Journal of Rehabilitation Research & Development (JRRD)

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Volume 47 Number 5, 2010
   Pages 465 — 476

Abstract —  Feasibility study of home telerehabilitation for physically inactive veterans

Nancy D. Harada, PhD;1-2* Shawkat Dhanani, MD;1-2 Michelle Elrod, MS;1 Theodore Hahn, MD;1-2 Leonard Kleinman, MD;2-3 Meika Fang, MD2,4

1Geriatric Research Education and Clinical Center, Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles, CA; 2David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA; 3Ambulatory Care/Home Telehealth Section and 4Rheumatology Section, VA Greater Los Angeles Healthcare System, Los Angeles, CA

Abstract — The aim of this study was to develop a system for and determine the feasibility of monitoring home exercise for physically inactive older adults using a Health Buddy (HB) text messaging device (Robert Bosch Healthcare; Palo Alto, California). Questions and messages related to exercise adherence are displayed on the HB screen and participants choose a response by pressing the corresponding button on the device. Responses are transmitted through a landline connection and high-risk responses are highlighted by the system for follow-up. We developed the questions and messages based on input from patient and clinician focus groups. We evaluated feasibility by administering the intervention to inpatient and outpatient adults aged 60 or older. We gave participants a choice of exercise monitoring by HB (n = 20) or telephone (n = 18). The results showed that home exercise monitoring by HB and telephone is safe, as evidenced by low adverse event rates. We saw a decline in exercise adherence rates to both the HB and telephone after 8 weeks, although adherence was better for HB than telephone. Taken together, the results demonstrate the feasibility of using text messaging to monitor home exercise adherence in physically inactive older adults.

Clinical Trial Registration: ClinicalTrials.gov; Home Telerehabilitation for Deconditioned Older Adults, NCT00386256; http://clinicaltrials.gov/ct2/show/NCT00386256.

Key words: deconditioning, exercise, exercise adherence, exercise monitoring, Health Buddy, older adults, physical activity, telephone, telerehabilitation, text messaging.


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Last Reviewed or Updated  Tuesday, July 27, 2010 3:12 PM

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