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The impact and feasibility of an office-based supervised exercise therapy program for the treatment of peripheral arterial disease with intermittent claudication
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Boyle, Lori. The impact and feasibility of an office-based supervised exercise therapy program for the treatment of peripheral arterial disease with intermittent claudication. Retrieved from https://doi.org/doi:10.7282/t3-6gf5-e927

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TitleThe impact and feasibility of an office-based supervised exercise therapy program for the treatment of peripheral arterial disease with intermittent claudication
NameBoyle, Lori (author); Kwong, Jeffrey (chair); Pennycooke, Owano (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-10 (degree)
SubjectNursing, Intermittent claudication, Office-based, PAD, Peripheral arterial disease, Supervised exercise therapy
Extent49 pages : illustrations
DescriptionPurpose of Project: Supervised Exercise Therapy (SET) has been approved for reimbursement by the Centers for Medicare and Medicaid (CMS) as an intervention for Peripheral Arterial Disease (PAD) with Intermittent Claudication (IC) since May of 2017, yet the United States is behind in utilizing this therapy with an average of only 2% of patients referred nationwide. Failure to use this therapy is partly due to the lack of available SET programs to which patients can be referred. This DNP project sought to evaluate if an office-based SET program would lead to improved referral rates and patient participation in SET.
Methodology: Medical records from a private vascular surgery practice were evaluated to determine if an office-based program had an impact on the rate of referral and patient participation in SET. Medical records (n=50) were reviewed for patients diagnosed with PAD with IC from January 2017 through July 2022 to determine if patients were referred to and participated in a SET program, and when as relevant to the initiation of the office program.
Results: Of the records reviewed, n=8 were diagnosed prior to CMS approval, n=36 after approval but prior to the office program, and n=6 after the office program was initiated. Rates of referral went from 0% to 33% to 100% respectively showing a statistically significant improvement (P <.001). Similar improvement was seen for participation in SET.
Implications for Practice: Office based programs have the potential to increase referrals and participation in SET. The results of this project have the potential to serve as a model for similar office-based programs.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-6gf5-e927
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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