EXPANDING RURAL ACCESS TO TELE-ENHANCEFITNESS THROUGH COMMUNITY-ENGAGED DESIGN OF A REFERRAL PATHWAY
2024

Expanding Rural Access to Tele-EnhanceFitness

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): Hoffman Elise, Rensema Elspeth, Adams Leah, Jajko Shannon, Gell Nancy, Belza Basia, Patel Kushang

Primary Institution: University of Washington

Hypothesis

Can Tele-EnhanceFitness improve access and outcomes for rural older adults with chronic pain?

Conclusion

Delivering EnhanceFitness to rural older adults is feasible, but engaging with rural healthcare systems is essential.

Supporting Evidence

  • Median attendance for Tele-EF was 91%.
  • 100% of participants were very satisfied with Tele-EF.
  • 87% of participants completed the program.
  • Pain and physical functioning improved significantly.

Takeaway

This study shows that older people in rural areas can benefit from exercise programs delivered online, but we need to work with local doctors to help them join.

Methodology

The study involved piloting Tele-EF for 12 weeks with rural older adults and assessing referral pathways through interviews.

Limitations

Adoption of the referral pathway was low, with only 4 patients referred over 16 weeks.

Participant Demographics

Rural older adults with knee osteoarthritis.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0998

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