Rapid Conversion of a Group-Based Yoga Trial for Diverse Older Women to Home-Based Telehealth: Lessons Learned Using Zoom to Deliver Movement-Based Interventions

2022 ◽  
Author(s):  
Alison J. Huang ◽  
Margaret A. Chesney ◽  
Michael Schembri ◽  
Sarah Pawlowsky ◽  
Francesca Nicosia ◽  
...  
Keyword(s):  
Older Women ◽  
Lessons Learned ◽  
Home Based ◽  
Rapid Conversion

A Blueprint for the Conduct of Large, Multi-Site Trials in Telemedicine (Preprint)

2021 ◽  
Author(s):  
Patricia Commiskey ◽  
April W Armstrong ◽  
Tumaini Rucker Coker ◽  
Earl Ray Dorsey ◽  
John Fortney ◽  
...  
Keyword(s):  
Skin Diseases ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Stroke Care ◽  
Lessons Learned ◽  
Patient Centered ◽  
Implementation Challenges ◽  
Home Based ◽  
Family Based ◽  
Key Aspects

BACKGROUND Recent literature supports the efficacy and efficiency of telemedicine in improving various health outcomes, despite the wide variability in results. OBJECTIVE Understanding site-specific issues in the implementation of telemedicine trials for broader replication and generalizability of results is needed. Lessons can be learned from existing trials, and a blueprint can guide researchers to conduct these challenging studies using telemedicine more efficiently and effectively. METHODS This viewpoint presents relevant challenges and solutions for conducting multi-site telemedicine trials using seven ongoing and completed studies funded by the Patient Centered Outcomes Research Institute (PCORI) portfolio of large multi-site trials to highlight the challenges in implementing telemedicine trials. RESULTS Implementation challenges related to clinical, informatics, regulatory, legal, quality and billing were identified and described. CONCLUSIONS Lessons learned from these studies were used to create a blueprint of key aspects to consider for the design and implementation of multi-site telemedicine trials. CLINICALTRIAL NCT02358135: Improving Specialty-Care Delivery in Chronic Skin Diseases (PI: AWArmstrong) NCT02396576: Using Telehealth to Deliver Developmental, Behavioral, and Mental Health Services in Primary Care Settings for Children in Underserved Areas (PI: TRCoker) NCT02038959: Connect.Parkinson (PI: RDorsey) NCT04000971: C3FIT (Coordinated, Collaborative, Comprehensive, Family-based, Integrated, Technology-enabled Care) Stroke Care Trial (PI: KGaines) NCT03694431: Noninferiority Comparative Effectiveness Trial of Home-Based Palliative Care (HomePal) Trial (PI: HNguyen, KMularski) NCT04153864: SUMMIT (Scaling Up Maternal Mental healthcare by Increasing access to Treatments) Trial (PI: DRSingla) NCT03985800: Specialty Medical Homes to Improve Outcomes for Patients with Inflammatory Bowel Disease (IBD) and Behavioral Health Conditions Trial (PI: ESzigethy)

scholarly journals Benefits of a novel concept of home-based exercise with the aim of preventing aspiration pneumonia and falls in frail older women: a pragmatic controlled trial

2016 ◽  
Vol 2 (1) ◽  
pp. e000127 ◽  
Author(s):  
Katsuhiko Takatori ◽  
Daisuke Matsumoto ◽  
Munenori Nishida ◽  
Shinnichiro Matsushita ◽  
Tatsuya Noda ◽  
...  
Keyword(s):  
Older Women ◽  
Aspiration Pneumonia ◽  
Controlled Trial ◽  
Home Based ◽  
Novel Concept

scholarly journals Vaginal Self-Swab Specimen Collection in a Home-Based Survey of Older Women: Methods and Applications

2009 ◽  
Vol 64B (Supplement 1) ◽  
pp. i106-i118 ◽  
Author(s):  
S. T. Lindau ◽  
J. N. Hoffmann ◽  
K. Lundeen ◽  
A. Jaszczak ◽  
M. K. McClintock ◽  
...  
Keyword(s):  
Older Women ◽  
Specimen Collection ◽  
Home Based ◽  
Swab Specimen

