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RehabMove 2018: ACTIVITY AND MOBILITY USING TECHNOLOGY (AMOUNT) REHABILITATION TRIAL- DESCRIPTION OF COMMUNITY PHASE INTERVENTION

Hassett, L.M.; Van den Berg, M.E.L.; Weber, H.; Chagpar, S.; Wong, S.; Rabie, A.; Schurr, K.; McCluskey, M.A.; Lindsey, R.; Crotty, M.; Sherrington, C.


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    <dct:title>RehabMove 2018: ACTIVITY AND MOBILITY USING TECHNOLOGY (AMOUNT) REHABILITATION TRIAL- DESCRIPTION OF COMMUNITY PHASE INTERVENTION</dct:title>
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    <dct:description>&lt;p&gt;&lt;strong&gt;PURPOSE&lt;/strong&gt;: To describe technology use and physiotherapy support provided to participants to improve&lt;br&gt; mobility and physical activity in the community phase of the AMOUNT trial.&lt;br&gt; &lt;strong&gt;METHODS&lt;/strong&gt;: Process evaluation including participants (mean age 70 (SD18)) randomised to the&lt;br&gt; intervention group (n=149). Intervention was additional to standard rehabilitation, prescribed using a&lt;br&gt; protocol which matched games/exercises from eight technologies to the participant&amp;rsquo;s mobility limitations.&lt;br&gt; Technologies included video and computer games/exercises, tablet applications and activity monitors.&lt;br&gt; Participants were taught to use the technologies during inpatient rehabilitation and were then discharged&lt;br&gt; home to use the technologies &amp;ge; 5 days a week for the remainder of the 6-month trial. Trial protocol required&lt;br&gt; the physiotherapist to provide support every 1&amp;ndash;2 weeks using a health coaching approach. Intervention&lt;br&gt; datasheets were audited to determine technology use and frequency, duration, mode and type of support&lt;br&gt; provided.&lt;br&gt; &lt;strong&gt;RESULTS&lt;/strong&gt;: Participants used an average of 2 (SD 1) technologies with 98% participants using an activity&lt;br&gt; monitor. Physiotherapists had contact with participants on average 15 (SD 5) times (approximately every&lt;br&gt; 11 days), consisting of 6 (SD 3) home visits (46 min duration), 8 (SD 4) phone calls (8 min duration) and&lt;br&gt; 1 other (email, video conference, hospital) type of contact. Contact primarily incorporated health coaching&lt;br&gt; (68%) with 8% for technology support. Topics discussed during health coaching included discussing data&lt;br&gt; from prescribed technologies (79%), physical activity and mobility status (70%) and adherence (64%).&lt;br&gt; &lt;strong&gt;CONCLUSIONS&lt;/strong&gt;: Technologies to support ongoing exercise are likely to become increasingly important&lt;br&gt; as the proportion of older people in the population increases and rehabilitation resources become limited.&lt;br&gt; A health coaching model to support technology use post hospitalisation is feasible. Some support can be&lt;br&gt; provided remotely limiting the need for frequent home visits.&lt;/p&gt;</dct:description>
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