nctId: NCT06288438 id: E5012-R id: 23-2306 type: OTHER domain: COMIRB briefTitle: Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions overallStatus: RECRUITING date: 2024-04-01 date: 2026-11-02 date: 2028-03-31 date: 2024-03-01 date: 2024-04-08 name: VA Office of Research and Development class: FED briefSummary: Medically complex older Veterans are at greater risk for progressive declines in physical function, lower quality of life, and increasing care needs. Additionally, older Veterans experience social isolation and loneliness, and have low levels of physical activity. While the Veterans Health Administration has established programs to address rehabilitation needs, these programs tend to be diagnosis-focused, lack self-management approaches, include low-intensity rehabilitation, and typically require in-person attendance. A MultiComponent TeleRehabilitation (MCTR) program that includes high-intensity rehabilitation and self-management interventions, social support, and telehealth and technology supports may be more effective in improving and sustaining physical function for older Veterans with complex health conditions. Therefore, this project is designed to determine whether the MCTR program improves strength and physical function more effectively than traditional interventions. conditions: Multimorbidity conditions: Physical Deconditioning studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL interventionModelDescription: Participants will be randomized into 1 of 2 groups. Group 1 will receive the intervention for 24 weeks. Group 2 will receive the control condition for 24 weeks. primaryPurpose: TREATMENT masking: SINGLE maskingDescription: The outcome assessor will be blinded to group allocation. whoMasked: OUTCOMES_ASSESSOR count: 126 type: ESTIMATED name: Motivational Interviewing Techniques name: Physical Therapy Interventions name: Education name: Health Status Updates name: Physical Therapy Consult measure: 2 Minute Step Test measure: Arm Curl Test measure: 30 Second Sit To Stand measure: Physical Activity measure: Exercise readiness to change measure: Self-efficacy for Exercise Scale measure: Self-efficacy of Managing Chronic Conditions measure: The Patient-Specific Functional Scale measure: Activity Measure for Post-Acute Care (AM-PAC) basic mobility outpatient routine short form measure: Patient-Reported Outcomes Measurement Information System (PROMIS) 29+2 Profile v2.1 (PROPr) survey measure: Patient-Reported Outcomes Measurement Information System (PROMIS) v2 social isolation short form (SF) 8a measure: Patient-Reported Outcomes Measurement Information System (PROMIS) satisfaction with participation in discretionary social activities short form (SF) 7a measure: Physical Activity and Social Support Scale measure: Geriatric Pain Measure measure: Pain Coping Inventory sex: ALL minimumAge: 60 Years stdAges: ADULT stdAges: OLDER_ADULT facility: Rocky Mountain Regional VA Medical Center, Aurora, CO status: RECRUITING city: Aurora state: Colorado zip: 80045 country: United States name: Jennifer E Stevens-Lapsley, PhD role: CONTACT phone: 303-949-9304 email: Jennifer.Stevens-Lapsley@va.gov name: Michelle R Rauzi, DPT role: CONTACT phone: (208) 630-4002 email: michelle.rauzi@va.gov name: Jennifer E. Stevens-Lapsley, PhD role: PRINCIPAL_INVESTIGATOR lat: 39.72943 lon: -104.83192 hasResults: False