Implementing 3-Step Workout for Life in Home Health

University of Florida

Status: Terminated

Conditions: Disability or Chronic Disease Leading to Disablement; Frailty

Treatments: Other: 3-Step Workout for Life

Study type: Interventional

Funder types: Other

Identifiers

NCT04709783

IRB202001011

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 10 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

Implementation Arm

Experimental group

Description:

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

Treatment:

Other: 3-Step Workout for Life