Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
ID06288438

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

Led by VA Office of Research and Development · Updated on 2026-02-24

126

Participants Needed

1

Research Sites

73 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a MultiComponent TeleRehabilitation (MCTR) program designed to help medically complex older Veterans who face risks of declining physical function, low quality of life, social isolation, and low physical activity. The study aims to see if this new program improves strength and physical function better than traditional rehabilitation methods. It focuses on Veterans with multiple chronic conditions and impaired physical function who need more effective, high-intensity, and self-managed rehabilitation approaches. The study compares two groups: one participates in the MCTR program which lasts 24 weeks and includes high-intensity rehabilitation exercises, self-management support, social support, and technology assistance. This program is divided into three phases: Active (weeks 1-6), Transition (weeks 7-12), and Sustainability (weeks 13-24), including 16 individual sessions. The control group receives education and health status update sessions without exercise intervention, in parallel to the first 12 weeks of the MCTR program. Both groups are monitored for changes in physical function and health outcomes throughout the study. Participants will be evaluated at the start, and then at 6, 12, and 24 weeks using physical tests like the 2 Minute Step Test and the 30 Second Sit To Stand, as well as surveys on physical activity, self-efficacy, social support, and pain. Researchers also track emergency room visits, hospitalizations, falls, and other safety events. The total involvement lasts 24 weeks, with outcome measurements at multiple points to assess the program's impact on improving and sustaining physical function and overall health.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 60 years of age and older
  • Multiple chronic conditions with a Functional Comorbidity Index of 3 or more
  • Impaired physical function defined as 8 or fewer repetitions on the 30 second sit to stand test
Not Eligible

You will not qualify if you...

  • Life expectancy less than 12 months
  • Acute or progressive neurological disorders such as amyotrophic lateral sclerosis or recent stroke
  • Moderate to severe dementia with a score below 11 on the telephone Montreal Cognitive Assessment (T-MoCA)
  • Medical conditions that make high-intensity rehabilitation unsafe, such as unstable angina or similar conditions requiring caution

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote) for eligibility assessment

Treatment

Duration - 24 weeks

Participants randomized to the telerehabilitation group complete a 24-week multicomponent program including high-intensity rehabilitation, self-management interventions, social support, and technology supports. The program is divided into three phases: Active (weeks 1-6), Transition (weeks 7-12), and Sustainability (weeks 13-24). The control group participates in 16 education and health status update sessions over the first 12 weeks.

16 individual sessions via videoconferencing over 24 weeks

Follow-up

Duration - 24 weeks

Participants complete outcome assessments at baseline, 6 weeks, 12 weeks (primary endpoint), and 24 weeks to evaluate physical function, health self-management, and safety events.

4 assessment visits (baseline, 6, 12, and 24 weeks) conducted remotely or in-person

Trial Site Locations

Total: 1 location

1

Rocky Mountain Regional VA Medical Center, Aurora, CO

Aurora, Colorado, United States, 80045-7211

Actively Recruiting

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Research Team

J

Jennifer E Stevens-Lapsley, PhD

M

Maggie Givan, MA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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