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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

October 6, 2006
August 12, 2014
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 ]
    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.
  • 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
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Osteoarthritis
  • 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.
  • Other: Telephone counseling
  • Experimental: Health Buddy outpatient
    Received home telehealth monitoring by Health Buddy
    Intervention: Device: Health Buddy, Home telehealth technology
  • Experimental: Telephone outpatient
    Intervention: Other: Telephone counseling
  • Experimental: health buddy inpatient
    Intervention: Device: Health Buddy, Home telehealth technology
  • Experimental: telephone inpatient
    Intervention: Other: Telephone counseling
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 2014

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