Authors

  1. Wilson, Christopher PT, DPT, DScPT
  2. Arena, Sara K. PT, MS, DScPT
  3. Starceski, Rose PT, DPT
  4. Swanson, Kaleigh PT, DPT

Abstract

The purpose of this study was to describe self-reported outcomes and perceptions of community-dwelling older adults who participated in a 6-month prevention-focused home care physical therapy program entitled Home-based Older Persons Upstreaming Prevention Physical Therapy (HOP-UP-PT). A 17-question telephone survey was offered 1 to 3 months after program completion to HOP-UP-PT participants who completed a minimum of three visits. Self-reported fall outcomes, healthcare utilization outcomes, perceptions of interventions, and financial perceptions were descriptively analyzed. There were 18 survey respondents (9 male, 9 female, mean age = 79 years). No falls were reported by 15 respondents and 3 reported 1 to 2 falls without injury. Seventeen participants reported no hospitalizations, one reported only overnight emergency room observation, and no participants reported requiring physical therapy. Participants reported benefits of: activity trackers (18/18), fall-prevention exercises (17/18), and electronic blood pressure monitor use (13/18). Despite reported benefits, participants indicated an inability/unwillingness to privately pay for the program with fixed incomes identified as the rationale for this response. Future considerations for third-party reimbursement warrants examination given older adults may have limitations in disposable income. The findings of this study suggest efficacy of HOP-UP-PT may translate to participant satisfaction and positive health and behavior changes after participation.