Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19

Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid...

Full description

Bibliographic Details
Main Authors: Stephen C. Jennings MS, Kenneth M. Manning MS, Janet Prvu Bettger ScD, Katherine M. Hall PhD, Megan Pearson MA, Catalin Mateas BS, Brandon C. Briggs MS, Krisann K. Oursler MD, Erin Blanchard MS, Cathy C. Lee MD, Steven Castle MD, Willy M. Valencia MD, Leslie I. Katzel MD, Jamie Giffuni MA, Teresa Kopp MBA, PT, Michelle McDonald BA, OT, Rebekah Harris PT, DPT, Jonathan F. Bean MD, MPH, Katherine Althuis MS, Neil B. Alexander MD, Kalpana P. Padala MD, MS, Lauren M. Abbate MD, PhD, Toby Wellington MS, James Kostra MS, Kelly Allsup MS, Daniel E. Forman MD, Arti S. Tayade MD, Alan D. Wesley BA, Alice Holder PT, Miriam C. Morey PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-12-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/2333721420980313
_version_ 1818950026688200704
author Stephen C. Jennings MS
Kenneth M. Manning MS
Janet Prvu Bettger ScD
Katherine M. Hall PhD
Megan Pearson MA
Catalin Mateas BS
Brandon C. Briggs MS
Krisann K. Oursler MD
Erin Blanchard MS
Cathy C. Lee MD
Steven Castle MD
Willy M. Valencia MD
Leslie I. Katzel MD
Jamie Giffuni MA
Teresa Kopp MBA, PT
Michelle McDonald BA, OT
Rebekah Harris PT, DPT
Jonathan F. Bean MD, MPH
Katherine Althuis MS
Neil B. Alexander MD
Kalpana P. Padala MD, MS
Lauren M. Abbate MD, PhD
Toby Wellington MS
James Kostra MS
Kelly Allsup MS
Daniel E. Forman MD
Arti S. Tayade MD
Alan D. Wesley BA
Alice Holder PT
Miriam C. Morey PhD
author_facet Stephen C. Jennings MS
Kenneth M. Manning MS
Janet Prvu Bettger ScD
Katherine M. Hall PhD
Megan Pearson MA
Catalin Mateas BS
Brandon C. Briggs MS
Krisann K. Oursler MD
Erin Blanchard MS
Cathy C. Lee MD
Steven Castle MD
Willy M. Valencia MD
Leslie I. Katzel MD
Jamie Giffuni MA
Teresa Kopp MBA, PT
Michelle McDonald BA, OT
Rebekah Harris PT, DPT
Jonathan F. Bean MD, MPH
Katherine Althuis MS
Neil B. Alexander MD
Kalpana P. Padala MD, MS
Lauren M. Abbate MD, PhD
Toby Wellington MS
James Kostra MS
Kelly Allsup MS
Daniel E. Forman MD
Arti S. Tayade MD
Alan D. Wesley BA
Alice Holder PT
Miriam C. Morey PhD
author_sort Stephen C. Jennings MS
collection DOAJ
description Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.
first_indexed 2024-12-20T09:12:03Z
format Article
id doaj.art-c38b01ebae544e3384fab40ae3ac6198
institution Directory Open Access Journal
issn 2333-7214
language English
last_indexed 2024-12-20T09:12:03Z
publishDate 2020-12-01
publisher SAGE Publishing
record_format Article
series Gerontology and Geriatric Medicine
spelling doaj.art-c38b01ebae544e3384fab40ae3ac61982022-12-21T19:45:31ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142020-12-01610.1177/2333721420980313Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19Stephen C. Jennings MS0Kenneth M. Manning MS1Janet Prvu Bettger ScD2Katherine M. Hall PhD3Megan Pearson MA4Catalin Mateas BS5Brandon C. Briggs MS6Krisann K. Oursler MD7Erin Blanchard MS8Cathy C. Lee MD9Steven Castle MD10Willy M. Valencia MD11Leslie I. Katzel MD12Jamie Giffuni MA13Teresa Kopp MBA, PT14Michelle McDonald BA, OT15Rebekah Harris PT, DPT16Jonathan F. Bean MD, MPH17Katherine Althuis MS18Neil B. Alexander MD19Kalpana P. Padala MD, MS20Lauren M. Abbate MD, PhD21Toby Wellington MS22James Kostra MS23Kelly Allsup MS24Daniel E. Forman MD25Arti S. Tayade MD26Alan D. Wesley BA27Alice Holder PT28Miriam C. Morey PhD29VA Health Care System, Durham, NC, USAVA Health Care System, Durham, NC, USADuke University, Durham, NC, USADuke University, Durham, NC, USAVA Health Care System, Durham, NC, USAVA Health Care System, Durham, NC, USASalem VA Medical Center, VA, USAVirginia Tech Carilion School of Medicine, Roanoke, USAVA Greater Los Angeles Healthcare System, CA, USADavid Geffen School of Medicine at UCLA, Los Angeles, CA, USADavid Geffen School of Medicine at UCLA, Los Angeles, CA, USAUniversity of Miami, Miller School of Medicine, FL, USAUniversity of Maryland School of Medicine, Baltimore, USAUniversity of Maryland School of Medicine, Baltimore, USAVA Medical Center, Canandaigua, NY, USAVA