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 27, 2013
Last verified: August 2013

October 6, 2006
August 27, 2013
October 2006
May 2008   (final data collection date for primary outcome measure)
exercise adherence [ Time Frame: at monthly intervals, for 3-months ] [ Designated as safety issue: No ]
  • SF-8 Health Survey,
  • Timed Get Up and Go Test,IADL Index,motor subscale of the FIM,
  • SF-8 Health Survey,grip strength,and patient satisfaction—all
  • at the end of 3 months.
  • Determine changes from baseline for the following
  • outcome measures: Timed Get Up and Go Test,
  • IADL Index,
  • motor subscale of the FIM,
  • grip strength, and
  • patient satisfaction
  • —all at the end of 3 months.
Complete list of historical versions of study NCT00386256 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Home Telerehabilitation for Deconditioned Older Adults
Home Based 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.

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.

Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Telemedicine
Device: Health Buddy(R), 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.
Arm 1
feasibility study
Intervention: Device: Health Buddy(R), Home telehealth technology
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.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
38
June 2008
May 2008   (final data collection date for primary outcome measure)

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
Both
60 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00386256
E4204-R
No
Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Nancy D. Harada, PhD MPA VA Greater Los Angeles Healthcare System, West LA
Department of Veterans Affairs
August 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP