Live Long Walk Strong (LLWS) Rehabilitation Program: What Features Improve Mobility Skills

NCT04026503 | Completed Results

• 1 other identifier: E3095-R
• Study Type: interventional
• Target: 151
• Locations: 1 country
• Sites: 1

Brief Summary

This study was performed to evaluate the efficacy of the Live Long Walk Strong rehabilitation program in Veterans 50 years and older. This study will examine the features of the program that contribute to improved gait speed.

Conditions

Mobility Limitation

Keywords

Rehabilitation; Aging; Mobility Skills

Outcome Measures

Primary Outcomes (1)

• Walking Speed

  Walking (gait) speed is assessed as usual walking pace over a 4-meter course.

  Randomization to 8 weeks (comparing intervention to wait list)

Secondary Outcomes (3)

• Lower Extremity Power

  Randomization to 8 weeks (comparing intervention to wait list groups)

• Trunk Muscle Endurance

  Randomization to 8 weeks (comparing intervention to wait list groups)

• Gait Variability

  Randomization to 8 weeks (comparing intervention to wait list groups)

Other Outcomes (4)

• Cognition - Delis-Kaplan Executive Function Systems (DKEFS) Verbal Fluency

  Randomization to 8 weeks (comparing intervention to wait list groups)

• Cognition- DKEFS Trail Making Test

  Randomization to 8 weeks (comparing intervention to wait list)

• Adherence

  Intervention Period (8-weeks)

Study Arms (2)

Live Long Walk Strong

EXPERIMENTAL

8 week rehabilitation program

Other: Live Long Walk Strong rehabilitation program

8 week wait list control

ACTIVE COMPARATOR

8 week wait list then followed by 8 weeks of the Live Long Walk Strong rehabilitation program

Other: Live Long Walk Strong rehabilitation program

Interventions

Live Long Walk Strong rehabilitation program OTHER

Live Long Walk Strong is a rehabilitation program that focuses on impairments known to contribute to mobility decline that are not considered standard of care in rehab and addresses behavioral change within the context of rehabilitation.

8 week wait list control; Live Long Walk Strong

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Veteran
• Aged 50 and older
• Community dwelling
• Ability to speak and understand English
• Usual gait speed 0.5 m/s- 1.0 m/s Activity modifications and access to telehealth rehabilitation

You may not qualify if:

• Presence of a terminal disease
• A major medical problem, unstable chronic condition, or psychiatric disorder that interferes with safe and successful testing and training
• Myocardial infarction or major surgery in previous 3 months
• Planned major surgery
• Baseline short physical performance battery score less than 4
• Use of a walker
• Modified mini mental status examination score less than or equal to 77
• Presence of a significant disease specific impairment such as:
• peripheral neurologic impairment
• orthopedic impairment
• visual impairment

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

Boston, Massachusetts, 02130-4817, United States

Location

Related Publications (5)

• Wingood M, Linsky AM, Harris R, Bamonti P, Moye J, Bean JF. Research Protocol Adaptations During the COVID-19 Pandemic: A Process Evaluation. J Aging Phys Act. 2023 Sep 12;32(1):62-68. doi: 10.1123/japa.2023-0052. Print 2024 Feb 1.

  PMID: 37699586 BACKGROUND

• Harris R, Brach JS, Moye J, Ogawa E, Ward R, Halasz I, Bean J. The Live Long Walk Strong Rehabilitation Program Study: Design and Methods. Arch Rehabil Res Clin Transl. 2022 May 29;4(3):100205. doi: 10.1016/j.arrct.2022.100205. eCollection 2022 Sep.

  PMID: 36123980 BACKGROUND

• Harris R, Ogawa EF, Ward RE, Fitzelle-Jones E, Travison T, Brach JS, Bean JF. Feasibility and Preliminary Efficacy of Virtual Rehabilitation for Middle and Older Aged Veterans With Mobility Limitations: A Pilot Study. Arch Rehabil Res Clin Transl. 2024 Feb 12;6(2):100325. doi: 10.1016/j.arrct.2024.100325. eCollection 2024 Jun.

  PMID: 39006121 BACKGROUND

• Bamonti PM, Moye J, Harris R, Kallmi S, Kelly CA, Middleton A, Bean JF. Development of a Coaching Protocol to Enhance Self-efficacy Within Outpatient Physical Therapy. Arch Rehabil Res Clin Transl. 2022 Apr 21;4(2):100198. doi: 10.1016/j.arrct.2022.100198. eCollection 2022 Jun.

  PMID: 35756988 BACKGROUND

• Ogawa EF, Harris R, Moye J, Bean JF, Kim B. Veterans' Motivation, Preference, and Feedback After Completing a Novel Physical Therapy Treatment. J Aging Phys Act. 2025 Jan 17;33(4):379-386. doi: 10.1123/japa.2023-0446. Print 2025 Aug 1.

  PMID: 39826533 BACKGROUND

MeSH Terms

Conditions

Mobility Limitation

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

Limitations: the study was impacted by the COVID 19 pandemic in recruitment and retention; Veteran cohort that may not be generalizable to all

Results Point of Contact

• Title: Dr. Jonathan F. Bean
• Organization: VHA

jonathan.bean4@va.gov

857-364-2786

Study Officials

• Jonathan F. Bean, MD

  VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Participants are randomized through block permuted generated lists performed by the study biostatistician.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: Participants are assigned to 8 week Live Long Walk Strong (LLWS) rehabilitation or 8 week wait list control and then the LLWS rehabilitation program. The study is viewed as a randomized controlled trial comparing 8 weeks of LLWS rehabilitation to 8 weeks of wait list control. The long term follow up on the study, that occurs after the intervention is delivered to both groups, combines the cohort to examine the long term benefits of LLWS care.

Study Record Dates

• First Submitted: July 18, 2019
• First Posted: July 19, 2019
• Study Start: January 21, 2021
• Primary Completion: September 30, 2024
• Study Completion: November 7, 2024
• Last Updated: February 20, 2026
• Results First Posted: February 20, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)