NCT04942613

Engaging Medically Complex Veterans in Tele-Rehabilitation Using a Biobehavioral Approach

Engaging Medically Complex Veterans in Tele-Rehabilitation Using a Biobehavioral Approach: A Pilot Study of Feasibly and Acceptability

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (actual)
• Sponsor: VA Office of Research and Development · Federal
• Sex: All
• Age: 60 Years
• Healthy volunteers: Not accepted

Summary

The aims of this study are to determine the feasibility and acceptability of a multicomponent telerehabilitation program for medically complex older Veterans and to preliminarily assess participant outcomes (physical activity, physical function, quality of life, loneliness) to the program.

Detailed description

The aims of this study are to determine the feasibility and acceptability of the multicomponent telerehabilitation program and to preliminarily assess participant outcomes. The multicomponent program/intervention consists of 3 core components: 1) high-intensity rehabilitation interventions, 2) biobehavioral interventions, and 3) social support. The delivery of the program is supported by various technologies allowing for synchronous and asynchronous care and monitoring. Synchronous telerehabilitation will occur individually and in virtual groups. Feasibility and acceptability will be assessed by Veteran adherence to program components and validated surveys. Preliminary responsiveness will be assessed primarily by change in 7-day average step count and secondarily by other physical function tests and patient reported outcome measures. Study findings will have immediate clinical impact as they will guide implementation of safe and effective telerehabilitation strategies for medically complex older Veterans who lack access to standard in-person rehabilitation services.

Conditions

• Multimorbidity
• Physical Deconditioning

Interventions

Type	Name	Description
BEHAVIORAL	Motivational Interviewing Techniques	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.
OTHER	Physical Therapy Interventions	strengthening, balance, functional activities, stretching, breathing, aerobic endurance exercise
OTHER	Education	Education on general health topics which may include the following: basic nutrition, stress reduction, sleep hygiene
OTHER	Qualitative Interview	Qualitative interview to explore patient perspectives of the multicomponent telerehabilitation program (physical therapy, biobehavioral interventions, technology, and social support interventions) and how they contribute to program engagement and participation as well as changes in physical activity.

Timeline

• Start date: 2021-10-22
• Primary completion: 2023-08-07
• Completion: 2023-09-08
• First posted: 2021-06-28
• Last updated: 2025-03-07
• Results posted: 2025-03-07

Locations

1 site across 1 country: United States