protocolSection identificationModule nctId: NCT06288438, orgStudyIdInfo id: E5012-R, secondaryIdInfos id: 23-2306, type: OTHER, domain: COMIRB, briefTitle: Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-04-01, primaryCompletionDateStruct date: 2026-11-02, completionDateStruct date: 2028-03-31, studyFirstPostDateStruct date: 2024-03-01, lastUpdatePostDateStruct date: 2024-04-08, sponsorCollaboratorsModule leadSponsor name: VA Office of Research and Development, class: FED, descriptionModule 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., conditionsModule conditions: Multimorbidity, conditions: Physical Deconditioning, designModule studyType: INTERVENTIONAL, phases: NA, designInfo 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, maskingInfo masking: SINGLE, maskingDescription: The outcome assessor will be blinded to group allocation., whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 126, type: ESTIMATED, armsInterventionsModule interventions name: Motivational Interviewing Techniques, interventions name: Physical Therapy Interventions, interventions name: Education, interventions name: Health Status Updates, interventions name: Physical Therapy Consult, outcomesModule primaryOutcomes measure: 2 Minute Step Test, secondaryOutcomes measure: Arm Curl Test, secondaryOutcomes measure: 30 Second Sit To Stand, secondaryOutcomes measure: Physical Activity, secondaryOutcomes measure: Exercise readiness to change, secondaryOutcomes measure: Self-efficacy for Exercise Scale, secondaryOutcomes measure: Self-efficacy of Managing Chronic Conditions, secondaryOutcomes measure: The Patient-Specific Functional Scale, secondaryOutcomes measure: Activity Measure for Post-Acute Care (AM-PAC) basic mobility outpatient routine short form, secondaryOutcomes measure: Patient-Reported Outcomes Measurement Information System (PROMIS) 29+2 Profile v2.1 (PROPr) survey, secondaryOutcomes measure: Patient-Reported Outcomes Measurement Information System (PROMIS) v2 social isolation short form (SF) 8a, secondaryOutcomes measure: Patient-Reported Outcomes Measurement Information System (PROMIS) satisfaction with participation in discretionary social activities short form (SF) 7a, secondaryOutcomes measure: Physical Activity and Social Support Scale, secondaryOutcomes measure: Geriatric Pain Measure, secondaryOutcomes measure: Pain Coping Inventory, eligibilityModule sex: ALL, minimumAge: 60 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Rocky Mountain Regional VA Medical Center, Aurora, CO, status: RECRUITING, city: Aurora, state: Colorado, zip: 80045, country: United States, contacts name: Jennifer E Stevens-Lapsley, PhD, role: CONTACT, phone: 303-949-9304, email: Jennifer.Stevens-Lapsley@va.gov, contacts name: Michelle R Rauzi, DPT, role: CONTACT, phone: (208) 630-4002, email: michelle.rauzi@va.gov, contacts name: Jennifer E. Stevens-Lapsley, PhD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 39.72943, lon: -104.83192, hasResults: False