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Multicomponent telerehabilitation programme for older veterans with multimorbidity: a programme evaluation.

Michelle R Rauzi1, L M Abbate2,3, H D Lum4

  • 1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA michelle.rauzi@cuanschutz.edu.

BMJ Military Health
|September 14, 2023
PubMed
Summary

This telerehabilitation program for older veterans with multiple health conditions was safe and feasible. It improved physical function, addressing unmet needs in this vulnerable population.

Keywords:
GERIATRIC MEDICINEHealth & safetyREHABILITATION MEDICINETelemedicine

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Older veterans with multimorbidity face physical, mental, and social challenges impacting health and healthcare access.
  • Traditional physical rehabilitation may not adequately address physical function, behavioral change skills, or loneliness.
  • A multicomponent telerehabilitation program offers a potential solution for these unmet needs.

Purpose of the Study:

  • To evaluate the safety and feasibility of a multicomponent telerehabilitation program for older veterans with multimorbidity.
  • To assess changes in patient outcomes, specifically physical function, following the program.

Main Methods:

  • A 12-week multicomponent telerehabilitation program involving high-intensity rehabilitation, coaching, social support, and technology was delivered by physical therapists.
  • Participants (veterans/spouses, ≥50 years, ≥3 comorbidities) were assessed at baseline, 4, 8, and 12 weeks.
  • Safety (events), feasibility (adherence), and physical function outcomes were measured and analyzed using descriptive statistics and paired t-tests.

Main Results:

  • Twenty-one participants enrolled, with most being male (81%), white (72%), and non-Hispanic (76%), averaging 5.7 comorbidities.
  • The program demonstrated a low prevalence of in-session safety events (3.2%) and high adherence (71.4% attended ≥80% of sessions).
  • Significant improvements in physical function were observed, including 30-second sit-to-stand repetitions (4.7), arm curl repetitions (6.0 and 5.0), and 2-minute step test repetitions (31.8).

Conclusions:

  • The multicomponent telerehabilitation program was safe and feasible for older veterans with multimorbidity.
  • The program led to significant improvements in physical function, indicating its effectiveness in addressing the needs of this population.
  • These findings support further investigation through a randomized clinical trial and provide insights for program refinement.