Table 1 Comparison of rehabilitative care paradigm
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 |