Home Telerehabilitation for Deconditioned Older Adults

NCT ID: NCT00386256

Last Updated: 2014-08-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-10-31
• Study Completion Date: 2008-06-30

Brief Summary

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.

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.

Conditions

Osteoarthritis

Study Design

• Intervention Model: PARALLEL
• Blinding Strategy: NONE

Study Groups

Health Buddy outpatient

Received home telehealth monitoring by Health Buddy

Group Type: EXPERIMENTAL

Health Buddy, Home telehealth technology

Intervention Type: 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 outpatient

Group Type: EXPERIMENTAL

Telephone counseling

Intervention Type: OTHER

health buddy inpatient

Group Type: EXPERIMENTAL

Health Buddy, Home telehealth technology

Intervention Type: 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 inpatient

Group Type: EXPERIMENTAL

Telephone counseling

Intervention Type: OTHER

Interventions

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.

Intervention Type: DEVICE

Telephone counseling

Intervention Type: OTHER

Eligibility 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

• Minimum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

US Department of Veterans Affairs

FED

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nancy D. Harada, PhD MPA

Role: PRINCIPAL_INVESTIGATOR

VA Greater Los Angeles Healthcare System, West LA

Locations

VA Greater Los Angeles Healthcare System, West LA

West Los Angeles, California, United States

Countries

United States

References

Harada ND, Dhanani S, Elrod M, Hahn T, Kleinman L, Fang M. Feasibility study of home telerehabilitation for physically inactive veterans. J Rehabil Res Dev. 2010;47(5):465-75. doi: 10.1682/jrrd.2009.09.0149.

Reference Type: DERIVED

PMID: 20803390 (View on PubMed)

Other Identifiers

E4204-R

Identifier Type: -

Identifier Source: org_study_id

NCT00929149

Identifier Type: -

Identifier Source: nct_alias