inmate mobility as measured by pedometers at the federal medical center - lexington, kentucky lcdr...

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Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS, Cert MDT

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Page 1: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Inmate mobility as measured by pedometers at the Federal Medical

Center - Lexington, Kentucky

LCDR Alex Brenner, PT, DPT, OCSCDR Fred Lief, PT, DPT, OCS, Cert MDT

Page 2: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Agenda

• FMC-Lexington

• Overview of research with inmates in the BOP

• Inmate Mobility at FMC-LEX

Page 3: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

FMC-LEX

Page 4: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

FMC-LEX (cont)

Page 5: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Research in the BOP

• Program Statements– 1070.07 Research– 28 CFR 46 Protection of Human Subjects

• Local Policy

Page 6: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

ProcedureResearcher

Written Proposal

Contact Local ResearchReview Board (IRB)

IRB Meets to review proposal

Research Proposal Accepted

Warden

Regional Director

Central Office(Bureau Research Review Board)

Director, BOP

Page 7: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Pitfalls Overcoming Pitfalls

• Inconsistencies with Program Statement

• Slow process• Too many “desks”• Difficult to find anyone

with answers

• Ask a lot of questions• “Squeaky wheel”• Be persistent• Simply follow the

rules

Page 8: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Inmate Mobility Intro

• Purpose / Background

Page 9: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Methods

• Subject recruitment– 10 from each housing unit, 1 from Special Housing

Unit (SHU)

• Informed consent• Pedometer

– Yamax Digi-walker SW-701– Instruction/practice

• Personal Logs

Page 10: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Results

17107 1647515473 15223 14599

6350

744

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

1

Housing Units

Average Steps by Housing Unit

Mary Todd Anteus Cardinal Younity Bluegrass HCU SHU

Page 11: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Discussion

• Housing Unit Locations

• Age

• Health of inmate

• Misconception of Confinement

Page 12: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Discussion• SHU Considerations

Page 13: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

What to take from the data?

• Target HCU and SHU for exercise promotion and education

• Map out walking distances within the prison– Track– SHU Cell

• Pursue authorizing pedometers in prison

Page 14: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Limitations / Future direction

• Future research– Corroborate findings in large sample– BOP Staff– Plausibility of applying to other populations

• Indian Tribes etc

Page 15: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

Questions?

Page 16: Inmate mobility as measured by pedometers at the Federal Medical Center - Lexington, Kentucky LCDR Alex Brenner, PT, DPT, OCS CDR Fred Lief, PT, DPT, OCS,

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