Evidence map›Paper›PMID 34639494›Full record

ArticleInternational journal of environmental research and public health2021

A Pilot Study of a Sensor Enhanced Activity Management System for Promoting Home Rehabilitation Exercise Performed during the COVID-19 Pandemic: Therapist Experience, Reimbursement, and Recommendations for Implementation.

Veronica A Swanson, Vicky Chan, Betsaida Cruz-Coble, Celeste M Alcantara, Douglas Scott, Mike Jones, Daniel K Zondervan, Naveen Khan, Jan Ichimura, David J Reinkensmeyer

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Veronica A SwansonDepartment of Mechanical and Aerospace Engineering, Henry Samueli School of Engineering, University of California, Irvine, CA 92697, USA.ORCID 0000-0003-4004-9397
Vicky ChanDepartment of Outpatient Physical Therapy, University of California, Irvine, CA 92868, USA.
Betsaida Cruz-CobleDepartment of Outpatient Physical Therapy, University of California, Irvine, CA 92868, USA.
Celeste M AlcantaraDepartment of Outpatient Physical Therapy, University of California, Irvine, CA 92868, USA.
Douglas ScottDivision of Rehabilitative Services, University of California, Irvine, CA 92868, USA.
Mike JonesVirginia C. Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA.
Daniel K ZondervanFlint Rehabilitation Devices, LLC, Irvine, CA 92614, USA.
Naveen KhanPt Pal, Cherry Hill, NJ 08003, USA.
Jan IchimuraDepartment of Physical Therapy, Acute Rehabilitation Unit, University of California, Irvine, CA 92868, USA.
David J ReinkensmeyerDepartment of Mechanical and Aerospace Engineering, Henry Samueli School of Engineering, University of California, Irvine, CA 92697, USA.ORCID 0000-0002-3196-8706
University of California, Irvine · USFlint Rehabilitation Devices (United States) · USShepherd Center · US

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
ACL HHS 90REGE0011NCATS NIH HHS UL1 TR001414
6 · The paper itself

Abstract

Adherence to home exercise programs (HEPs) during physical rehabilitation is usually unmonitored and is thought to be low from self-reports. This article describes exploratory implementation of a Sensor Enhanced Activity Management (SEAM) system that combines HEP management software with a movement sensor for monitoring and motivating HEP adherence. The article also presents results from attempting to gain reimbursement for home use of the system with therapist oversight using Remote Physiologic Monitoring (RPM) codes. Four therapists used the system in their regular practice during the first six months of the COVID-19 pandemic. Therapists filled out surveys, kept notes, and participated in interviews. Billing and reimbursement data were obtained from the treatment facility. Exercise data from the SEAM system were used to understand HEP adherence. Patients were active for a mean of 40% (26% SD) of prescribed days and completed a mean of 25% (25% SD) of prescribed exercises. The therapists billed 23 RPM codes (USD 2353), and payers reimbursed eight of those instances (USD 649.21). The therapists reported that remote monitoring and the use of a physical movement sensor was motivating to their patients and increased adherence. Sustained technical support for therapists will likely improve implementation of new remote monitoring and treatment systems. RPM codes may enable reimbursement for review and program management activities, but, despite COVID-19 CMS waivers, organizations may have more success if these services are billed under supervision of a physician.

Indexed as

COVID-19PandemicsExercise TherapyHumansPilot ProjectsSARS-CoV-2COVID-19HEPhome exercise programimplementationmobile applicationsmRehabphysical rehabilitationremote physiologic monitoringRPMtelerehabilitation

Identifiers

PMID34639494
PMCPMC8508164
OpenAlexW3202221813

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.