Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions
Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of ComplexHealth Conditions
VA Office of Research and Development
126 participants
Apr 18, 2024
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria3
- years of age and older
- Multiple chronic conditions (Functional Comorbidity Index \> or = 3)
- Impaired physical function (\< or = 8 repetitions on 30 second sit to stand test)
Exclusion Criteria4
- Life expectancy \< 12 months
- Acute or progressive neurological disorder (e.g. amyotrophic lateral sclerosis, recent stroke)
- Moderate to severe dementia (\<11 on telephone Montreal Cognitive Assessment(T-MoCA))
- Medical conditions precluding safe participation in high-intensity rehabilitation (e.g. unstable angina)
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Interventions
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.
Strengthening, balance, functional activities, stretching, breathing, aerobic endurance exercise.
Education on general health topics which may include the following: basic nutrition, stress reduction, sleep hygiene, etc.
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.
Participants in the control condition will be offered a physical therapy consult at the end of their 24 week study involvement.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06288438