Alpena Otago Telehealth Program

Study Overview
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Brief Summary
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This project is to analyze the outcomes of the Alpena Otago Telehealth Program. The Alpena Senior Citizens Center is implementing the Otago program, an evidence-based, 6-month, home exercise program using live video chats in combination with an online exercise app, Blue Marble. We will recruit seniors who are participants of the Alpena Otago Telehealth Program to allow the study team to analyze their outcomes. The goal of the study is to examine the feasibility and efficacy of a 6-month, home-based, Otago Telehealth program for seniors in Alpena.

Official Title
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Outcomes of Alpena Otago Telehealth Program

Conditions
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Geriatrics, Exercise, Telemedicine

Intervention / Treatment
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* Other: Alpena Otago Telehealth Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: participating in Alpena Otago telehealth program age >= 60 years ability to use a tablet ability to walk at home with or without a cane or walker ability to exercise like moving arms or legs while standing ability to communicate in English and follow instructions ability to provide the consent Exclusion Criteria: advanced neurologic condition severe visual impairments falls due to syncope or dizziness

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Alpena Otago Telehealth Program|A physical therapist will use video visits to evaluate the participants and provide exercise instructions from Week 1 to Week 4. Each participant will use the Blue Marble Health in Motion app from a mobile tablet to complete the exercise guided by an avatar at their own pace after receiving the exercise instructions from the physical therapist. Participants are encouraged to exercise three days a week and 30 minutes each day using the app for 6 months. The exercise protocol based on the evidence-based Otago program includes warm up, strengthening, and balance exercise. 3.5. Research Study Design and Data Analyses:|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Retention rate | Number of participants completing the program | 6 months | 
| Fall Risk Questionnaire (FRQ) | The Fall Risk Questionnaire (FRQ) is a self-reported questionnaire with 12 questions for fall risk factors. Each question is rated 0 for NO (negative) and 1 for YES (positive) for fall risk factor. The sum of scores from all questions is the test score. A FRQ score >=4 indicates increased fall risk. Higher scores correspond to higher fall risk. | 6 months | 
| Activities-specific Balance Scale (ABC) | The Activities-specific Balance Scale (ABC) is a self-reported questionnaire of balance confidence during daily activities with 16 items. Each item is rated from 0% (NO confidence) to 100% (Completely confident) on maintaining balance for a daily task. The average of scores from all items is the test score. An ABC score <=67% indicates increased fall risk. Lower scores correspond to high worse balance confidence and higher fall risk. | 6 months | 
| PROMIS Global Health Scale v1.2 (PROMIS) | The PROMIS Global Health Scale v1.2 (PROMIS) is a self-reported questionnaire for health-related quality of life in physical and mental health domains. | 6 months | 
| Exercise adherence | Number of exercise trials completed by each participant | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30-Second Chair Stand Test (30CST) | The 30-Second Chair Stand Test (30CST) measures functional lower extremity strength. | 6 months | 
| Timed Up and Go (TUG) | The Timed Up and Go (TUG) measures the time it takes a person to rise up form a chair, walk 10 feet at a normal pace, turn around and sit back down in the chair with or without a mobility device. The test measures mobility. | 6 months | 
| Canadian Occupational Performance Measure (COPM) | The Canadian Occupational Performance Measure (COPM) is a questionnaire of difficulty in activities of daily living. Participants are asked to identify daily activities, work, or leisure activities which they want to do, need to do, or are expected to do on a typical day. | 6 months | 
| Program acceptance | Program acceptance is a semi-structured questionnaire about the participant's satisfaction and acceptance of program. The participants rate their opinions about the expectation, easy of use, perceived benefits and effectiveness of the exercise program on a scale of 1 to 4 (1 = Strongly disagree, 2 = Disagree, 3 = Agree, 4= Strongly Agree). There are two open-questions about the frequency of exercise per week and suggestions for program improvement. | 6 months |