Advancing Rehabilitation Paradigms for Older Adults in Skilled Nursing Facilities: An Effectiveness-Implementation Hybrid Type 1 Clinical Trial Protocol
Abstract
Skilled nursing facility rehabilitation is commonly required to address hospital-associated deconditioning among older adults with medical complexity. In skilled nursing facilities, standard-of-care rehabilitation focuses on low-intensity interventions, which are not designed to sufficiently challenge skeletal muscle and impart functional improvements. In contrast, a high-intensity resistance training approach (IntenSive Therapeutic Rehabilitation for Older NursinG homE Residents; i-STRONGER) in a single-site pilot study resulted in better physical function among patients in skilled nursing facilities. To extend this work, an effectiveness-implementation hybrid type 1 design, cluster-randomized trial will be conducted to compare patient outcomes between 16 skilled nursing facilities utilizing i-STRONGER principles and 16 Usual Care sites.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- May 31, 2023
- Source ID
- 10.1093/ptj/pzad053
Entities
People
- Allison M Kosir
- Daniel J Malone
- Danielle L Derlein
- Donna Diedrich
- Emma Haldane Beisheim
- Jennifer E Stevens-Lapsley
- Jeri E Forster
- Jodi S Holtrop
- Katie A Butera
- Lauren Hinrichs-Kinney
Organizations
- American Cancer Society
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Minneapolis Veterans Affairs Health Care System
- National Center for Advancing Translational Sciences
- National Institutes of Health
- United States Agency for Healthcare Research and Quality
- United States Department of Defense
- United States Department of Veterans Affairs
- University of Colorado
- University of Delaware
- University of Minnesota