Lessons Learned in Delivering an Intervention to Engage Family in Home-based Upper Extremity Therapy

2020 ◽  
Vol 101 (11) ◽  
pp. e31
Author(s):  
Sarah Blanton ◽  
Patricia Clark ◽  
Theresa McLaughlin ◽  
Heather Stewart ◽  
Sandra Dunbar
Keyword(s):  
Upper Extremity ◽  
Lessons Learned ◽  
Home Based

scholarly journals Low Volume, Home-Based Weighted Step Exercise Training Can Improve Lower Limb Muscle Power and Functional Ability in Community-Dwelling Older Women

2019 ◽  
Vol 8 (1) ◽  
pp. 41 ◽  
Author(s):  
Jacqueline L. Mair ◽  
Giuseppe De Vito ◽  
Colin A. Boreham
Keyword(s):  
Exercise Training ◽  
Older Women ◽  
Power Output ◽  
Lower Limb ◽  
Functional Ability ◽  
Muscular Strength ◽  
Training Programme ◽  
Community Dwelling ◽  
Home Based ◽  
Low Volume

Stepping exercise can be used as a scalable form of high intensity exercise to enhance important aspects of physical fitness in older populations. The addition of supplementary weights increases the resistive element of stepping, with the potential for training improvements in muscular strength, power, and functional abilities alongside other fitness outcomes. The aim of this study was to evaluate the effects of a low-volume, home-based weighted step exercise programme on muscular strength, power, and functional ability in previously inactive community-dwelling older women. Eleven participants, aged between 65–74 years, independently completed a six-week individualised and progressive step exercise training programme wearing a weighted vest. Knee extensor strength, lower limb power output, and physical function using a battery of functional tests were measured at baseline, following a 6-week control period, and again following the 6-week training programme. Following training, lower limb power output improved by 10–11% (p < 0.05) and was accompanied by a corresponding 9% (p < 0.01) improvement in stair climb time and 10% (p < 0.01) improvement in normalised stair climbing power, highlighting the beneficial effects of weighted stepping for transferable improvements in functional fitness. The magnitude of observed training improvements suggest that weighted step training has the potential to prolong independence and prevent age-related health conditions such as sarcopenia.

Didactic, Technological, and Social Challenges in Portuguese Higher Education During the Pandemic Confinement

2021 ◽  
pp. 92-113
Author(s):  
Cecília Vieira Guerra ◽  
Maria José Loureiro ◽  
Susana Senos
Keyword(s):  
Higher Education ◽  
Distance Education ◽  
Lessons Learned ◽  
Online Questionnaire ◽  
Pedagogical Content ◽  
Social Challenges ◽  
Home Based ◽  
Internet Connections ◽  
Portuguese Higher Education ◽  
Physical Spaces

This chapter presents testimonials of 12 national experts in the field of educational technology concerning the main didactic, technological, and social challenges they faced throughout the “emergency remote teaching” that occurred during the COVID-19 pandemic confinement. All experts are professors in Portuguese universities or polytechnic institutions, and they are acquainted with the “distance education” modality. An online questionnaire was applied to these 12 professors in order to collect their opinions about the main challenges during this period. Based on a content analysis technique, the results revealed several technological (e.g., unpredictability of internet connections), didactic (e.g., the teachers' lack of technological pedagogical content knowledge), and social challenges (e.g., the lack of proper physical spaces at home). Based on the lessons learned from this worldwide pandemic emergency, and critically reflecting about it, recommendations are suggested for future action to “distance education” in higher education.

scholarly journals Methodology and Feasibility of a Home-Based Examination in Disabled Older Women: The Women's Health and Aging Study

