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Activity Coaching: A treatment program for increasing activity

Activity Coaching: A treatment program for increasing activity. ACHIEV meeting October 2014. Purpose of today’s presentation. Background on Activity C oaching Update on UW research Recommendations from Steering Committee Next steps Feedback from ACHIEV. PGAP™ at L&I.

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Activity Coaching: A treatment program for increasing activity

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  1. Activity Coaching: A treatment program for increasing activity ACHIEV meeting October 2014

  2. Purpose of today’s presentation • Background on Activity Coaching • Update on UW research • Recommendations from Steering Committee • Next steps • Feedback from ACHIEV

  3. PGAP™ at L&I • Pilot project started January 2012 • 19 trained coaches – all PTs and OTs • Initially only within COHE areas • Now statewide • Added 4 Spanish-speaking coaches in March • >55 interpreters oriented to program 16

  4. Changes in assessment scores – UW Research • Between first, middle and last sessions • Statistically significant decreases in all scales • Scores improved for 50% – 80% of workers

  5. Matching Algorithm - UW • Six month follow-up period • About 44 days more time loss among PGAP subjects • Relative risk of remaining on time loss of about 1.9 times higher for PGAP subjects

  6. Matching Algorithm - Confounders • Pain • Pain interference with work • Function • Disability • Co-morbidities • Severity of injury • Psychosocial - • Fear avoidance • Recovery expectations • Catastrophizing

  7. Discussion • PGAP targets psycho-social issues that have been shown to affect recovery from work-related injuries. • Our research shows that PGAP improves these psycho-social issues, at least in the short-term. • We cannot yet say from our research that PGAP improves a worker's ability to return to work • Confounders • Small sample size • Early in pilot

  8. Success Measures • Increase in activity and function- Coaches have reported increased activity for some participants. • Improvement in psycho-social measures –Statistically significant increases in scores for most workers while they remain in treatment. • Return to work – Cannot isolate from other L&I programs. Small sample size.

  9. What questions are not yet answered? • Increases in activity for PGAP participants? • Improvements in psycho-social measures sustained over time? • Long-term effect of PGAP on return to work? • Other (additional) measures, such as • Are there fewer protests and other friction costs? • Does PGAP move the claim forward?

  10. Recommendations from Steering Cmte. • Continue activity coaching through a phased integration. • Work with Return to Work Svcs. and Claims. • Monitor closely for two years. • Assessment scores • Return to work outcomes • Increase in activity • Coordination and integration with other L&I programs

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