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Completed

NCT Number: NCT06007664

Tele-video to Improve Daily Activity

This pilot study will test the feasibility of pairing a social network-based approach with a 6-week Occupational Therapist (OT)-led intervention administered remotely (via Zoom) to increase physical function and activity among residents of a HUD subsidized independent-living senior housing community. The intervention is called Tele-Video to Improve Daily Activity (T-VIDA) and will be administered with two cohorts of residents in a single community. The study has two main goals: 1) To determine if an OT-led program administered remotely over the internet using Zoom is useful in helping residents increase their physical activity; and 2) to determine if involving respected members of the community in the program as Advisory Committee members has an impact on how much other residents participate in program activities and engage in behaviors discussed. The OT intervention will be comprised of a combination of adapted components from multiple evidence-based interventions including individual meetings with an OT and OT-led group sessions. To evaluate the intervention pre- and post-program interviews will be conducted with participants over the phone, and activity monitoring will be conducted after both the pre- and post-program interviews for 7-days using an activity monitoring device. The following hypotheses will be tested: 1) at least 75% (3 of 4) of identified residents will accept the invitation to serve on the Advisory Committee; 2) Advisory Committee Members will attend at least 2 of 3 committee meetings; 3) Participants will on average participate in at least 70% (7 of 10) of intervention activities; 4) Residents knowing one or more committee members at baseline will participate in more intervention activities compared to those who do not; and 5) The influence of knowing a committee member on participation will be greater among residents reporting more pain at baseline compared to those reporting less pain.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan

Ann Arbor, Michigan, 48104, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • resident of the senior housing community of focus
  • English-proficient
  • ambulatory with or without assistive device (e.g., cane, walker)

Exclusion criteria

  • requiring use of a wheelchair for ambulation;
  • requiring highly specialized equipment (e.g., spinal cord injury, leg amputation, wound vacuum assisted closure, heavy leg boot);
  • hospitalized within last 3 months;
  • has probable dementia (TICSm score <27);
  • requiring ongoing complicated treatments (e.g., home oxygen use >2 liters);
  • has active mental health condition judged to pose significant barrier to participation; and
  • meets CDC recommendations for physical activity (150+ minutes of moderate-intensity aerobic activity during typical week).

Treatment and study plan

Tele-Video to Improve Daily Activity

Behavioral

Participants will be asked to meet individually with an Occupational Therapist (OT) via Zoom to assess activity performance, establish short-term activity goals, and outline an individualized home exercise program. Participants will also be asked to participate in 4 weekly one hour group sessions via Zoom that will include: 1) education; 2) OT facilitated discussion; and 3) activity demonstration, engagement and feedback. The following topics will be covered: mobility, physical activity, pain management, and energy conservation. Participants will be asked to meet individually with the OT via Zoom for 15-20 minutes weekly to answer questions. At the end, participants will be asked to again meet individually with the OT via Zoom to re-assess activity performance and revisit short-term activity goals and the individualized home exercise program. Advisory Committee Members will be asked to make note of intervention activities during their regular interactions with other participants.

Primary outcomes

  1. Process Outcome - Advisory Committee Members Accept Invitation

    Time frame: 1 week pre-intervention

    Number of originally identified potential Advisory Commitee Members who accept the invitation to serve on the committee. Possible scores range from 0 to 1.

  2. Process Outcome - Advisory Committee Member Participation

    Time frame: Week 5 of intervention

    Number of committee meetings attended by Advisory Committee Members. Possible scores range from 0 to 3.

  3. Process Outcome - Individual Activity Participation

    Time frame: Immediately after the intervention, 6 weeks after the intervention started

    Number of individual (one-on-one) intervention activities attended by participants. Possible scores range from 0 to 6.

  4. Process Outcome - Group Activity Participation

    Time frame: Immediately after the intervention, 6 weeks after the intervention started

    Number of group intervention activities attended by participants. Possible scores range from 0 to 4.

  5. Process Outcome - Total Activity Participation

    Time frame: Immediately after the intervention, 6 weeks after the intervention started

    Total number of intervention activities attended by participants (individual and group). Possible scores range from 0 to 10.

  6. Process Outcome - Number Acitivites Via Zoom

    Time frame: Immediately after the intervention, 6 weeks after the intervention started

    Number of activities attended via zoom as opposed to calling in by telephone. Possible scores range from 0 to 10.

