison M. Gustavson and Cherie V. LeDoux contributed equally as co-first authors.

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Providing Rural Veterans Access to Gerofit Through Clinical Video Tele-Health

Cited by 3 publications

References 0 publications

Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Yaşlılarda Telerehabilitasyon

Implementation of a rehabilitation model in a Program of All‐Inclusive Care for the Elderly (PACE): Preliminary data

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