Implementing 3-Step Workout for Life in Home Health

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-26

Study Completion Date

2023-06-05

Brief Summary

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The purpose of this project is to study how to adapt and implement the 3-Step Workout for Life program in a local home health agency. A series of learning cycles will be conducted to adjust the treatment dose and delivery mode. The specific aim is to evaluate the implementation-related clinical and patient outcomes.

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Detailed Description

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Medicare beneficiaries admitted to home health agencies are often in frail status with decreased muscle strength and difficulty in performing activities of daily living. The purpose of the proposed research is to study how to adapt and implement the 3-Step Workout for Life program by the physical therapy and occupational therapy practitioners in a local home health agency. A series of learning cycles will be conducted to adjust the treatment dose and delivery mode, so that the program can be implemented at low cost but remains effective in improving self-care ability for Medicare beneficiaries. The specific aim is to evaluate the implementation-related clinical and patient outcomes.

Conditions

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Frailty Disability or Chronic Disease Leading to Disablement

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Implementation Arm

Participants will receive the 3-Step Workout for Life program and other rehabilitation services based on the plan of care.

Group Type EXPERIMENTAL

3-Step Workout for Life

Intervention Type OTHER

Participants will receive the modified 3-step Workout for Life program given by their physical therapy or occupational therapy providers. The program includes single-joint and multiple joint progressive resistance exercise and activities of daily living exercise. During the resistance exercise sessions, participants will use resistance tubing to strengthen major muscle groups of the upper extremity and/or lower extremity. During the activities of daily living exercise, participants will practice activities of daily living that they experience difficulty. The intervention volume, duration, and frequency will be modified to enhance practicality in a home health care setting over the implementation phase. In addition to the 3-Step Workout for Life exercise, participants may also receive other routine rehabilitation treatment determined and provided by their therapists to facilitate their functional recovery.

Interventions

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3-Step Workout for Life

Participants will receive the modified 3-step Workout for Life program given by their physical therapy or occupational therapy providers. The program includes single-joint and multiple joint progressive resistance exercise and activities of daily living exercise. During the resistance exercise sessions, participants will use resistance tubing to strengthen major muscle groups of the upper extremity and/or lower extremity. During the activities of daily living exercise, participants will practice activities of daily living that they experience difficulty. The intervention volume, duration, and frequency will be modified to enhance practicality in a home health care setting over the implementation phase. In addition to the 3-Step Workout for Life exercise, participants may also receive other routine rehabilitation treatment determined and provided by their therapists to facilitate their functional recovery.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* is a Medicare beneficiary
* admitted to the partnered home health agency
* show or experience muscle weakness
* demonstrate functional limitation on at least one of the OASIS self-care items

Exclusion Criteria

* has an acute fracture with surgical or weight-bearing restrictions
* has elective joint replacement surgery
* has a lower extremity amputation
* is receiving active treatment for cancer diagnosis
* has on-going dialysis treatment
* had acute cardiac surgery
* with acute stroke or neurologic disorder that limits motor movements
* in terminal stages of congestive heart failure
* has been referred to hospice care
* has severe cognitive deficits limiting verbal communication
* has significant medical complications that preclude safe participation in resistance exercise

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No