Abstract
A randomized controlled pre-post intervention study was undertaken to assess changes in task self-efficacy after a four-week intervention protocol. The intervention groups received once-weekly, one-hour therapy sessions targeting 3 mobility and 3 transfer tasks delivered either by Traditional In-Home Therapy or remote interactive Tele-Technology. Participants completed a 10-item, Likert scale measure of task self-efficacy at enrollment and after four weeks. Overall the intervention groups had a statistically significant increase in self-efficacy compared to the control. Comparisons between the two treatment delivery methods showed a medium standardized effect size (SES) in both groups compared to controls, although it did not reach statistical significance for the Tele group (SES Tele 0.35 [-2.5-.95]; Trad 0.54 [0.06-1.14]). Although further study is needed, this trend towards increased self-efficacy irrespective of the mode of rehabilitation delivery suggests that tele-rehabilitation can be a viable alternative to traditional in-home therapy.
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References
Leveille, S.G., Wagner, E.H., Davis, C., et al.: Preventing disability and managing chronic illness in frail older adults: A randomized trial of a community-based partnership with primary care. J. Am. Geriatr. Soc. 46, 1191–1198 (1998)
Gill, T.M., Baker, D.I., Gottschalk, P.T., et al.: A program to prevent functional decline in physically frail, elderly persons who live at home. NE J. Med. 347, 1068–1074 (2002)
Stuck, A.E., Eggerr, M., Hammer, A., et al.: Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis. J. Am. Med. Dir. Assoc. 287, 1022–1028 (2002)
Resnick, B.: Geriatric Rehabilitation: the influence of efficacy beliefs and motivation. Rehab. Nurs. 27(4), 152–159 (2002)
Li, F., Harmer, P., McAuley, E., et al.: Tai Chi, Self-efficacy, and physical function in the elderly. Prevent. Sci. 2(4), 229–239 (2001)
Resnick, B.: Functional performance and exercises of older adults in long term care settings. J. Gerontol. Nurs. 26(3), 7–16 (2000)
Tinetti, M.E., Richman, D., Powell, L.: Falls Efficacy as a measure of fear of falling. J. Gerontol. 45, 239–243 (1990)
Fuzhong, L., Mcauley, E., Fisher, K.J., et al.: Self-Efficacy as a mediator between fear of falling and functional ability in the elderly. J. Aging and Health 14(4), 452–466 (2002)
Li, F., Harmer, P., McAuley, E., et al.: Tai Chi, Self-efficacy, and physical function in the elderly. Prevention Science 2(4), 229–239 (2001)
Fortinsky, R.H., Bohannon, R.W., Litt, M.D., et al.: Rehabilitation therapy self-efficacy and functional recovery after hip fracture. Intl. J. Rehab. Res. 25(3), 241–246 (2002)
Hardy, S.E., Gill, T.M.: Factors associated with recovery of independence among newly disabled older persons. Archives of Internal Med. 165(1), 106–112 (2005)
Gill, T.M., Robinson, J.T., Tinetti, M.E.: Predictors of recovery in activities of daily living (ADLs) among disabled older persons living in the community. J. General Internal Medicine 12, 757–762 (1997)
Sanford, J.A., Jones, M.L., Daviou, P., et al.: Using telerehabilitation to identify home modification needs. Assistive Technology 16, 43–53 (2004)
Sanford, J.A., Butterfield, T.: Using remote assessment to provide home modification services to underserved elders. Gerontologist 45, 389–398 (2005)
Jorstad, E.C., Klaus, H., Becker, C., et al.: Measuring the psychological outcomes of falling: A systematic review. J. Am. Ger. Soc. 53, 501–510 (2005)
Tinetti, M.E., Merides DeLeon, C., Doucette, J., et al.: Fear of falling and fall-related self-efficacy in relationship to functioning among community-living elderly. J. Gerontol. 49, 140–147 (1994)
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© 2012 Springer-Verlag Berlin Heidelberg
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Sanford, J.A., Griffiths, P.C., Hoenig, H. (2012). Effects of In-home Tele-Rehabilitation on Task Self-efficacy in Mobility Impaired Adults. In: Donnelly, M., Paggetti, C., Nugent, C., Mokhtari, M. (eds) Impact Analysis of Solutions for Chronic Disease Prevention and Management. ICOST 2012. Lecture Notes in Computer Science, vol 7251. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30779-9_7
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DOI: https://doi.org/10.1007/978-3-642-30779-9_7
Publisher Name: Springer, Berlin, Heidelberg
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