REACH Pilot Study (Rehabilitation Enhancing Aging Through Connected Health)

NCT02580409 | Completed Results

• 1 other identifier: 2015P000393
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Rehabilitation Enhancing Aging through Connected Health, REACH, is designed to evaluate the benefits of a novel rehabilitative care program on physical function utilizing mobile health technology to deliver patient centered care more efficiently and health care utilization after one year of follow up.

Conditions

Mobility Limitation

Keywords

health care utilization; health care costs

Outcome Measures

Primary Outcomes (1)

• Change in Late Life Function and Disability Index (Function Domain Only)

  The Late-Life Function \& Disability Instrument (Late-Life FDI) is a self-report evaluative outcome instrument for community-dwelling older adults. It is designed to assess and be responsive to meaningful change in two distinct outcomes: function and disability. It is possible to measure one without the other. For this study, only the functional domain will be used. Functional limitations pertain to limitations in a person's ability to do discrete actions or activities. This domain is scaled between 0-100 with higher scores reflecting better mobility. The outcome measure is presented as a coefficient of change within a regression model evaluating baseline and follow up values of the outcome..

  Assessed at baseline visit and 12 months after baseline visit (1 year visit)

Other Outcomes (1)

• Change in the Short Physical Performance Battery (SPPB)

  Assessed at screen visit, 6 month assessment after baseline visit and 12 months after baseline visit (1 year visit)

Study Arms (1)

Single-arm studies

OTHER

Behavioral Intervention

Behavioral: Exercise Intervention

Interventions

Exercise Intervention BEHAVIORAL

Investigators are proposing an innovative rehabilitative care program for older primary care patients at risk for mobility decline. The program targets newly identified risk factors for mobility decline and utilizes mobile health technology to deliver patient centered care more efficiently. Study participants will receive exercise instruction with a licensed physical therapist for an average of 8-10 training sessions, with the possibility of up to 16 sessions. some at home and some in the clinic. The exercise training sessions will focus on improving mobility, balance and ability to get up from a chair with the use of an exercise application (Wellpepper) being used on a study issued iPad.

Single-arm studies

Eligibility Criteria

• Age: 65 Years - 95 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Ages 65-95 years
• Able to understand and communicate in English
• Difficulty or task modification with walking ½ mile (6 blocks) or climbing one flight of stairs
• Ability to continuously walk 400 m in less than 15 minutes without stopping for more than a minute at a time, sitting, leaning, or the help of another person
• Lives in a zip code within 10 mile radius of Spaulding Cambridge Facility
• Baseline Short Physical Performance Battery (SPPB) scores from 3-12 with \<20% of SPPB scores in the 11-12 range

You may not qualify if:

• Presence of a terminal disease (e.g. receiving hospice services, metastatic cancer)
• Major surgery or Myocardial Infarction in the last 6 months
• Planned major surgery (e.g. joint replacement)
• Planned move from the Boston area within 1.5 years
• Mini-mental state exam (MMSE) score \<20
• Major medical problems interfering with safe and successful testing (examples may include: history hip replacement with recurrent dislocation, uncontrolled hypertension, use of supplemental oxygen)

Sponsors & Collaborators

• Spaulding Rehabilitation Hospital: lead
• Boston University: collaborator
• Brandeis University: collaborator
• Massachusetts General Hospital: collaborator

Study Sites (1)

Spaulding Rehabilitation Hospital Cambridge

Cambridge, Massachusetts, 02138, United States

Location

Related Publications (2)

• Bean JF, Brown L, DeAngelis TR, Ellis T, Kumar VSS, Latham NK, Lawler D, Ni M, Perloff J. The Rehabilitation Enhancing Aging Through Connected Health Prehabilitation Trial. Arch Phys Med Rehabil. 2019 Nov;100(11):1999-2005. doi: 10.1016/j.apmr.2019.04.015. Epub 2019 May 29.

  PMID: 31152705 DERIVED

• Ni M, Brown LG, Lawler D, Ellis TD, Deangelis T, Latham NK, Perloff J, Atlas SJ, Percac-Lima S, Bean JF. The rehabilitation enhancing aging through connected health (REACH) study: study protocol for a quasi-experimental clinical trial. BMC Geriatr. 2017 Sep 20;17(1):221. doi: 10.1186/s12877-017-0618-x.

  PMID: 28931377 DERIVED

MeSH Terms

Conditions

Mobility Limitation; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Treatment Adherence and Compliance; Health Behavior; Behavior

Results Point of Contact

• Title: Dr. Jonathan Bean
• Organization: Spaulding Rehabilitation Hospital

jfbean@mgh.harvard.edu

617 952 6813

Study Officials

• Jonathan F Bean, MD, MS, MPH

  Spaulding Rehabilitation Hospital

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MS, MPH

Study Record Dates

• First Submitted: October 14, 2015
• First Posted: October 20, 2015
• Study Start: January 1, 2015
• Primary Completion: May 1, 2017
• Study Completion: July 1, 2017
• Last Updated: December 15, 2025
• Results First Posted: December 15, 2025

Record last verified: 2025-12

Locations

US (1)