Thursday-Abstracts
Thursday-Abstracts
Thursday-Abstracts
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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