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ArticleArchives of rehabilitation research and clinical translation2024

Feasibility and Preliminary Efficacy of Virtual Rehabilitation for Middle and Older Aged Veterans With Mobility Limitations: A Pilot Study.

Rebekah Harris, Elisa F Ogawa, Rachel E Ward, Emma Fitzelle-Jones, Thomas Travison, Jennifer S Brach, Jonathan F Bean

Registry-linked trialAbstract read
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04026503 (The Live Long Walk Strong Rehabilitation Program), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04026503 nacompletednot on this map

The Live Long Walk Strong Rehabilitation Program: What Features Improve Mobility Skills?

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2021 to 2024Enrolled151ConditionsMobility LimitationArmsLive Long Walk Strong rehabilitation program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

7 authors.

Rebekah HarrisNew England GRECC, VA Boston Healthcare System, Boston, MA.
Elisa F OgawaNew England GRECC, VA Boston Healthcare System, Boston, MA.
Rachel E WardNew England GRECC, VA Boston Healthcare System, Boston, MA.
Emma Fitzelle-JonesNew England GRECC, VA Boston Healthcare System, Boston, MA.
Thomas TravisonMarcus Institute for Aging Research, Boston, MA.
Jennifer S BrachUniversity of Pittsburgh, School of Health and Rehabilitation Sciences, Pittsburgh, PA.
Jonathan F BeanNew England GRECC, VA Boston Healthcare System, Boston, MA.

Funding

A Research Mentoring Program in Geriatric Rehabilitative CareK24AG069176 · NIA · HARVARD MEDICAL SCHOOL · PI BEAN, JONATHAN F · 2020 to 2024
$661k
NIA NIH HHS K24 AG069176RRD VA I01 RX003095RRD VA IK1 RX003636
6 · The paper itself

Abstract

Objective: To evaluate the feasibility and preliminary efficacy of the transition of an outpatient center-based rehabilitation program for middle and older aged Veterans with mobility limitations to a tele-health platform. Design: Non-randomized non-controlled pilot study including 10 treatment sessions over 8 weeks and assessments at baseline, 8, 16, and 24 weeks. Setting: VA Boston Healthcare System ambulatory care between August 2020 and March 2021. Participants: Veterans aged 50 years and older (n=178) were contacted via letter to participate, and 21 enrolled in the study. Intervention: Participants had virtual intervention sessions with a physical therapist who addressed impairments linked to mobility decline and a coaching program promoting exercise adherence. Main Outcome Measures: Ambulatory Measure for Post-Acute Care (AM-PAC), Phone-FITT, and Self-Efficacy for Exercise (SEE) scale. Results: Completers (n=14, mean age 74.9 years, 86% men) averaged 9.8 out of 10 visits. Changes in the Ambulatory Measure for Post-Acute Care (AM-PAC) exceeded clinically meaningful change after 8 and 24 weeks of treatment, at 4.1 units and 4.3 units respectively. Statistically significant improvements from baseline in AM-PAC and Phone-FITT were observed after 8 weeks of treatment and at 24 weeks. No significant changes were observed in exercise self-efficacy. Conclusions: In this group of veterans, telerehab was feasible and demonstrated preliminary efficacy in both mobility and physical activity, thus justifying further investigation in a larger scale clinical trial.

Indexed as

AgedMobilityPhysical therapyRehabilitationTelehealthVeterans

Identifiers

PMID39006121
PMCPMC11239979

What OpenQuestion holds

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Registered trials

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.