(CME127) Advancing Rehabilitation Paradigms for Older Adults in Skilled Nursing Facilities

Session Summary: This session introduces i-STRONGER, a high-intensity, multicomponent rehabilitation model for older adults in skilled nursing facilities designed to address hospital-associated deconditioning and promote functional recovery. Presenters will share the design and implementation approach of a national cluster-randomized clinical trial involving over 3,000 participants across 32 facilities. The session will cover clinician training, tailoring high-intensity dosing to individual needs, and strategies to support adoption, fidelity, and sustainability. Preliminary implementation experiences will be discussed to inform future application in post-acute care settings. Results of the clinical trial will be available in fall 2025 and will provide important evidence to guide future integration of high-intensity rehabilitation into routine skilled nursing facility practice.