Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions

Description

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, Physical Deconditioning

Study Overview

Study Details

Study overview

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.

Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of ComplexHealth Conditions

Multicomponent Telerehabilitation to Engage Veterans in Effective Self-Management of Complex Health Conditions

Condition
Multimorbidity
Intervention / Treatment

-

Contacts and Locations

Aurora

Rocky Mountain Regional VA Medical Center, Aurora, CO, Aurora, Colorado, United States, 80045

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 60 years of age and older
  • * Multiple chronic conditions (Functional Comorbidity Index \> or = 3)
  • * Impaired physical function (\< or = 8 repetitions on 30 second sit to stand test)
  • * Life expectancy \< 12 months
  • * Acute or progressive neurological disorder (e.g. amyotrophic lateral sclerosis, recent stroke)
  • * Moderate to severe dementia (\<11 on telephone Montreal Cognitive Assessment(T-MoCA))
  • * Medical conditions precluding safe participation in high-intensity rehabilitation (e.g. unstable angina)

Ages Eligible for Study

60 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

VA Office of Research and Development,

Jennifer E. Stevens-Lapsley, PhD, PRINCIPAL_INVESTIGATOR, Rocky Mountain Regional VA Medical Center, Aurora, CO

Study Record Dates

2028-03-31