Pacific Health Care System, Honolulu, HI, USAVA Boston Healthcare System, MA, USAHarvard Medical School, Boston, MA, USAUniversity of Michigan, Ann Arbor, USAUniversity of Michigan, Ann Arbor, USAUniversity of Arkansas for Medical Sciences, Little Rock, USAUnverisity of Colorado, Aurora, USAEastern Colorado Health Care System, Aurora, USAUniversity of Pittsburgh, PA, USAVA Pittsburgh Healthcare System, PA, USAUniversity of Pittsburgh Medical Center, PA, USAUniversity of Washington, Seattle, USAVA Puget Sound Health Care System, Seattle, WA, USACincinnati VA Medical Center, OH, USADuke University Medical Center, Durham, NC, USAExercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.https://doi.org/10.1177/2333721420980313
spellingShingle Stephen C. Jennings MS
Kenneth M. Manning MS
Janet Prvu Bettger ScD
Katherine M. Hall PhD
Megan Pearson MA
Catalin Mateas BS
Brandon C. Briggs MS
Krisann K. Oursler MD
Erin Blanchard MS
Cathy C. Lee MD
Steven Castle MD
Willy M. Valencia MD
Leslie I. Katzel MD
Jamie Giffuni MA
Teresa Kopp MBA, PT
Michelle McDonald BA, OT
Rebekah Harris PT, DPT
Jonathan F. Bean MD, MPH
Katherine Althuis MS
Neil B. Alexander MD
Kalpana P. Padala MD, MS
Lauren M. Abbate MD, PhD
Toby Wellington MS
James Kostra MS
Kelly Allsup MS
Daniel E. Forman MD
Arti S. Tayade MD
Alan D. Wesley BA
Alice Holder PT
Miriam C. Morey PhD
Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
Gerontology and Geriatric Medicine
title Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
title_full Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
title_fullStr Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
title_full_unstemmed Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
title_short Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19
title_sort rapid transition to telehealth group exercise and functional assessments in response to covid 19
url https://doi.org/10.1177/2333721420980313
work_keys_str_mv AT stephencjenningsms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT kennethmmanningms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT janetprvubettgerscd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT katherinemhallphd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT meganpearsonma rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT catalinmateasbs rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT brandoncbriggsms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT krisannkourslermd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT erinblanchardms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT cathycleemd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT stevencastlemd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT willymvalenciamd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT leslieikatzelmd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT jamiegiffunima rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT teresakoppmbapt rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT michellemcdonaldbaot rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT rebekahharrisptdpt rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT jonathanfbeanmdmph rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT katherinealthuisms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT neilbalexandermd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT kalpanappadalamdms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT laurenmabbatemdphd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT tobywellingtonms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT jameskostrams rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT kellyallsupms rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT danieleformanmd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT artistayademd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT alandwesleyba rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT aliceholderpt rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19
AT miriamcmoreyphd rapidtransitiontotelehealthgroupexerciseandfunctionalassessmentsinresponsetocovid19