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dc.contributor.authorNi, Mengen_US
dc.contributor.authorBrown, Lorna G.en_US
dc.contributor.authorLawler, Danielleen_US
dc.contributor.authorEllis, Terry D.en_US
dc.contributor.authorDeangelis, Tamaraen_US
dc.contributor.authorLatham, Nancy K.en_US
dc.contributor.authorPerloff, Jenniferen_US
dc.contributor.authorAtlas, Steve J.en_US
dc.contributor.authorPercac-Lima, Sanjaen_US
dc.contributor.authorBean, Jonathan F.en_US
dc.coverage.spatialEnglanden_US
dc.date2017-09-08
dc.date.accessioned2018-06-12T19:35:24Z
dc.date.available2018-06-12T19:35:24Z
dc.date.issued2017-09-20
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/28931377
dc.identifier.citationMeng 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. 2017. "The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial.." BMC Geriatr, Volume 17, Issue 1:221.
dc.identifier.issn1471-2318
dc.identifier.urihttps://hdl.handle.net/2144/29282
dc.description.abstractBACKGROUND: 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. METHODS: 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. DISCUSSION: 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. TRIAL REGISTRATION: ClinicalTrial.gov Identifier: NCT02580409 (Date of registration October 14, 2015).en_US
dc.format.extentp. 221en_US
dc.languageeng
dc.relation.ispartofBMC Geriatr
dc.rights© The Author(s). 2017. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & technologyen_US
dc.subjectLife sciences & biomedicineen_US
dc.subjectGeriatrics & gerontologyen_US
dc.subjectGerontologyen_US
dc.subjectPhysical therapyen_US
dc.subjectMobilityen_US
dc.subjectGeriatricsen_US
dc.subjectHealthcare modelen_US
dc.subjectOlder adultsen_US
dc.subjectMobility limitationen_US
dc.subjectAgeden_US
dc.subjectAged, 80 and overen_US
dc.subjectExercise movement techniquesen_US
dc.subjectExercise therapyen_US
dc.subjectFemaleen_US
dc.subjectFrail elderlyen_US
dc.subjectHealth services for the ageden_US
dc.subjectHealthy agingen_US
dc.subjectHumansen_US
dc.subjectIndependent livingen_US
dc.subjectMaleen_US
dc.subjectPatient complianceen_US
dc.subjectPhysical therapy modalitiesen_US
dc.subjectProgram evaluationen_US
dc.subjectPropensity scoreen_US
dc.subjectRehabilitation researchen_US
dc.subjectTelemedicineen_US
dc.subjectTreatment outcomeen_US
dc.subjectUnited Statesen_US
dc.subjectWalkingen_US
dc.subjectClinical sciencesen_US
dc.titleThe rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trialen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s12877-017-0618-x
pubs.elements-sourcepubmeden_US
pubs.notesEmbargo: Not knownen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent Collegeen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent College, Physical Therapy and Athletic Trainingen_US
pubs.publication-statusPublished onlineen_US


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© The Author(s). 2017. Open Access. 
This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2017. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.