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Managing mobility outcomes in vulnerable seniors ( MMOVeS): a randomized controlled pilot study.
Sabrina Figueiredo1, Jose A Morais2, Nancy Mayo1,2,3
11 School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Clinical Rehabilitation
|May 2, 2017
Summary
An individualized, exercise-focused program (MMOVeS) shows potential for improving senior mobility post-hospitalization. This self-management approach combining exercise and minimal supervision is feasible and warrants further study.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Public Health
Background:
- Older adults discharged from hospitals often experience mobility decline.
- Effective interventions are needed to support mobility and self-management in this vulnerable population.
Purpose of the Study:
- To assess the feasibility and potential efficacy of the Managing Mobility Outcomes In Vulnerable Seniors (MMOVeS) program.
- To compare MMOVeS to standard exercise information for improving mobility in recently discharged seniors.
Main Methods:
- A randomized pilot study conducted at two university-teaching hospitals.
- Participants were community-dwelling seniors aged 70+ recently discharged from hospital.
- The intervention included individualized exercise plans, self-management education, and telephone support; the control received an exercise booklet.
Main Results:
- The MMOVeS program demonstrated a significant positive odds ratio for combined mobility outcomes (3.08; 95% CI: 1.65-5.77).
- Trends favored the MMOVeS group for pain and health perception, though confidence intervals included the null value.
- The study included 26 participants in the intervention group and 23 in the control group.
Conclusions:
- The individualized, exercise-focused self-management program (MMOVeS) shows promise for enhancing senior mobility.
- A home-based program integrating self-management skills and supervised exercise is feasible.
- Findings support sample size calculations for a larger confirmatory trial.
