Home Telerehabilitation for Deconditioned Older Adults

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00386256
First received: October 6, 2006
Last updated: August 12, 2014
Last verified: August 2014
  Purpose

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.


Condition Intervention
Osteoarthritis
Device: Health Buddy, Home telehealth technology
Other: Telephone counseling

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Home Based Telerehabilitation for Deconditioned Older Adults

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Exercise Adherence [ Time Frame: at monthly intervals, for 3-months ] [ Designated as safety issue: No ]
    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.

  • HB/Phone Adherence [ Time Frame: Monthly over 3 months ] [ Designated as safety issue: No ]
    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.


Enrollment: 38
Study Start Date: October 2006
Study Completion Date: June 2008
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Health Buddy outpatient
Received home telehealth monitoring by Health Buddy
Device: Health Buddy, Home telehealth technology
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.
Experimental: Telephone outpatient Other: Telephone counseling
Experimental: health buddy inpatient Device: Health Buddy, Home telehealth technology
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.
Experimental: telephone inpatient Other: Telephone counseling

Detailed Description:

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.

  Eligibility

Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00386256

Locations
United States, California
VA Greater Los Angeles Healthcare System, West LA
West Los Angeles, California, United States, 90073
Sponsors and Collaborators
Investigators
Principal Investigator: Nancy D. Harada, PhD MPA VA Greater Los Angeles Healthcare System, West LA
  More Information

No publications provided by Department of Veterans Affairs

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00386256     History of Changes
Obsolete Identifiers: NCT00929149
Other Study ID Numbers: E4204-R
Study First Received: October 6, 2006
Results First Received: September 11, 2013
Last Updated: August 12, 2014
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
telehealth
telerehabilitation
deconditioning
exercise

Additional relevant MeSH terms:
Osteoarthritis
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases

ClinicalTrials.gov processed this record on August 20, 2014