Trial Outcomes & Findings for Tele-video to Improve Daily Activity (NCT NCT06007664)

NCT ID: NCT06007664

Last Updated: 2025-12-11

Results Overview

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

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 8 participants
• Primary outcome timeframe: 1 week pre-intervention
• Results posted on: 2025-12-11

Participant Flow

Participant milestones

Measure	Experimental: occupational therapy intervention group Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.
Overall Study STARTED	8
Overall Study COMPLETED	8
Overall Study NOT COMPLETED	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tele-video to Improve Daily Activity

Baseline characteristics by cohort

Measure	Experimental: Occupational Therapy Intervention Group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.
Age, Continuous	78 Years n=237 Participants
Sex: Female, Male Female	8 Participants n=237 Participants
Sex: Female, Male Male	0 Participants n=237 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=237 Participants
Race (NIH/OMB) Asian	0 Participants n=237 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=237 Participants
Race (NIH/OMB) Black or African American	1 Participants n=237 Participants
Race (NIH/OMB) White	6 Participants n=237 Participants
Race (NIH/OMB) More than one race	1 Participants n=237 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=237 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	0 Participants n=237 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	8 Participants n=237 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=237 Participants
Region of Enrollment United States	8 Participants n=237 Participants

PRIMARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=1 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Advisory Committee Members Accept Invitation

1 Participants

PRIMARY outcome

Timeframe: Week 5 of intervention

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

Outcome measures

Measure

Experimental: occupational therapy intervention group n=1 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Advisory Committee Member Participation

3 Number of meetings attended

PRIMARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Individual Activity Participation

5.8 Number of one-on-one activities attended Standard Deviation 0.4

PRIMARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Group Activity Participation

3.5 Number of group activities attended Standard Deviation 0.71

PRIMARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Total Activity Participation

9.38 # of intervention activities attended Standard Deviation 0.99

PRIMARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Process Outcome - Number Acitivites Via Zoom

9.38 Number of activities attended on Zoom Standard Deviation 0.99

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Self-reported Physical Activity

0.20 Units on scale Standard Deviation 0.45

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Perceived Barriers to Physical Activity

-0.05 Units on a scale Standard Deviation 0.16

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Pain Interference

-0.43 Units on a scale Standard Deviation 0.46

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Pain Intensity

-1.20 Units on a scale Standard Deviation 1.79

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Physical Function Difficulty

0.25 Units on a scale Standard Deviation 0.40

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Self-efficacy in Activity

-0.10 Units on a scale Standard Deviation 0.51

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Percentage of Other Participants Known

50 Percentage of other participants known Standard Deviation 35

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Respect Level of Other Participants

0.37 Units on a scale Standard Deviation 0.28

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Sedentary Behavior

46.45 Minutes per day Standard Deviation 116.36

SECONDARY outcome

Timeframe: 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.

Outcome measures

Measure

Experimental: occupational therapy intervention group n=8 Participants Behavioral: Tele-Video to Improve Daily Activity 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. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Change in Number of Steps

-85.5 Accelerometer step count per day Standard Deviation 834.52

Adverse Events

Experimental: occupational therapy intervention group

Serious events: 0 serious events

Other events: 4 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Measure	Experimental: occupational therapy intervention group n=8 participants at risk Behavioral: Tele-Video to Improve Daily Activity 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.
Musculoskeletal and connective tissue disorders Back pain	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded
Vascular disorders Dizziness	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded
Musculoskeletal and connective tissue disorders Fall	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded
Skin and subcutaneous tissue disorders Skin irritation	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded
Psychiatric disorders Emotional distress	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded
Injury, poisoning and procedural complications Car accident	12.5% 1/8 • Number of events 1 • 10 weeks Systematic collection done by regular investigator assessment; weekly check-in intervention meetings with an occupational therapist, where adverse events were asked about and recorded

Additional Information

Noah J. Webster

University of Michigan

Phone: 734-936-3075

Email: njwebs@umich.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place