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Development and Implementation of a Geriatric Walking Clinic.

Kalpana P Padala¹, Prasad R Padala¹, Tanya Taylor¹

¹is a staff physician/researcher, is the associate director for clinical programs, is clinical demonstration projects coordinator, is a health science specialist, is a statistician, is a research programs coordinator, is a staff clinical psychologist/researcher, and is director, all at the Little Rock Geriatric Research Education and Clinical Center (GRECC) of the Central Arkansas Veterans Healthcare System in Arkansas. Dr. Kalpana Padala is an assistant professor, Dr. Prasad Padala is an associate professor, and Dr. Sullivan is a professor, all in the D.W. Reynolds department of geriatrics at the University of Arkansas for Medical Sciences (UAMS) in Little Rock. Dr. Prasad Padala also is an associate professor in the department of psychiatry at UAMS.

Federal Practitioner : for the Health Care Professionals of the VA, Dod, and PHS

|February 16, 2019

Summary

Older veterans in rural areas experienced better quality of life through a home-based walking program. This patient-centric approach demonstrated positive outcomes for senior veterans.

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Area of Science:

Gerontology
Public Health
Rehabilitation Medicine

Background:

Older veterans residing in rural settings often face unique challenges impacting their health and well-being.
Limited access to healthcare and recreational facilities in rural areas can exacerbate health disparities.
Home-based interventions are crucial for improving accessibility and adherence among this demographic.

Purpose of the Study:

To evaluate the impact of a patient-centric, home-based walking program on the quality of life for older veterans in rural areas.
To assess the feasibility and effectiveness of remote health interventions for aging veteran populations.

Main Methods:

A cohort of older veterans living in rural areas participated in a structured, home-based walking program.
The program was designed with patient-centric principles, emphasizing individual needs and preferences.
Quality of life was assessed using validated questionnaires before and after program participation.

Main Results:

Participation in the home-based walking program led to a significant improvement in the overall quality of life for older veterans.
The patient-centric approach facilitated adherence and engagement with the walking intervention.
Positive trends were observed in physical and mental well-being indicators.

Conclusions:

A patient-centric, home-based walking program is an effective strategy for enhancing the quality of life among older veterans in rural communities.
Home-based, accessible programs can successfully address the health needs of geographically isolated veteran populations.
Future research should explore long-term outcomes and scalability of such interventions.