Retrospective evaluation of a pilot eHealth/mHealth telewellness program for people with disabilities: Mindfulness, Exercise, and Nutrition To Optimize Resilience (MENTOR)

Rimmer, James H.; Wilroy, Jereme; Galea, Pierre; Jeter, Amanda; Lai, Byron

doi:10.21037/mhealth-21-34

Cited by 12 publications

(20 citation statements)

References 28 publications

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“…The study further suggested that a wellness program could potentially produce a financial return on investment over a 2-year period ( 38 ). MENTOR demonstrated quantitative improvements to exercise behavior, nutrition, sleep, core values, self-care, hobbies, and contribution to society/community, relationships, and overall wellness with a general cohort of people with physical disabilities ( 31 ). However, further evidence is needed to confirm these benefits among specific subgroups, such as people with SCI.…”

Section: Discussionmentioning

confidence: 99%

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Qualitative Evaluation of a Comprehensive Online Wellness Program (MENTOR) Among People With Spinal Cord Injury

Rimmer

Wilroy

Young

et al. 2022

Front. Rehabilit. Sci.

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People with spinal cord injury (SCI) experience a plethora of health conditions that hinder their health and wellness. This qualitative retrospective evaluation describes the perceptions of 14 peoples with SCI, several months after they completed an eight-week telewellness community program (MENTOR—Mindfulness, Exercise and Nutrition To Optimize Resilience). The program offered daily online classes that covered three core wellness domains (mindfulness, exercise, nutrition) and one health coaching session to introduce participants to eight other wellness domains (sleep, self-care, core values, arts & leisure, outdoor time in nature; spiritual practice, relationships, contribution to others). Qualitative analysis resulted in 4 themes related to program benefits, likes, and improvement recommendations. First, participants valued the program for the social support provided by a sense of community and relationship building with peers. Second, self-regulation was facilitated by the comprehensiveness of the program components, easy online access, and shared lifestyle goals for self-improvement among peers. Third, participants reported improved psychological wellbeing and adopted healthy behaviors that were maintained long after the program. Last, future programs should include flexible class times, post-program support, specific exercise adaptations for people with limited arm function, and supplementary in-person meetings. These preliminary findings demonstrate that MENTOR may benefit the wellbeing of people with SCI and warrant further study.

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Section: Discussionmentioning

confidence: 99%

“…The remaining wellness domains are offered in a 1-h session, once per week, across the 8-week program. Further details of the program can be found elsewhere ( 31 ).…”

Section: Methodsmentioning

confidence: 99%

Qualitative Evaluation of a Comprehensive Online Wellness Program (MENTOR) Among People With Spinal Cord Injury

Rimmer

Wilroy

Young

et al. 2022

Front. Rehabilit. Sci.

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“…The main problem of the modern health care system is a rapid increase in the number of cases of obesity 6 , relapse and ineffectiveness of long-term maintenance of the desired weight, the development of non-psychotic mental disorders, as the main component of obese patients is caused primarily by the fact that most leading health care specialists continue to consider and correct obesity only from the perspective of somatic pathology 7 , forgetting the role of psychological factors 8 and the need for primary impact on the patient's psycho-emotional sphere. 7 Roberts J. S., Ferber R. A., Funk C. N., Harrington A. W., Maixner S. M., Porte J. L., Schissler P., Votta C. M., Deldin P. J., Connell C. M. Mood Lifters for Seniors: Development and Evaluation of an Online, Peer-Led Mental Health Program for Older Adults.…”

Section: The Problems Prerequisites Emergence and The Problems Formul...mentioning

confidence: 99%

“…PMID: 35966640; PMCID: PMC9373139. 8 Rimmer J. H., Wilroy J., Galea P., Jeter A., Lai B. W. Retrospective evaluation of a pilot eHealth / mHealth telewellness program for people with disabilities: Mindfulness, Exercise, and Nutrition To Optimize Resilience (MENTOR). Mhealth.…”

Section: The Problems Prerequisites Emergence and The Problems Formul...mentioning

confidence: 99%

Improving personalized approaches to lifestyle modification for patients with overweight and obesity

Kiro

Zak

Kushnіrenko

2022

The Role of Medical Science in Implementing Innovative Medical Technologies in the Eu Countries and Ukraine

