Effectiveness of a Supervised Multicomponent Exercise-Based Telerehabilitation Intervention on Physical Performance in Older Patients with Multiple Chronic Conditions in Colombia

NCT06804317 | Completed DMC

• 1 other identifier: 013008018-2023
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

Currently, the older adult population faces an increase in the prevalence of cardiopulmonary diseases, which negatively impact their quality of life by limiting their ability to perform daily activities and affecting their physical and emotional well-being. In particular, cardiovascular and respiratory diseases are among the leading causes of morbidity and mortality among older adults in Colombia. Despite advances in pharmacological treatment and medical care, physical rehabilitation remains an essential component in the management of these diseases, with physical exercise serving as one of its fundamental pillars. However, access to physical rehabilitation programs for the older adult population, particularly in rural or hard-to-reach areas, continues to pose a significant challenge. Telemedicine and Information and Communication Technologies (ICT) have emerged as viable solutions to overcome this barrier, enabling the remote prescription and monitoring of physical exercises, facilitating the inclusion of more patients in rehabilitation programs, and improving their quality of life. Therefore, this study aims to evaluate the effectiveness of a multicomponent ICT-mediated intervention in terms of improving physical condition, reducing frailty, adherence, satisfaction, and quality of life in older adults with cardiopulmonary diseases.

Conditions

Non Communicable Chronic Diseases

Keywords

Exercise Therapy; elderly; telerehabilitation

Outcome Measures

Primary Outcomes (1)

• Short Physical Performance Battery

  This battery includes tests for usual walking speed over 4 meters, five-chair stands, and balance. Each task receives a score (0-4) based on the time required to perform five sit-to-stand repetitions, standing balance, and walking speed over 4 meters. The total score (0-12) is calculated by summing individual scores, with higher scores indicating better lower-body function.

  Baseline and at 1 month postest

Secondary Outcomes (1)

• Six-minute walk test

  Baseline and at 1 month postest

Study Arms (1)

NCD´s Telerehabilitation

EXPERIMENTAL

41 participants enrolled in a tele-rehabilitation program with Exercise-based interventions conducted twice weekly for three months via videoconferencing on Microsoft Teams

Other: telerehabilitation

Interventions

telerehabilitation OTHER

Exercise-based interventions were conducted twice weekly for three months via videoconferencing on Microsoft Teams. The program included various components: Aerobic and strength training, Flexibility, Balance and coordination

NCD´s Telerehabilitation

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of a non-communicable disease.
• Ability to communicate verbally or in writing.
• Stable disease status confirmed by clinical history.
• Condition present for at least three months to qualify as chronic.
• For patients with type II diabetes mellitus: glucose levels below 200 mg/dL during tele-rehabilitation sessions.

You may not qualify if:

• Requirement for assistance with walking.
• History of disease exacerbation within the past six months.

Sponsors & Collaborators

• Fundacion Universitaria Maria Cano: lead

Study Sites (1)

Fundación universitaria María Cano

Medellín, Colombia

Location

MeSH Terms

Conditions

Noncommunicable Diseases

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

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: clinical professor

Study Record Dates

• First Submitted: January 15, 2025
• First Posted: February 3, 2025
• Study Start: February 1, 2024
• Primary Completion: November 14, 2024
• Study Completion: December 30, 2024
• Last Updated: February 3, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

CO (1)