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Restorative Care

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

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Telemedicine-Based Risk Program to Prevent Falls Among Older Adults: Protocol for a Randomized Quality Improvement

David B Rein¹, Madeleine E Hackney^2,3,4,5, Yara K Haddad⁶

¹Department of Public Health, NORC at the University of Chicago, Atlanta, GA, United States.

JMIR Research Protocols

|February 12, 2024

Summary

This study evaluated a telemedicine fall risk assessment for older adults. Results will inform the effectiveness and cost-effectiveness of this approach in preventing falls and reducing healthcare costs.

Keywords:

aging cost-effectiveness elderly fall risk fall risk screening falls medication management older adults physical therapy prevention public health telemedicine

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Area of Science:

Gerontology
Public Health
Health Services Research

Background:

The CDC's STEADI initiative provides resources for fall risk screening and intervention.
The effectiveness of STEADI has not been previously evaluated in a randomized trial.

Purpose of the Study:

To describe the protocol for the STEADI Options Randomized Quality Improvement Trial (RQIT).
To evaluate the impact of a telemedicine-based STEADI intervention on fall rates and healthcare expenditures in older adults (65+).

Main Methods:

A pragmatic randomized quality improvement trial comparing telemedicine STEADI to standard of care (SOC).
Patients were randomized to either the STEADI arm or SOC arm.
Fall risk was assessed using the Stay Independent screener (SIS).
Patients at risk in the STEADI arm received a telemedicine assessment by a registered nurse.

Main Results:

The study enrolled 720 patients between September 2020 and December 2021.
Data analysis is complete, with results anticipated by the end of 2025.
Follow-up data collection concluded in January 2023.

Conclusions:

The STEADI RQIT protocol is established for evaluating a telemedicine fall risk intervention.
The study aims to provide insights into the effectiveness and cost-effectiveness of telemedicine-based fall prevention strategies for older adults.