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Table 1 Comparison of rehabilitative care paradigm

From: The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial

Current traditional model Proposed New REACH Model
Little to no planned contact with patients between skilled rehab visits Regular contact via phone and the tablet via the App
Significant variability in the quality of visual aids/training for home exercise performance High quality videos of the patients performing the assigned exercises with auditory feedback
Limited course of care over a relatively short period of time (episodic) Care extended over a longer period of time with decreased frequency as patients assume more of their care independently-augmented by the App
Impairment focused interventional strategy targeting limited deficits Function focused interventional strategy targeting comprehensive aspects of mobility
Behavioral change strategies are infrequently utilized in care for older adults Incorporation of behavioral change strategies to encourage long term maintenance and adoption of exercise behaviors
Care typically delivered in one setting per episode of care Mixture of home/outpatient visits to optimize safe, effective exercise performance and highlight environmental concerns
Limited ability to progress the exercise type and intensity as care episodes are of shorter duration Extending the course of care over a longer period of time enabling program progression/modification/ as appropriate and able