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

Author:

Jennings Stephen C.1,Manning Kenneth M.1,Bettger Janet Prvu123,Hall Katherine M.123,Pearson Megan1,Mateas Catalin1,Briggs Brandon C.4,Oursler Krisann K.45,Blanchard Erin6,Lee Cathy C.67,Castle Steven67,Valencia Willy M.89,Katzel Leslie I.1011,Giffuni Jamie1011,Kopp Teresa12,McDonald Michelle13,Harris Rebekah14,Bean Jonathan F.1415,Althuis Katherine1617,Alexander Neil B.1617,Padala Kalpana P.1819,Abbate Lauren M.2021,Wellington Toby20,Kostra James2223,Allsup Kelly22,Forman Daniel E.222324,Tayade Arti S.2526,Wesley Alan D.25,Holder Alice27,Morey Miriam C.12ORCID

Affiliation:

1. VA Health Care System, Durham, NC, USA

2. Duke University Medical Center, Durham, NC, USA

3. Duke University, Durham, NC, USA

4. Salem VA Medical Center, VA, USA

5. Virginia Tech Carilion School of Medicine, Roanoke, USA

6. VA Greater Los Angeles Healthcare System, CA, USA

7. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

8. Miami Healthcare System, FL, USA

9. University of Miami, Miller School of Medicine, FL, USA

10. VA Maryland Health Care System, Baltimore, USA

11. University of Maryland School of Medicine, Baltimore, USA

12. VA Medical Center, Canandaigua, NY, USA

13. VA Pacific Health Care System, Honolulu, HI, USA

14. VA Boston Healthcare System, MA, USA

15. Harvard Medical School, Boston, MA, USA

16. VA Ann Arbor Healthcare System, MI, USA

17. University of Michigan, Ann Arbor, USA

18. Central Arkansas Veterans Healthcare System, Little Rock, USA

19. University of Arkansas for Medical Sciences, Little Rock, USA

20. Eastern Colorado Health Care System, Aurora, USA

21. Unverisity of Colorado, Aurora, USA

22. VA Pittsburgh Healthcare System, PA, USA

23. University of Pittsburgh, PA, USA

24. University of Pittsburgh Medical Center, PA, USA

25. VA Puget Sound Health Care System, Seattle, WA, USA

26. University of Washington, Seattle, USA

27. Cincinnati VA Medical Center, OH, USA

Abstract

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.

Funder

National Institute on Aging

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology

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