Lessened decline in physical activity and impairment of older adults with diabetes with telemedicine and pedometer use: results from the IDEATel study

Brooks, Gary; Palmas, Walter; Morin, Philip C.; Teresi, Jeanne A.; Eimicke, Joseph P.; Silver, Stephanie; Izquierdo, Roberto; Goland, Robin; Shea, Steven

doi:10.1093/ageing/afq147

Cited by 66 publications

(91 citation statements)

References 27 publications

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“…The direct-remote-contact-during-exercising group consisted of three studies using live feedback during exercising by Internet, video or telephone: two high-quality studies [40,41] and one low-quality study [42] that report generally consistent findings and therefore provide strong evidence. In one study the control group received usual care [40].…”

Section: Direct Remote Contactmentioning

confidence: 99%

See 1 more Smart Citation

Effects of remote feedback in home-based physical activity interventions for older adults: A systematic review

Geraedts

Zijlstra

Bulstra

et al. 2013

Patient Education and Counseling

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Section: Direct Remote Contactmentioning

confidence: 99%

“…In one study the control group received usual care [40]. Results show that physical activity declined significantly less in the intervention group compared to the control group.…”

Section: Direct Remote Contactmentioning

confidence: 99%

Effects of remote feedback in home-based physical activity interventions for older adults: A systematic review

Geraedts

Zijlstra

Bulstra

et al. 2013

Patient Education and Counseling

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“…weekly or monthly telephone calls to support the patients with chronic disease; n = 25) and only five studies described reactive coaching (see Table 4). 21,[29][30][31][32][33][34][35][36][37][38][39][40] Reactive coaching (responding to data uploaded by participants) tended to focus on patients categorised as being at level 2 who were engaged in active disease management such as symptom monitoring and SM. The majority of the telephone coaching interventions (n = 23) targeted patients categorised as being at level 2 or level 3 of the KPRP, i.e.…”

Section: Design Of the Telephone Coaching Interventionmentioning

confidence: 99%

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

Dennis

Harris

Lloyd

et al. 2013

Aust. Health Review

102

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Objective. To examine the effectiveness of telephone-based coaching services for the management of patients with chronic diseases.Methods. A rapid scoping review of the published peer reviewed literature, using Medline, Embase, CINAHL, PsychNet and Scopus. We included studies involving people aged 18 years or over with one or more of the following chronic conditions: type 2 diabetes, congestive cardiac failure, coronary artery disease, chronic obstructive pulmonary disease and hypertension. Patients were identified as having multi-morbidity if they had an index chronic condition plus one or more other chronic condition. To be included in this review, the telephone coaching had to involve two-way conversations by telephone or video phone between a patient and a provider. Behaviour change, goal setting and empowerment are essential features of coaching.Results. The review found 1756 papers, which was reduced to 30 after screening and relevance checks. Most coaching services were planned, as opposed to reactive, and targeted patients with complex needs who had one or more chronic disease. Several studies reported improvements in health behaviour, self-efficacy, health status and satisfaction with the service. More than one-third of the papers targeted vulnerable people and telephone coaching was found to be effective for these people.Conclusions. Telephone coaching for people with chronic conditions can improve health behaviour, self-efficacy and health status. This is especially true for vulnerable populations who had difficulty accessing health services. There is less evidence for improvements in quality of life and patient satisfaction with the service. The evidence for improvements in health service use was limited. This rapid scoping review found that telephone-based coaching can enhance the management of chronic disease, especially for vulnerable groups. Further work is needed to identify what models of telephone coaching are most effective according to patients' level of risk and co-morbidity. What is known about the topic?With the increasing prevalence of chronic diseases more demands are being made of limited health services and resources. Telephone health coaching for people with or at risk of chronic diseases is seen as a means of supporting people to manage their health and reducing the burden on the healthcare system. What does this paper add? Telephone coaching interventions were effective for vulnerable people with chronic disease (s). Often the vulnerable populations had worse control of their chronic condition at baseline and demonstrated the greatest improvement compared with those with better control at baseline. Planned (i.e. weekly or monthly telephone calls to support the patients with chronic disease) and unscripted telephone coaching interventions appear to be most effective for improving self-management skills in people from vulnerable groups: the planned telephone coaching services had the advantage of regular contact and helping people develop their skills over time, whereas the u...

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“…[2] The World Health Organization calls for a 10% increase in physical activity (PA), and encourages community-based collaborations to formulate evidence based, cost-effective means to achieve this goal. [3] PA can decrease the chance of falls, [4] cardiovascular disease, [5] and arthritis pain. [6][7][8] PA can increase memory performance [9] and improve functioning with arthritis.…”

Section: Introductionmentioning

confidence: 99%

“…Weinstock et al utilized videoconferencing between diabetes educators and older adults to enhance pedometer effectiveness and found that participants in the telemedicine group had fewer declines in PA and physical impairment compared to those not using telemedicine. [4] Silveira et al [5] and Wu et al [6] delivered PA interventions to older adults and found that community-based PA and videoconferencing produced higher retention, greater reduction in falls, and improvement in balance and health measures. [5,6] Compernolle et al [7] integrated pedometers and an Internet based PA program for adults at risk for chronic medical problems and found step counts and a computer-based intervention led to more accurate PA reports.…”

Section: Introductionmentioning

confidence: 99%

When More Than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults (Preprint)

VanRavenstein¹,

Davis²

2018

Preprint

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BACKGROUND A telehealth-delivered physical activity program was implemented within two low-income older adult housing properties utilizing the Otago exercise program, a physical therapy program endorsed by the Centers for Disease Control and Prevention to improve balance and strengthening in community dwelling older adults and by the National Council on Aging as the highest level of evidence for fall prevention programs. Participants were also given Fitbit activity monitors to help track their activity. OBJECTIVE The goal of this project was to increase older adults’ daily physical activity in hopes of decreasing chronic disease morbidity, disability, and falls, and decrease social isolation. METHODS The Otago exercise program was conducted via telehealth twice weekly for 12 weeks. Participants also wore Fitbit activity trackers to encourage physical activity outside of the group classes. Postintervention qualitative interviews were conducted, recorded, transcribed, and analyzed using discourse analysis. RESULTS Twenty-one older adult participants from two low-income properties in Charleston, SC, participated in the 12-week telehealth physical therapy program. Postintervention qualitative interviews revealed that the two sites were very different in their participation in the program and their main concerns surrounding aging in place. One site had a community-oriented outlook and enjoyed participating in physical activity together; whereas, the other site had very few participants and referenced depression and social isolation as main concerns. CONCLUSIONS A telehealth physical therapy-led intervention to increase physical activity in low-income older adults aging in place was successfully implemented and attended; however, it became clear in postintervention qualitative interviews that social isolation and depression were prevalent and mental health needs to be addressed along with physical health to encourage successful aging in place.

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Lessened decline in physical activity and impairment of older adults with diabetes with telemedicine and pedometer use: results from the IDEATel study

Abstract: this telemedicine intervention reduced rates of decline in PA and impairment in older adults with diabetes. Pedometers may be a helpful inexpensive adjunct to diabetes initiatives delivered remotely with emerging technologies. ClinicalTrials.gov identifier NCT 00271739.

Cited by 66 publications

References 27 publications

Effects of remote feedback in home-based physical activity interventions for older adults: A systematic review

Effects of remote feedback in home-based physical activity interventions for older adults: A systematic review

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

When More Than Exercise Is Needed to Increase Chances of Aging in Place: Qualitative Analysis of a Telehealth Physical Activity Program to Improve Mobility in Low-Income Older Adults (Preprint)

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