Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions

Part of paid clinical trials in Aurora, Colorado.

Sponsor
VA Office of Research and Development
Study ID
NCT06288438
Status
Recruiting
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Conditions

  • Multimorbidity
  • Physical Deconditioning

Eligibility Criteria

Sex
ALL
Age
60 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Motivational Interviewing Techniques — BEHAVIORAL
    Motivational Interviewing Techniques including but not limited to open-ended questions, reflection, affirmations, and summary will be used to build participant rapport, support behavior change (physical activity), and facilitate program engagement.
  • Physical Therapy Interventions — OTHER
    Strengthening, balance, functional activities, stretching, breathing, aerobic endurance exercise.
  • Education — OTHER
    Education on general health topics which may include the following: basic nutrition, stress reduction, sleep hygiene, etc.
  • Health Status Updates — OTHER
    Health Status Updates will be completed by a trained assessor. The assessor will ask about adverse events, general health topics, medication changes, and changes in social circumstances.
  • Physical Therapy Consult — OTHER
    Participants in the control condition will be offered a physical therapy consult at the end of their 24 week study involvement.

Study Details

Medically complex older Veterans are at greater risk for progressive declines in physical function, lower quality of life, and increasing care needs. Additionally, older Veterans experience social isolation and loneliness, and have low levels of physical activity. While the Veterans Health Administration has established programs to address rehabilitation needs, these programs tend to be diagnosis-focused, lack self-management approaches, include low-intensity rehabilitation, and typically require in-person attendance. A MultiComponent TeleRehabilitation (MCTR) program that includes high-intensity rehabilitation and self-management interventions, social support, and telehealth and technology supports may be more effective in improving and sustaining physical function for older Veterans with complex health conditions. Therefore, this project is designed to determine whether the MCTR program improves strength and physical function more effectively than traditional interventions.

Key Dates

Start date
Apr 18, 2024
Status verified
Feb 2026
Primary completion
Nov 2, 2026
Completion
Mar 31, 2028

Study Design

Enrollment
126 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Multicomponent Telerehabilitation Intervention (Group 1)
    Veterans randomized to the MCTR group will complete the 24-week study intervention consisting of the Active (weeks 1-6), Transition (weeks 7-12), and Sustainability (weeks 13-24) phases. Participants will receive a total of 16 individual sessions (6 integrated, 4 high-intensity rehabilitation, and 6 self-management intervention sessions).
  • Other: Education Control (Group 2)
    This group will not receive any exercise intervention but will complete 16 sessions with research staff through videoconferencing. These visits will consist of standardized Health Status Update and education sessions on general health topics.

Primary Outcome Measure

2 Minute Step Test [ Time Frame: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group. ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Rocky Mountain Regional VA Medical Center, Aurora, COAuroraColorado80045-7211
Jennifer E Stevens-Lapsley, PhD
[email protected]
303-949-9304
Jennifer E. Stevens-Lapsley, PhD (PRINCIPAL_INVESTIGATOR)

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Rocky Mountain Regional VA Medical Center, Aurora, CO· Aurora, CO

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