| Title |
The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial
|
|---|---|
| Published in |
BMC Geriatrics, September 2017
|
| DOI | 10.1186/s12877-017-0618-x |
| Pubmed ID | |
| Authors |
Meng Ni, Lorna G. Brown, Danielle Lawler, Terry D. Ellis, Tamara Deangelis, Nancy K. Latham, Jennifer Perloff, Steve J. Atlas, Sanja Percac-Lima, Jonathan F. Bean |
| Abstract |
Mobility limitations among older adults increase the risk for disability and healthcare utilization. Rehabilitative care is identified as the most efficacious treatment for maintaining physical function. However, there is insufficient evidence identifying a healthcare model that targets prevention of mobility decline among older adults. The objective of this study is to evaluate the preliminary effectiveness of a physical therapy program, augmented with mobile tele-health technology, on mobility function and healthcare utilization among older adults. This is a quasi-experimental 12-month clinical trial conducted within a metropolitan-based healthcare system in the northeastern United States. It is in parallel with an existing longitudinal cohort study evaluating mobility decline among community-dwelling older adult primary care patients over one year. Seventy-five older adults (≥ 65-95 years) are being recruited using identical inclusion/exclusion criteria to the cohort study. Three aims will be evaluated: the effect of our program on 1) physical function, 2) healthcare utilization, and 3) healthcare costs. Changes in patient-reported function over 1 year in those receiving the intervention (aim 1) will be compared to propensity score matched controls (N = 150) from the cohort study. For aims 2 and 3, propensity scores, derived from logistic regression model that includes demographic and diagnostic information available through claims and enrollment information, will be used to match treatment and control patients in a ratio of 1:2 or 1:3 from a Medicare Claims Registry derived from the same geographic region. The intervention consists of a one-year physical therapy program that is divided between a combination of outpatient and home visits (6-10 total visits) and is augmented on a computerized tablet using of a commercially available application to deliver a progressive home-based exercise program emphasizing lower-extremity function and a walking program. Incorporating mobile health into current healthcare models of rehabilitative care has the potential to decrease hospital visits and provide a longer duration of care. If the hypotheses are supported and demonstrate improved mobility and reduced healthcare utilization, this innovative care model would be applicable for optimizing the maintenance of functional independence among community-dwelling older adults. ClinicalTrial.gov Identifier: NCT02580409 (Date of registration October 14, 2015). |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 285 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 285 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 33 | 12% |
| Student > Ph. D. Student | 31 | 11% |
| Student > Bachelor | 28 | 10% |
| Researcher | 25 | 9% |
| Student > Doctoral Student | 24 | 8% |
| Other | 34 | 12% |
| Unknown | 110 | 39% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 48 | 17% |
| Medicine and Dentistry | 35 | 12% |
| Sports and Recreations | 16 | 6% |
| Social Sciences | 13 | 5% |
| Psychology | 9 | 3% |
| Other | 42 | 15% |
| Unknown | 122 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 October 2017.
All research outputs
#18,572,844
of 23,003,906 outputs
Outputs from BMC Geriatrics
#2,663
of 3,232 outputs
Outputs of similar age
#244,219
of 318,407 outputs
Outputs of similar age from BMC Geriatrics
#56
of 63 outputs
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