1997 ◽  
Vol 52A (5) ◽  
pp. M264-M274 ◽  
Author(s):  
E. M. Simonsick ◽  
C. E. Maffeo ◽  
S. K. Rogers ◽  
E. A. Skinner ◽  
D. Davis ◽  
...  
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Older Women ◽  
Home Based ◽  
Aging Study

scholarly journals ‘I’m doing it for myself’: Using a smartphone-based exercise service during the COVID-19 lockdown in the Faculty of Health Sciences, University of the Witwatersrand, South Africa

2021 ◽  
Vol 33 (1) ◽  
pp. 1-6
Author(s):  
Demitri Constantinou ◽  
Georgia Torres ◽  
Natalia Neophytou ◽  
Peter Fourie ◽  
Xenia Buntting ◽  
...  
Keyword(s):  
South Africa ◽  
Mobile Application ◽  
Small Sample Size ◽  
Smartphone Application ◽  
Small Sample ◽  
Lessons Learned ◽  
Protective Effects ◽  
Home Based ◽  
Negative Effect ◽  
The University

Background: Sufficient physical activity (PA) lowers poor health outcomes, with data showing these protective effects in populations under varying levels of lockdown during the COVID-19 pandemic. The advent of online PA programmes has created novel opportunities to offset the deleterious effects of inactivity. However, data are limited and the readiness and acceptance of such technology is unknown. These authors nevertheless noted an opportunity to investigate this approach based on promising emerging data at the time of the hard lockdown in South Africa. Objective: This exploratory study investigated the engagement and perceptions of a smartphone application to promote health and fitness in a sample of employees at a South African university. Methods: Employed members of staff (n=15) of the University of the Witwatersrand were recruited through email invitation during the hard Level 5 COVID-19 lockdown in 2020. Individualised home-based PA programmes were prescribed through a mobile application for a period of eight weeks. Researchers qualified in Biokinetics provided online supervision of the exercise sessions during the intervention. Participants were asked to complete a self-reported questionnaire about their use of the application. Thematic analysis was used to understand these responses. Results: Lack of motivation was perceived to have a negative effect on participation in the online PA programme. Only one participant reported using the mobile application consistently during the study period, while half of the participants reported having trouble with the usage of the application. The participants frequently mentioned the need for technical support and further engagement from the clinicians supervising the PA programme to ensure use and progression. Staff identified issues with connectivity and already having too many phone applications (apps) amongst the reasons for the technical difficulties. Conclusion: This study demonstrates the challenges and potential for the uptake of online PA interventions during COVID-19 and, despite its small sample size, the data provide important lessons learned that will be used as information in further investigations.

scholarly journals Sleep, Activity, and Well-Being In Persons With Dementia: Findings From the Healthy Patterns Trial

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 546-546
Author(s):  
Nancy Hodgson ◽  
Darina Petrovsky
Keyword(s):  
Quality Of Life ◽  
Neuropsychiatric Symptoms ◽  
Community Outreach ◽  
Well Being ◽  
Lessons Learned ◽  
Improve Quality ◽  
Home Based ◽  
Wake Patterns ◽  
One Year

Abstract Irregular sleep-wake patterns are common in persons living with dementia (PLWD), pose a great burden to caregivers, and are the principal causes of distress and institutionalization of PLWD. A growing body of research supports the importance of activity-based interventions to reduce the frequency and intensity of sleep wake disruption, reduce neuropsychiatric symptoms, and improve quality of life. To date, there are no studies linking sleep disruption and well-being with the nature and timing of activity. This session focuses on lessons learned from the Healthy Patterns Study - a randomized trial of a home-based activity intervention in 200 dyads of PLWD and their caregivers (NCT03682185). Session 1 focuses on the main findings from the clinical trial. Session 2 focuses on the cultural adaptation of the timed activity protocol to improve quality of life (QOL), improve sleep and reduce neuropsychiatric symptoms in older Latinos Session 3 describes the community outreach efforts used over a one-year period to recruit a diverse sample of PLWD and their caregivers for the Healthy Patterns trial. Session 4 examine the relationship between caregiver mastery and neuropsychiatric symptoms in PLWD. Together these findings highlight the complex role of sleep and wake activity in promoting well-being in persons with dementia.

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