Home Telerehabilitation for Deconditioned Older Adults

NCT00386256 | Completed Results

• 1 other identifier: E4204-R
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

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.

Conditions

Osteoarthritis

Keywords

telehealth; telerehabilitation; deconditioning; exercise

Outcome Measures

Primary Outcomes (2)

• Exercise Adherence

  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.

  at monthly intervals, for 3-months

• HB/Phone Adherence

  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.

  Monthly over 3 months

Study Arms (4)

Health Buddy outpatient

EXPERIMENTAL

Received home telehealth monitoring by Health Buddy

Device: Health Buddy, Home telehealth technology

Telephone outpatient

EXPERIMENTAL

Other: Telephone counseling

health buddy inpatient

EXPERIMENTAL

Device: Health Buddy, Home telehealth technology

telephone inpatient

EXPERIMENTAL

Other: Telephone counseling

Interventions

Health Buddy, Home telehealth technology 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.

Health Buddy outpatient; health buddy inpatient

Telephone counseling OTHER

Telephone outpatient; telephone inpatient

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (1)

VA Greater Los Angeles Healthcare System, West LA

West Los Angeles, California, 90073, United States

Location

Related Publications (1)

• 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.

  PMID: 20803390 DERIVED

MeSH Terms

Conditions

Osteoarthritis; Motor Activity

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Behavior

Limitations and Caveats

Intervention was developed on a male Veteran population, direct comparisons between groups were formed based on the participant's preference, exercise adherence was based on participants' self reports, small convenience sample.

Results Point of Contact

• Title: Nancy Harada, PhD
• Organization: VA Greater Los Angeles Healthcare System

Nancy.Harada@va.gov

310-268-3632

Study Officials

• Nancy D. Harada, PhD MPA

  VA Greater Los Angeles Healthcare System, West LA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 6, 2006
• First Posted: October 11, 2006
• Study Start: October 1, 2006
• Primary Completion: May 1, 2008
• Study Completion: June 1, 2008
• Last Updated: August 15, 2014
• Results First Posted: August 15, 2014

Record last verified: 2014-08

Locations

US (1)