Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.

Many older Veterans are physically debilitated, with a reduced quality of life (QOL.) Use of assistive devices during ambulation is indicative of fall risk. We describe two case studies following six-months of participation in Gerofit, a structured exercise program. Ms. M., a 75 y/o Veteran with chronic PTSD and joint pain could walk 237 yards in six-minutes using a cane. Mr. D., an 86 y/o Veteran, came to Gerofit using a Front Wheeled Walker and could walk 307 yards in 6-minutes. After six-months of Gerofit, neither Veteran used assistive devices during testing, and both reported higher QOL. Ms. M. now walks 514 yards in six minutes, while Mr. D. can walk 375 yards in six minutes. Both Veterans exhibit improved balance and endurance. They tell us: “Gerofit gave me my life back!” and “Gerofit gets me out of the house and off the couch.”

Gerofit, a facility-based program transitioned to GTH, a completely virtual structured exercise program, at the onset of the pandemic and previously demonstrated that Veterans already engaged sustained performance with this transition (In-Person vs GTH, n=46; arm curls 19.7 vs 19.0 reps; 30-second chair stand 14.3 vs 15.9 reps). This study investigated whether gains in performance are achieved and sustained in Veterans who participated in GTH only, as it is unknown if virtual programs are as robust as facility-based programs. Measures of performance (3-month mean change, n=45, Arm Curls +3.4 reps; 30-second chair stand +1.5 reps) and self-reported function (SF-36 + 1.8 points) will be assessed from baseline to 3,6, and 12 months. Pooled results from 14 sites have been accumulated and change scores, age and gender-based percentile changes and clinically meaningful thresholds will be presented. This knowledge can have implications to support programs for older adults aging in place.