The Rehabilitation Enhancing Aging Through Connected Health Prehabilitation Trial

Bean, Jonathan F.; Brown, Lorna; DeAngelis, Tamara R.; Ellis, Terry; Kumar, V. S. Senthil; Latham, Nancy K.; Lawler, Danielle; Ni, Meng; Perloff, Jennifer

doi:10.1016/j.apmr.2019.04.015

Cited by 11 publications

(19 citation statements)

References 29 publications

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“…18% (n = 15) of the studies described interventions promoting physical fitness among older participants 26‐40 . The interventions were aimed at preventing falls or further decline among older people due to frailty, sarcopenia, multiple chronic conditions, or cancer by means of improving balance, strength, and physical capacity.…”

Section: Resultsmentioning

confidence: 99%

“…The interventions were aimed at preventing falls or further decline among older people due to frailty, sarcopenia, multiple chronic conditions, or cancer by means of improving balance, strength, and physical capacity. The interventions used gaming technology with motion capture cameras, 28,29,31‐38 virtual reality software 39 a web‐based platform, 30 telehealth and videoconference 26,40 an app on a tablet, 27 and robot‐mediated exercise 36 …”

Section: Resultsmentioning

confidence: 99%

“…18% (n = 15) of the studies described interventions promoting physical fitness among older participants. [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] The interventions were aimed at preventing falls or further decline among older people due to frailty, sarcopenia, multiple chronic conditions, or cancer by means of improving balance, strength, and physical capacity. The interventions used gaming technology with motion capture cameras, 28,29,[31][32][33][34][35][36][37][38] Records identified through database search (n = 6502)…”

Section: Exercise To Improve Physical Fitnessmentioning

confidence: 99%

“…Additional records identified through hand search of key journals (n =15) 26,40 an app on a tablet, 27 and robot-mediated exercise. 36 The studies lasted from 4 weeks to 12 months.…”

Section: Eligibility Identificationmentioning

confidence: 99%

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Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Nilsson

Andersson

Magnusson

et al. 2020

Health Science Reports

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Background and aims There is a growing demand for health and social care services to provide technology‐mediated interventions that promote the health and well‐being of older people with health or care needs and of their informal carers. The objectives of this study were to scope and review the nature and extent of prior intervention studies involving ambient assisted living technology‐mediated interventions for older people and their informal carers, and how and in what ways (if any) the goals and aims of these interventions reflected the domains of the World Health Organization framework for healthy ageing. Methods We conducted a scoping review. Data were collected between June and October 2018 with an updated search in October 2020. A total of 85 articles were eligible for inclusion. Results Nine categories described the aims and content of the included studies. The healthy ageing domain “Ability to meet basic needs” was mirrored in four categories, whereas “Ability to contribute to society” was not addressed at all. Conclusion The ways in which domains of healthy ageing are mirrored suggest that there is an emphasis on individual factors and individual responsibility, and a lack of attention given to broader, environmental factors affecting healthy ageing. Only a few of the studies used a dyadic approach when assessing health outcomes concerning older people and their informal carers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Exercise To Improve Physical Fitnessmentioning

confidence: 99%

“…Additional records identified through hand search of key journals (n =15) 26,40 an app on a tablet, 27 and robot-mediated exercise. 36 The studies lasted from 4 weeks to 12 months.…”

Section: Eligibility Identificationmentioning

confidence: 99%

See 2 more Smart Citations

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Nilsson

Andersson

Magnusson

et al. 2020

Health Science Reports

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“…For example, a study on telerehabilitation via a website compared with conventional rehabilitation after a hip fracture showed that patients in the telerehabilitation group achieved better functional scores than those in the control group [ 15 ]. In addition, in a study by Bean et al [ 16 ], the implementation of a 12-month web-based training program using a tablet and supervised by a physiotherapist led to a significant reduction in emergency department visits and hospital admissions in older adults with mobility impairments. However, there is also evidence that the more severe the health limitations of older people, the less willing they are to use eHealth [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Iterative Development and Applicability of a Tablet-Based e-Coach for Older Adults in Rehabilitation Units to Improve Nutrition and Physical Activity: Usability Study

Happe¹,

Sgraja²,

Hein³

et al. 2022

JMIR Hum Factors

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Background Maintaining nutrition and exercise strategies after rehabilitation can be difficult for older people with malnutrition or limited mobility. A technical assistance system such as an e-coach could help to positively influence changes in dietary and exercise behavior and contribute to a sustainable improvement in one’s nutrition and mobility status. Most apps do not provide a combination of nutrition and exercise content. In most cases, these apps were evaluated with healthy individuals aged <70 years, making transferability to vulnerable patients, with functional limitations and an assumed lower affinity for technology, in geriatric rehabilitation unlikely. Objective This study aims to identify the potential for optimization and enhance usability through iterative test phases to develop a nutrition and mobility e-coach suitable for older adults (≥65 years) based on individual health behavior change stages in a rehabilitation setting. Methods Iterative testing was performed with patients aged ≥65 years in a rehabilitation center. During testing, participants used an e-coach prototype with educational elements and active input options on nutrition and mobility as a 1-time application test. The participants performed navigation and comprehension tasks and subsequently provided feedback on the design aspects. Hints were provided by the study team when required, documented, and used for improvements. After testing, the participants were asked to rate the usability of the prototype using the System Usability Scale (SUS). Results In all, 3 iterative test phases (T1-T3) were conducted with 49 participants (24/49, 49% female; mean 77.8, SD 6.2 years). Improvements were made after each test phase, such as adding explanatory notes on overview screens or using consistent chart types. The use of the user-centered design in this specific target group facilitated an increase in the average SUS score from 69.3 (SD 16.3; median 65) at T1 to 78.1 (SD 11.8; median 82.5) at T3. Fewer hints were required for navigation tasks (T1: 14.1%; T2: 26.5%; T3: 17.2%) than for comprehension questions (T1: 30.5%; T2: 21.6%; T3: 20%). However, the proportion of unsolved tasks, calculated across all participants in all tasks, was higher for navigation tasks (T1: 0%, T2: 15.2%, T3: 4.3%) than for comprehension tasks (T1: 1.9%, T2: 0%, T3: 2.5%). Conclusions The extensive addition of explanatory sentences and terms, instead of shorter keywords, to make it easier for users to navigate and comprehend the content was a major adjustment. Thus, good usability (SUS: 80th-84th percentile) was achieved using iterative optimizations within the user-centered design. Long-term usability and any possible effects on nutritional and physical activity behavior need to be evaluated in an additional study in which patients should be able to use the e-coach with increasing independence, thereby helping them to gain access to content that could support their long-term behavior change.

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Rehabilitation

Strasser¹

2021

Geriatrics for Specialists

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The Rehabilitation Enhancing Aging Through Connected Health Prehabilitation Trial

Cited by 11 publications

References 29 publications

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Ambient assisted living technology‐mediated interventions for older people and their informal carers in the context of healthy ageing: A scoping review

Iterative Development and Applicability of a Tablet-Based e-Coach for Older Adults in Rehabilitation Units to Improve Nutrition and Physical Activity: Usability Study

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