一项利用社区伙伴关系转诊的居家老年人上游预防物理治疗（HOP-UP-PT）计划。

A Home-Based Older Person Upstreaming Prevention Physical Therapy (HOP-UP-PT) Program Utilizing Community Partnership Referrals.

作者信息

Wilson Christopher M, Arena Sara K, Adcock Karen, Colling Debra

机构信息

Christopher M. Wilson, PT, DPT, DScPT, is an Assistant Professor, Physical Therapy Program, Oakland University, Rochester, Michigan. Sara K. Arena, PT, MS, DScPT, is an Assistant Professor, Physical Therapy Program, Oakland University, Rochester, Michigan. Karen Adcock, SDC, is Director of Senior Services, City of Auburn Hills-Senior Services Department, Auburn Hills, Michigan. Debra Colling, CYT, was the Health and Wellness Coordinator & Community Liaison, City of Auburn Hills-Senior Services Department, Auburn Hills, Michigan; and is the Program Coordinator, HOP-UP-PT Program, Oakland University, Rochester, Michigan.

出版信息

Home Healthc Now. 2019 Mar/Apr;37(2):88-96. doi: 10.1097/NHH.0000000000000716.

DOI:10.1097/NHH.0000000000000716

PMID:30829786

Abstract

Traditional home healthcare reimbursement models emphasize intervention after a medical or functional issue occurs, and there is little evidence of preventative home-based physical therapy services for those at highest risk of becoming homebound due to illness, injury, or functional limitation. The purpose of this study was to describe the development and initial pilot results of the Home-based Older Person Upstreaming Prevention Physical Therapy (HOP-UP-PT) Program. The prospective observational pilot study included five participants referred from a community center. The HOP-UP-PT Program utilized fall risk, functional, environmental, cognitive, and health-related assessments. Two males and three females aged 73 to 92 years were enrolled. Outcomes suggest that health, functional, and environmental benefits may be achieved when an older person participates in the HOP-UP-PT Program. Safety and health benefits gained by two individuals referred to the program, but who did not meet inclusion criteria, are also reported. Evidence emerging from this pilot study suggests trends toward improved functional outcomes associated with reduced fall risk and customized home-based safety recommendations among older adults participating in the HOP-UP-PT Program.

摘要

传统的居家医疗报销模式强调在医疗或功能问题出现后进行干预，几乎没有证据表明为因疾病、损伤或功能受限而最有可能居家的人群提供预防性居家物理治疗服务。本研究的目的是描述居家老年人上游预防物理治疗（HOP-UP-PT）项目的开展情况和初步试点结果。这项前瞻性观察性试点研究纳入了5名从社区中心转介来的参与者。HOP-UP-PT项目采用了跌倒风险、功能、环境、认知和健康相关评估。招募了两名男性和三名女性，年龄在73至92岁之间。结果表明，老年人参与HOP-UP-PT项目可能会获得健康、功能和环境方面的益处。还报告了两名被转介到该项目但不符合纳入标准的个体所获得的安全和健康益处。这项试点研究得出的证据表明，参与HOP-UP-PT项目的老年人在功能改善方面呈现出一些趋势，包括跌倒风险降低以及获得定制的居家安全建议。