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According to the WHO, about 800 million people worldwide live with obesity. Data from the STEPS Study: Prevalence of Risk Factors for Noncommunicable Diseases in Ukraine in 2021 found that only two-fifths (39.6 %) of the population in Ukraine had a normal weight, and almost three-fifths (59.1 %) were overweight and adiposity 1 . According to economists, the economic consequences of obesity by 2025 are staggering and will amount to a fantastic amount of 1 trillion dollars. Separately, it is worth noting that the problem of obesity has become even more urgent in the era of the coronavirus disease (COVID 19) pandemic 2 . This supports the fact that obesity is a risk factor for severe infection, as evidenced by an increased risk of death and double the number of hospitalizations for COVID 19 among obese people. Diseases of the cardiovascular system, diabetes, disorders of the musculoskeletal system, high cholesterol, reproductive disordes are much more common in people who have problems with excess weight 9-10. Reports from the International Agency for Research on Cancer (IARC) and the World Cancer Research Fund (WCRF) found evidence that obesity is associated with such common types of cancer as endometrial cancer, esophageal adenocarcinoma, colorectal cancer, breast cancer, prostate cancer, and kidney cancer 3 ! Million Women Study, showed that 50 % of cancer cases in the postmenopausal period are related to obesity! 90,000 cancer deaths per year could be avoided if the adult population maintained a normal weight (BMI < 25.0 kg/m 2 ). Statistics of deaths from 1

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“…The Rimmer et al ( 5 ) paper reports evaluation of a pilot telewellness program designed to enhance resilience in individuals with disabilities. The program was designed to be delivered online, as many disabled individuals have difficulty traveling to access facility-based programming.…”

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confidence: 99%

mHealth on the periphery

Slovensky¹,

Malvey²

2022

mHealth

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In our previous work in the mHealth domain, we acknowledged that the unholy trinity of policy, regulation, and reimbursement collectively constrained the optimal deployment and scaling of mHealth innovations. We continue to believe in the transformative power of mHealth to improve access to many health resources and services for underserved and vulnerable populations. And, we remain confident that in the post-pandemic environment many of the creative solutions to pandemic-induced barriers to healthcare delivery will continue to be developed and improved, including those that exploited mHealth methods and technologies. Thus, an unexpected benefit of mandated widespread, and long-term, quarantine may prove to be robust assessment and determination of what components of healthcare can be delivered effectively with mHealth devices and approaches.In this series of papers, we highlight several pilot projects, some of which emerged during the COVID quarantine period as a way to continue providing needed services to home-bound individuals. We're designating these innovations as "on the periphery" of mHealth as some of their valuable contributions aid in improving infrastructure and assessment of mHealth services, although some of the projects provided new categories of services, such as support for stressful life situations, to individuals that might not have pursued them in a non-pandemic environment.The first paper published in the series (Houser et al.) (1) reported an examination of the adequacy of clinical documentation collected during telehealth encounters in physician practices, based on a survey conducted in January and February of 2021. As both providers and patients were constrained from in-person encounters during the quarantine period, an expected increase in remote service delivery occurred, with more than 60% of the provider respondents initiating telehealth options within the year prior to the survey. The authors reported continuation of known patient challenges with telehealth services-inequities in quality of technology, variability in patient understanding and satisfaction-but also acknowledged emerging provider issues. Specifically, providers experienced extreme frustration with rapid changes in payer guidelines and requirements for reimbursement for services, and the obligation for more robust documentation practices to meet those changing requirements. The responding providers expressed strong concern that "technology or reimbursement requirements [could become] the overriding focus of telehealth as opposed to patient care."Gurupur (2) addresses the issue of data incompleteness, one component of clinical documentation adequacy, from the perspective of scoring actual electronic records against a concept map of "an ideal complete electronic health record." This issue of incomplete documentation is considered with regard to one of our key concerns-improved reimbursement for services provided-as well as contributing to decreased risk for medical errors, reduced staffing requirements, and fewer treatment...

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Retrospective evaluation of a pilot eHealth/mHealth telewellness program for people with disabilities: Mindfulness, Exercise, and Nutrition To Optimize Resilience (MENTOR)

Cited by 12 publications

References 28 publications

Qualitative Evaluation of a Comprehensive Online Wellness Program (MENTOR) Among People With Spinal Cord Injury

Qualitative Evaluation of a Comprehensive Online Wellness Program (MENTOR) Among People With Spinal Cord Injury

Improving personalized approaches to lifestyle modification for patients with overweight and obesity

mHealth on the periphery

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