Scholars@Duke
Helen Marie Hoenig

Helen Marie Hoenig

Professor Emeritus of Medicine
Medicine, Geriatrics and Palliative Care
Duke Box 3003, Durham, NC 27710
ORCID iDhttps://orcid.org/0000-0002-6682-2627
Rehab SVC (117), VA Med Ctr, 508 Fulton St, Durham, NC 27705

Featured Works

Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation.

Journal article Crit Care Med · April 2012 Featured Work BACKGROUND: Millions of patients who survive medical and surgical general intensive care unit care every year experience newly acquired long-term cognitive impairment and profound physical and functional disabilities. To overcome the current reality in whi ... Full text Link to item Cite

Lower extremity physical performance, self-reported mobility difficulty, and use of compensatory strategies for mobility by elderly women.

Journal article Arch Phys Med Rehabil · February 2011 Featured Work OBJECTIVE: To describe the relationship between lower extremity physical performance, self-reported mobility difficulty, and self-reported use of compensatory strategies (CSs) for mobility inside the home. DESIGN: Cross-sectional exploratory study. SETTING ... Full text Link to item Cite

Medical utilization and cost outcomes for poststroke veterans who receive assistive technology devices from the Veterans Health Administration.

Journal article J Rehabil Res Dev · 2011 Featured Work The study objectives were to (1) advance understanding of the relationship between provision of assistive technology devices (ATDs) and healthcare consumption and outcomes in a system that does not limit provision of ATDs to in-home use and (2) determine h ... Full text Link to item Cite

Effect of new disability subtype on 3-year mortality in Chinese older adults.

Journal article J Am Geriatr Soc · October 2010 Featured Work OBJECTIVES: To examine a new method of classifying disability subtypes by combining self-reported and performance-based tools to predict mortality in older Chinese adults. DESIGN: Prospective cohort study. SETTING: Community-dwelling older adults. PARTICIP ... Full text Link to item Cite

Cost, utilization, and policy of provision of assistive technology devices to veterans poststroke by Medicare and VA.

Journal article Med Care · June 2010 Featured Work BACKGROUND: The increase in provision of assistive technology devices (ATDs) has spurred controversy over Medicare policy aimed at reducing cost-policy that forces social isolation and conflicts with legislation, facilitating participation for individuals ... Full text Link to item Cite

Associations of environmental factors with elderly health and mortality in China.

Journal article Am J Public Health · February 2010 Featured Work OBJECTIVES: We examined the effects of community socioeconomic conditions, air pollution, and the physical environment on elderly health and survival in China. METHODS: We analyzed data from a nationally representative sample of 15 973 elderly residents of ... Full text Link to item Cite

Conceptual overview of frameworks for measuring quality in rehabilitation.

Journal article Top Stroke Rehabil · 2010 Featured Work This article reviews theories and conceptual models that may be helpful in evaluating quality of care in rehabilitation, with a focus on the seminal Donabedian model of structure, process, and outcomes. In addition, this article reviews a variety of new th ... Full text Link to item Cite

Incidence of fractures in a cohort of veterans with chronic multiple sclerosis or traumatic spinal cord injury.

Journal article Arch Phys Med Rehabil · February 2008 Featured Work OBJECTIVE: To measure skeletal fractures in a cohort of veterans with spinal cord dysfunction (SCD) due to multiple sclerosis (MS) or trauma-related spinal cord injury (SCI). DESIGN: Retrospective cohort analysis. SETTING: Database search. PARTICIPANTS: St ... Full text Link to item Cite

Wheelchair use by veterans newly prescribed a manual wheelchair.

Journal article Arch Phys Med Rehabil · April 2007 Featured Work OBJECTIVE: To describe the characteristics of the wheelchairs, the users, and their wheelchair use among persons newly prescribed a manual wheelchair. DESIGN: Cohort study. SETTING: Veterans Affairs teaching hospital. PARTICIPANTS: Ninety-nine consecutive, ... Full text Link to item Cite

Effect of motorized scooters on physical performance and mobility: a randomized clinical trial.

Journal article Arch Phys Med Rehabil · March 2007 Featured Work OBJECTIVE: To investigate the effects of providing a motorized scooter on physical performance and mobility. DESIGN: Randomized clinical trial comparing scooter users with usual care. SETTING: One academic and 1 Veterans Affairs medical center. PARTICIPANT ... Full text Link to item Cite

The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial.

Journal article J Am Geriatr Soc · November 2006 Featured Work OBJECTIVES: To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. DESIGN: Randomized, clinical trial. SETTING: One Department ... Full text Link to item Cite

Access to health care services for the disabled elderly.

Journal article Health Serv Res · June 2006 Featured Work OBJECTIVE: To determine whether difficulty walking and the strategies persons use to compensate for this deficit influenced downstream Medicare expenditures. DATA SOURCE: Secondary data analysis of Medicare claims data (1999-2000) for age-eligible Medicare ... Full text Link to item Cite

Lower extremity physical performance and use of compensatory strategies for mobility.

Journal article J Am Geriatr Soc · February 2006 Featured Work OBJECTIVES: To compare measured lower extremity physical performance in the clinic with the methods used to carry out mobility tasks at home and to identify key factors influencing day-to-day task performance. DESIGN: Cross-sectional analysis of the Women' ... Full text Link to item Cite

A clinical trial of a rehabilitation expert clinician versus usual care for providing manual wheelchairs.

Journal article J Am Geriatr Soc · October 2005 Featured Work OBJECTIVES: To determine the effect of differing methods of dispensing wheelchairs. DESIGN: Quasi-experimental by day of week. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: Eighty-four community-dwelling, cognitively intact patients ... Full text Link to item Cite

The effect of equipment usage and residual task difficulty on use of personal assistance, days in bed, and nursing home placement.

