In 2015, we announced a study with principal investigator Jonathan Bean, MD from Harvard Medical school to test his custom protocol for at-risk seniors using Wellpepper’s interactive care plan solution to deliver the intervention to patients, and for clinicians to monitor those patients. The intervention was based on a successful intervention that Dr. Bean delivered at Spaulding Rehab in Boston called “Live Long Walk Strong.” This intervention was aimed at improving strength and mobility in seniors to help prevent adverse events. The project with Wellpepper, eventually called the REACH study, was to determine whether this type of intervention could be delivered remotely through a mobile interface, which would enable scaling the program to patients who weren’t able to attend in-person sessions (40% of the participants in the original Live Long Walk Strong Program deferred care due to travel requirements), and also decrease costs both for patients and providers. The REACH study used the following process.
We’re pleased to report that the results of the study have now been published, with positive outcomes reported. This was designed as a quasi-experimental trial, where 75 participants were compared to a control group made up of a comparable sample of 100 people from the general population. Outcomes between groups were then compared, with clinically meaningful and statistically significant differences (as defined by P-values) observed in the study group.
Care Plan Intervention
Patients received a strength and conditioning program delivered first through in-person classes, and a mobile application, and then through the mobile application with remote messaging with a healthcare provider. During the last 4 months of the study, patients were left on their own and not monitored by a clinician. The study was designed to address not just physical health but incorporate aspects of motivational behavior change.
- Compared to the control group, participants in the program had a 73% decrease in emergency department visits during a 1-year period
- Clinically meaningful improvements in mobility as recorded in the 6-minute walk test (+.8 meters/second) and Short Physical Performance Battery test (+.69 units)
- 85% of patients were active at least twice per week
- 89% rated application satisfaction at “good to excellent” and would recommend to a friend
- 16-20 percentage point drop off in adherence during the last 4 unmonitored months
The REACH intervention shows positive outcomes in targeting functional decline and the avoidance of adverse event for older primary care adults. The potential benefits should be evaluated and confirmed on a larger scale. If your health system is managing a population that would benefit from an intervention like this, please be in touch.
If you are interested in deploying a solution in your organization based on the protocol used in this study, contact us.