Secondary outcomes

  1. Change in Self-reported Physical Activity

    Time frame: 1 week pre and 1 week post the 6-week intervention

    Modified Community Health Activities Model Program questionnaire. This includes 16 questions/items that measure the number of times and the frequency of each activity engaged in during a typical week in the past month. The response scale for each of the 16 items ranges from 1=less than 1 hour to 6=9 or more hours. On this scale, higher values represent a better outcome. A total self-reported physical activity score is calculated by averaging the score of all 16 items. The range for the total score also ranges from 1 to 6. Change will be measured by creating a difference score between the pre and post intervention total scores. Positive change scores represent a better outcome, i.e., an increase in self-reported physical activity.

  2. Change in Perceived Barriers to Physical Activity

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This includes 17 questions/items that measure the degree to which specific things make it more difficult for participants to engage in 30 minutes of moderate intensity physical activity on 5 or more days a week. The response scale for each of the 17 items ranges from 1=not at all more difficult to 4=much more difficult. On this scale, lower values represent a better outcome. A total perceived barriers to physical activity score is calculated by averaging the score of all 17 items. The range for the total score also ranges from 1 to 4. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in perceived barriers to physical activity.

  3. Change in Pain Interference

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This includes 8 questions/items that measure how much pain interferes with daily activities. The response scale for each the 8 items ranges from 1=not at all to 5=very much. On this scale, lower values represent a better outcome. A total pain interference score is calculated by averaging the score of all 8 items. The range for the total score also ranges from 1 to 5. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in pain interference.

  4. Change in Pain Intensity

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This includes one question about how participants rate their pain on average using a scale ranging from 0=no pain to 10=the worst imaginable pain. Change will be measured by creating a difference score between the pre and post intervention scores.

  5. Change in Physical Function Difficulty

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This includes a modified version of the National Health and Aging Trends Study disability and functioning measure. The measure includes 11 questions/items assessing difficulty performing self-care, mobility, and household activities. The response scale for each of the 11 items asking about difficulty doing these activities ranges from 1=none to 4=a lot. On this scale, lower values represent a better outcome. A total physical function difficulty score is calculated by averaging the score of all 11 items. The range for the total score also ranges from 1 to 4. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in physical function difficulty.

  6. Change in Self-efficacy in Activity

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This includes 10 questions/items that measure participants' confidence in doing a number of activities that will be discussed during the intervention. The response scale for each of the 10 items ranges from 1=not confident at all to 5=completely confident. On this scale, higher values represent a better outcome. A total self-efficacy in activity score is calculated by averaging the score of all 10 items. The range for the total score also ranges from 1 to 5. Change will be measured by creating a difference score between the pre and post intervention total scores. Positive change scores represent a better outcome, i.e., an increase in self-efficacy in activity.

  7. Change in Percentage of Other Participants Known

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This will include a measure of the percentage of other participants each participant reports knowing. Possible scores range from 0 to 100. Change will be measured by creating a difference score between the pre and post intervention scores.

  8. Change in Respect Level of Other Participants

    Time frame: 1 week pre and 1 week post the 6-week intervention

    This will include a measure of how much respect on average participants have for the other participants that they report knowing. This question will be asked on a scale ranging from 1=respect them very much to 5=don't respect them at all. Change will be measured by creating a difference score between the pre and post intervention scores.

  9. Change in Sedentary Behavior

    Time frame: 1 week pre and 1 week post the 6-week intervention

    Participants will be asked to wear an accelerometer for 7 days following participation in pre- and post intervention interviews. Data from the accelerometers will be used to quantify the average amount of time that participants were sedentary per day over the 7 days. Change will be measured by creating a difference score between the pre and post intervention scores.

  10. Change in Number of Steps

    Time frame: 1 week pre and 1 week post the 6-week intervention

    Participants will be asked to wear an accelerometer for 7 days following participation in pre- and post intervention interviews. Data from the accelerometers will be used to quantify the average number of steps taken per day over the 7 days. Change will be measured by creating a difference score between the pre and post intervention scores.

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Collaborators

  • National Institute on Aging (NIA)

Registry information

Official study title

Leveraging Social Networks: a Novel Physical Activity Intervention for Senior Housing

Acronym: T-VIDA

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 23, 2023
Registry last updated
Dec 11, 2025

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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