Improving Patient Adherence and Outcomes for Aging Adults

presented by J.J. Mowder-Tinney

Accreditation Check:

Recommendations in the APTA Choosing Wisely campaign have noted the importance of not under-dosing strength training in aging adults. This new educational initiative is stressing the importance of matching the intensity and duration of exercise to an individual’s goal and ability. However, to get the amount of repetition needed for improvement, we need patients to design optimal home programs that will facilitate compliance. The emphasis of this course includes strategies of how to prioritize the impairment, design the HEP based off your priority impairment, and choose items that are functional and motivating for the patient.

Meet Your Instructor

  • J.J. Mowder-Tinney, PT, PhD, NCS, C/NDT, CSRS, CEEAA

    J.J. Mowder-Tinney received her Bachelor of Science in Psychology from the University of Colorado, Boulder and her Master of Science in Physical Therapy from the University of Miami in Florida. She completed her doctorate in physical therapy at NOVA Southeastern University. She has over 20 years of experience in a multitude of clinical settings with the majority of experience with people with neuromuscular deficits. She is certified as a clinical specialist in Neurologic Physical Therapy by the American Board of Physical Therapy Specialties (ABPTS). She also has extensive training and is certified in Neuro-Developmental Treatment (NDT), received her Certified Stroke Rehabilitation Specialist (CSRS) certification from the American Stroke Association and her Certified Exercise Expert in Aging Adults certification from the Academy of Geriatric Physical Therapy. She was the recipient of the 2017 Excellence in Education Award from the Academy of Neurologic Physical Therapy. She is currently an Associate Professor at Nazareth College in the physical therapy department. She teaches the Neuromuscular series that incorporates the onsite pro-bono clinic. In addition, she teaches an advanced neuromuscular elective. She has conducted nationwide seminars on the treatment of patients with neurological deficits, spinal cord injuries, balance challenges, Parkinson's Disease, and aging adults.

    Read full bio

Chapters & Learning Objectives

Download Learning Objectives
  1. Patient Adherence

    1. Patient Adherence

    Providing home exercise programs for patients is common practice for therapists. However, compliance and follow through with the programs are commonly not performed. This chapter will review specific strategies that can improve adherence and carryover of home programs.

  2. Interviewing to Identify Challenges

    2. Interviewing to Identify Challenges

    This chapter reviews and practices some specific techniques that have been shown to improve adherence. A review of the components of motivational interviewing will be performed with strategies that can be used in clinic tomorrow.

  3. Ideas for Designing HEP

    3. Ideas for Designing HEP

    This chapter will review a variety of ideas that emphasize the specific impairments of the patient while designing a home program that is fun and safe. The overall goal is to find ways to increase patients’ participation in everyday activities and prevent additional impairments.

  4. Home Exercise Program Support

    4. Home Exercise Program Support

    This chapter will review how the latest technology can be used to motivate and remind your patients about their exercise programs. By building home exercise programs that can be performed with a patient app that tracks adherence, therapists will allow optimal carry over.