Clinical trial NCT00386256: Home Telerehabilitation for Deconditioned Older Adults
Official title: Home Based Telerehabilitation for Deconditioned Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Osteoarthritis
Keywords: telehealth
telerehabilitation
deconditioning
exercise
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
First posted: 2006-10-11
Enrollment: 38
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Intervention model: PARALLEL

Brief summary: The purpose of this study is to develop a home exercise program for patients 60 years of age and over who are deconditioned following their discharge from the hospital, or recruited from GLA outpatient clinics. The program will be designed to monitor and improve patients' exercise behavior through the use of home technology, such as text messaging monitors.

Detailed description: The aim of this study is to develop and determine the feasibility of implementing a home exercise and functional status monitoring telerehabilitation program, known as TEL-REHAB, for older adults 60 years of age and over who are deconditioned following their discharge from the inpatient setting, or recruited from GLA outpatient clinics. Deconditioning is a modifiable risk factor for preventing institutionalization of frail elderly patients who would otherwise be able to live independently. Home exercise programs are an effective intervention to reduce the risk, but patient compliance with home exercise programs, and assessments of patients during home exercise programs, are barriers to achieving maximal benefits. Face-to-face visits with physical medicine professionals are an effective means to perform these functions, but are problematic because of professional time impacts and patient transportation problems. A TEL-REHAB program will empower these patients to take responsibility for their own health by providing ongoing communication with a healthcare provider. In this way, telerehabilitation may assist older adults to remain independent in their homes as long as possible.

Eligibility criteria: Inclusion Criteria:

* acute decline in functional status while hospitalized as reported by the patient
* physically inactive outpatients (exercise less than 30 min/day, 3 d/wk)
* ability to hear and communicate via telephone
* ability to read a video or text monitor
* ability to manually operate the technology
* have a working telephone and power source
* willingness to use the TEL-REHAB technology

Exclusion Criteria:

* does not speak English
* poor cognition as determined by the Mini-Cog
* non-ambulatory
* had a stroke, myocardial infarction, hip fracture, or total hip or knee replacement within the prior 6 months

Primary outcomes:
measure: Exercise Adherence
timeFrame: at monthly intervals, for 3-months
measure: HB/Phone Adherence
timeFrame: Monthly over 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: West Los Angeles
country: United States
facility: VA Greater Los Angeles Healthcare System, West LA
state: California
Study officials:
affiliation: VA Greater Los Angeles Healthcare System, West LA
name: Nancy D. Harada, PhD MPA
role: PRINCIPAL_INVESTIGATOR
References:
citation: Harada ND, Dhanani S, Elrod M, Hahn T, Kleinman L, Fang M. Feasibility study of home telerehabilitation for physically inactive veterans. J Rehabil Res Dev. 2010;47(5):465-75. doi: 10.1682/jrrd.2009.09.0149.