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Completed

NCT Number: NCT00386256

Home Telerehabilitation for Deconditioned Older Adults

The purpose of this study is to develop a home exercise program for patients 60 years of age and over who are deconditioned following their discharge from the hospital, or recruited from GLA outpatient clinics. The program will be designed to monitor and improve patients' exercise behavior through the use of home technology, such as text messaging monitors.

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Key information

Conditions

Osteoarthritis Arthritis Behavior Joint Diseases Motor Activity Musculoskeletal Diseases Rheumatic Diseases

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VA Greater Los Angeles Healthcare System, West LA

West Los Angeles, California, 90073, United States

About this study

The aim of this study is to develop and determine the feasibility of implementing a home exercise and functional status monitoring telerehabilitation program, known as TEL-REHAB, for older adults 60 years of age and over who are deconditioned following their discharge from the inpatient setting, or recruited from GLA outpatient clinics. Deconditioning is a modifiable risk factor for preventing institutionalization of frail elderly patients who would otherwise be able to live independently. Home exercise programs are an effective intervention to reduce the risk, but patient compliance with home exercise programs, and assessments of patients during home exercise programs, are barriers to achieving maximal benefits. Face-to-face visits with physical medicine professionals are an effective means to perform these functions, but are problematic because of professional time impacts and patient transportation problems. A TEL-REHAB program will empower these patients to take responsibility for their own health by providing ongoing communication with a healthcare provider. In this way, telerehabilitation may assist older adults to remain independent in their homes as long as possible.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • acute decline in functional status while hospitalized as reported by the patient
  • physically inactive outpatients (exercise less than 30 min/day, 3 d/wk)
  • ability to hear and communicate via telephone
  • ability to read a video or text monitor
  • ability to manually operate the technology
  • have a working telephone and power source
  • willingness to use the TEL-REHAB technology

Exclusion criteria

  • does not speak English
  • poor cognition as determined by the Mini-Cog
  • non-ambulatory
  • had a stroke, myocardial infarction, hip fracture, or total hip or knee replacement within the prior 6 months

Treatment and study plan

Health Buddy, Home telehealth technology

Device

Exercise questions, educational messages, and clinical reminders have been programmed into the home telehealth technology and are administered daily via the Health Buddy(R) to evaluate the program's feasibility based on adherence rates, program completion rates, and safety.

Telephone Counseling

Other

Primary outcomes

  1. Exercise Adherence

    Time frame: at monthly intervals, for 3-months

    An 11-week exercise adherence rate was calculated by dividing the total number of days that the participant reported exercising by 77 days and multiplying by 100. This first calculation estimated the exercise adherence rate for the full intervention period regardless of participant dropout. Eleven weeks rather than 12 weeks was used in the denominator because subjects received their HB units some time during the first week of study enrollment and may have missed some days during this first week.

  2. HB/Phone Adherence

    Time frame: Monthly over 3 months

    An 11-week text messaging or phone adherence rate was calculated by dividing the number of response days via the HB or phone divided by 77 days and multiplied by 100. This first calculation estimated the text messaging or phone adherence rate for the full intervention period regardless of participant dropout. Eleven weeks rather than 12 weeks was used in the denominator because subjects received their HB units some time during the first week of study enrollment and may have missed some days during this first week.

Sponsors and collaborators

Lead sponsor

US Department of Veterans Affairs

Fed

Registry information

Official study title

Home Based Telerehabilitation for Deconditioned Older Adults

Important dates

Study start
2006
Primary completion
2008
Study completion
2008
First posted
Oct 11, 2006
Registry last updated
Aug 15, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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