A Physical Therapy Mobility Checkup for Older Adults: Feasibility and Participant Preferences From a Discrete Choice Experiment.

Autor:	Lieberz D; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN., Borgeson H; St. Luke's Medical Clinic, Mountain Iron, MN., Dobson S; Therapeutic Associates Physical Therapy, Eugene, OR., Ewings L; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN., Johnson K; Big Stone Therapies, Inc., Marshall, MN., Klaysmat K; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN., Schultz A; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN., Tasson R; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN., Borstad AL; Department of Physical Therapy, The College of St. Scholastica, Duluth, MN.
Jazyk:	angličtina
Zdroj:	Journal of patient-centered research and reviews [J Patient Cent Res Rev] 2022 Jan 17; Vol. 9 (1), pp. 24-34. Date of Electronic Publication: 2022 Jan 17 (Print Publication: 2022).
DOI:	10.17294/2330-0698.1874
Abstrakt:	Purpose: Physical performance measures, like walking speed, identify and predict preclinical mobility disability but are rarely used in routine medical care. A preventive model of care called Mobility Checkup is being designed to reduce mobility disability in older adults. This study had two purposes: 1) determine feasibility and outcomes of the Mobility Checkup, and 2) identify preferences of older adults regarding this model of care using a discrete choice experiment. Methods: Adults over 55 years of age were recruited from the community. In the study's first phase, participants completed a Mobility Checkup, with feasibility evaluated using 6 criteria. In the second phase, a new sample of older adults (>55 years old) were educated about the Mobility Checkup and then completed a discrete choice experiment to determine their preferences regarding 4 attributes of this care model: cost, visit duration, desired education topic, and style of educational graphic. Results: Each study phase was completed by 31 participants. Of the 6 feasibility criteria, 5 were met. Visit duration exceeded the 60-minute criteria for 13 of the 31 participants. Still, 91% of participants were very satisfied with the Mobility Checkup. Ability to transition positions identified preclinical mobility disability most frequently. A 30-minute visit with no out-of-pocket cost was deemed preferred. Conclusions: Older adults value knowing what physical performance measurements predict about their general health. Transitions should be evaluated as part of a Mobility Checkup for older adults. Clearly conveyed cost of health care service is important to older adult consumers. Competing Interests: Conflicts of Interest None. (© 2022 Aurora Health Care, Inc.)
Databáze:	MEDLINE
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