Journal article J Am Geriatr Soc · January 2004 Featured Work OBJECTIVES: To determine whether residual difficulty in functioning in spite of equipment use is linked with increased use of personal assistance. DESIGN: Longitudinal. Two waves of the Asset and Health Dynamics Among the Oldest Old (AHEAD) database were u ... Full text Link to item Cite

Structure, process, and outcomes in stroke rehabilitation.

Journal article Med Care · November 2002 Featured Work BACKGROUND: The health services research framework of structure, process, and outcome is used commonly to examine quality of care, and it indicates that structure influences process, which in turn influences outcomes. However, little empirical work has bee ... Full text Link to item Cite

Postacute stroke guideline compliance is associated with greater patient satisfaction.

Journal article Arch Phys Med Rehabil · June 2002 Featured Work OBJECTIVE: To determine if the structure of care or the process of stroke care, as measured by compliance with stroke guidelines published by the Agency for Healthcare Research and Quality (AHRQ), is associated with patient satisfaction. DESIGN: Prospectiv ... Full text Link to item Cite

Wheelchair users are not necessarily wheelchair bound.

Journal article J Am Geriatr Soc · April 2002 Featured Work OBJECTIVES: To determine the patterns of wheelchair use in terms of locations of use, whether wheelchair use in one location was related to wheelchair use in other locations, and factors associated with wheelchair use in different locations. DESIGN: Longit ... Full text Link to item Cite

Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke.

Journal article Stroke · January 2002 Featured Work BACKGROUND AND PURPOSE: The purpose of this study was to determine if compliance with poststroke rehabilitation guidelines was associated with better functional outcomes. METHODS: An inception cohort of 288 stroke patients in 11 Department of Veteran Affai ... Full text Link to item Cite

The self-reported functional measure: Predictive validity for health care utilization in multiple sclerosis and spinal cord injury.

Journal article Arch Phys Med Rehabil · May 2001 Featured Work OBJECTIVE: To examine the predictive validity of the Self-Reported Functional Measure (SRFM), a new measure derived from the FIMtrade mark instrument, for health care utilization in multiple sclerosis (MS) and spinal cord injury (SCI). DESIGN: Prospective ... Full text Link to item Cite

Differences in rehabilitation services and outcomes among stroke patients cared for in veterans hospitals.

Journal article Health Serv Res · February 2001 Featured Work OBJECTIVE: To examine the relationship of services for post-acute care (PAC) to stroke patient outcomes. DATA SOURCES/STUDY SETTING: Veterans Health Administration (VHA) hospitals from two facility-level surveys and extant data files. STUDY DESIGN: Cross-s ... Link to item Cite

A taxonomy for classification of stroke rehabilitation services.

Journal article Arch Phys Med Rehabil · July 2000 Featured Work OBJECTIVE: To develop a taxonomy for use in measuring stroke rehabilitation services. DESIGN: A cross-sectional study using facility-level survey data and extant data files. SETTING: Veterans Administration medical centers (VAMCs). VARIABLES: (1) A list of ... Full text Link to item Cite

The validity in persons with spinal cord injury of a self-reported functional measure derived from the functional independence measure.

Journal article Spine (Phila Pa 1976) · March 15, 1999 Featured Work STUDY DESIGN: A cross-sectional, mailed survey on impairment and function using 6361 respondents to the Spinal Cord Dysfunction National Veterans Survey who reported spinal cord injury as the sole cause of their spinal cord dysfunction. OBJECTIVES: To esta ... Full text Link to item Cite

Developing a national registry of veterans with spinal cord dysfunction: experiences and implications.

Journal article Spinal Cord · January 1998 Featured Work We describe the development of a registry of veterans with spinal cord dysfunction who have been treated within the Department of Veterans Affairs health care facilities. The registry departs from the function and structure of traditional registries by a m ... Full text Link to item Cite

Geriatric rehabilitation: state of the art.

Journal article J Am Geriatr Soc · November 1997 Featured Work OBJECTIVES: To provide a clinically useful conceptual framework for the evaluation and treatment of disability in older persons, to review the rehabilitation of common conditions affecting function in older persons, and to discuss the effects of the ongoin ... Full text Link to item Cite

What is the role of timing in the surgical and rehabilitative care of community-dwelling older persons with acute hip fracture?

Journal article Arch Intern Med · March 10, 1997 Featured Work OBJECTIVE: To determine the relationship of surgical repair of acute hip fracture within 2 days of hospital admission, followed by more than 5 sessions per week of physical and occupational therapy (PT/OT), to outcomes after acute hip fracture. DESIGN: Com ... Link to item Cite

Rehabilitation after hip fracture--equal opportunity for all?

Journal article Arch Phys Med Rehabil · January 1996 Featured Work OBJECTIVES: To determine whether factors unrelated to clinical appropriateness affect use of physical and occupational therapy (PT/OT) in elderly Medicare patients with acute hip fracture. DESIGN: Bivariate and multivariate analysis of detailed clinical da ... Full text Link to item Cite

A randomized controlled trial of home exercise on the rheumatoid hand.

Journal article J Rheumatol · May 1993 Featured Work OBJECTIVE: To study differing home hand exercise interventions to determine effects on grip strength, and secondarily any immediate or short term effects on range of motion, pain, deformities, hand disease activity, and dexterity. METHODS: Randomized contr ... Link to item Cite

Patient-related predictors of rehabilitation use for community-dwelling older Americans.

Journal article J Am Geriatr Soc · April 1992 Featured Work OBJECTIVE: To determine patient factors that predict use of physical or occupational therapy (PT/OT) services by elderly people. DESIGN: Time-series study of the relationship of PT/OT use to a variety of characteristics present at baseline. PARTICIPANTS: E ... Full text Link to item Cite