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<strong>Thursday</strong>, May 30, 2013<br />

S322 Vol. 45 No. 5 Supplement<br />

1626 Board #218 May 30, 3:30 PM - 5:00 PM<br />

rural Veterans Telerehabilitation Initiative for rural<br />

Veterans with Multiple sclerosis<br />

Sean C. McCoy1 , Toni Chiara1 , Huanguang Jia1 , David Omura2 ,<br />

Charles Levy1 , Paul Hoffman1 . 1Gainesville VAMC, Gainesville,<br />

FL. 2William Jennings Bryan Dorn VAMC, Columbia, SC.<br />

(No relationships reported)<br />

BaCKGrOuNd: Multiple sclerosis (MS) is the most common cause of nontraumatic<br />

disability in young adults. Participation in structured and monitored physical<br />

activity programs found improvements in the functional capacity of persons with<br />

MS. However, access to such programs is limited for some MS patients due to their<br />

geographic locations and/or mobility restraint.<br />

PurPOsE: To evaluate the efficacy of a televideo health care delivery model to<br />

maintain functional capacity in persons with MS while providing a high degree of<br />

patient satisfaction.<br />

METhOds: This is a retrospective evaluation of the Rural Veterans Telerehabilitation<br />

Initiative (RVTRI). All participants of the RVTRI were referred by<br />

local VA primary care providers. The Veterans’ participated in the tele-rehabilitation<br />

program were assessed using the following outcome measures: Montreal Cognitive<br />

Assessment (MOCA), Functional Independence Measure (FIM), Quick DASH,<br />

and health-related quality of life (VR 12), Patient and Provider Satisfaction. These<br />

outcomes were collected both at baseline/admission and discharge. The WilCoxon<br />

signed rank test was applied to compare each outcome measure between baseline and<br />

follow-up scores.<br />

rEsuLTs: The RVTRI included 9 participants with MS (8 male/1 female) aged<br />

between 50-65 years. These participants lived an average 71 miles away from the VA<br />

Medical Center. On the average, they spent 116 days in the program with an average<br />

of 10 visits by the allied professionals (PT, OT, RT). With the RVTRI program, the<br />

travel time saved was an average of 22 hours driving time, 1,300 road miles, and<br />

$537 of reimburseable travel per patient (p

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