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MultimorbidityNCT06288438

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

A study testing Motivational Interviewing Techniques, Physical Therapy Interventions and Education in people with Multimorbidity and Physical Deconditioning, run by VA Office of Research and Development at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Multimorbidity, Physical Deconditioning
What is being tested?
Motivational Interviewing Techniques, Physical Therapy Interventions and Education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
126 participants
Where
1 siteUnited States
Study dates
18 Apr 2024to 31 Mar 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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)

Who cannot join

  • 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)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Jennifer E Stevens-Lapsley, PhD contact

(303) 949-9304

Jennifer.Stevens-Lapsley@va.gov

United States1 site, 1 recruiting
  • Rocky Mountain Regional VA Medical Center, Aurora, CO

    Aurora, Colorado, 80045-7211

    Jennifer E Stevens-Lapsley, PhD, 303-949-9304, Jennifer.Stevens-Lapsley@va.gov

    Jennifer E. Stevens-Lapsley, PhD

    Recruiting

Other trials in United States

About this study

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

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.

Read the detailed description

The proposed MultiComponent TeleRehabilitation (MCTR) program addresses current healthcare deficiencies by using a multicomponent approach that includes both high-intensity rehabilitation interventions and self-management interventions that are not part of traditional physical therapy interventions. Therefore, the investigators propose a two-arm, parallel randomized trial using a crossover study design to determine the effectiveness (AIM 1) of a 12-week multicomponent telerehabilitation program to improve physical function. The investigators will also measure Veterans' clinical outcomes to evaluate the effectiveness of the MCTR program to improve physical activity, health self-management, and self-reported health (AIM 2). Lastly, the investigators will explore the effects of the MCTR program on safety events such as emergency room visits, hospitalizations, falls, and other adverse events (AIM 3). Participants (n=126) will be randomized to MCTR or Control group using computer-generated random blocks, stratified by sex. The MCTR group will participate in the 24-week program consisting of 1) progressive, high-intensity rehabilitation, 2) self-management interventions, 3) social support, and 4) technology supports. The 12-week program is split into three phases: the Active Phase (weeks 1-6), the Transition Phase (weeks 7-12), and the Sustainability Phase (weeks 13-24). The Control group will participate in education and health status update sessions in parallel to the MCTR 12-week program. Outcomes will be collected at baseline, 6 weeks, 12 weeks (primary endpoint), and 24 weeks. Achievement of the proposed aims will provide evidence to expand high quality telerehabilitation services for medically complex older Veterans with multiple factors contributing to poor health (e.g., social isolation, loneliness, physical inactivity, poor self-management). Importantly, results will guide the advancement of rehabilitation practices, moving away from a traditionally narrow, episodic, diagnosis-focused approach to a model emphasizing whole health self-management and sustained healthy living. Study findings will have immediate clinical impact as they will be directly translatable to other medically complex and underserved populations who will benefit from innovative telerehabilitation care approaches.

Being tested
Motivational Interviewing Techniques, Physical Therapy Interventions, Education, Health Status Updates, Physical Therapy Consult
Keywords
telerehabilitation, high intensity, biobehavioral, social support, physical activity
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Motivational Interviewing TechniquesBehavioural

    Motivational Interviewing Techniques including but not limited to open-ended questions, reflection, affirmations, and summary will be used to build participant rapport, support behavior change (physical activity), and facilitate program engagement.

  • Physical Therapy InterventionsOther

    Strengthening, balance, functional activities, stretching, breathing, aerobic endurance exercise.

  • EducationOther

    Education on general health topics which may include the following: basic nutrition, stress reduction, sleep hygiene, etc.

  • Health Status UpdatesOther

    Health Status Updates will be completed by a trained assessor. The assessor will ask about adverse events, general health topics, medication changes, and changes in social circumstances.

  • Physical Therapy ConsultOther

    Participants in the control condition will be offered a physical therapy consult at the end of their 24 week study involvement.

Study groups in NCT06288438
Study groupRoleWhat they receive
Multicomponent Telerehabilitation Intervention (Group 1)ExperimentalVeterans randomized to the MCTR group will complete the 24-week study intervention consisting of the Active (weeks 1-6), Transition (weeks 7-12), and Sustainability (weeks 13-24) phases. Participants will receive a total of 16 individual sessions (6 integrated, 4 high-intensity rehabilitation, and 6 self-management intervention sessions).
Receives: Behavioral: Motivational Interviewing Techniques; Other: Physical Therapy Interventions
Education Control (Group 2)OtherThis group will not receive any exercise intervention but will complete 16 sessions with research staff through videoconferencing. These visits will consist of standardized Health Status Update and education sessions on general health topics.
Receives: Other: Education; Other: Health Status Updates; Other: Physical Therapy Consult

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 2 Minute Step Test

    This is a functional performance test for aerobic endurance. It requires participants to march in place for 2 minutes (alternating legs), and the score is the number of repetitions completed on the right leg. Scores are continuous, and higher scores indicate better aerobic endurance.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

Secondary outcomes (14)
  1. Arm Curl Test

    This is a functional performance test for upper body strength and is performed on each arm (one arm at a time). It requires the participant to perform as many arm curls (biceps curls) as possible in 30 seconds. Males use a 8 pound weight and females use a 5 pound weight. Scores are continuous, and higher scores indicate greater arm strength (better outcome)

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  2. 30 Second Sit To Stand

    The test uses a standard height chair and requires the participant to stand up and sit down as many times as possible in 30 seconds. More repetitions indicate better lower extremity strength.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  3. Physical Activity

    Physical activity will be measured via accelerometry and will include an averaged daily step count.

    Measured: Will be collected at Baseline, 12 weeks, and 24 weeks.

  4. Exercise readiness to change

    Four-item survey collected via interview format, and it is used to categorize participants into stages of change according to the Transtheoretical Model, possible stages include: (pre-contemplating, contemplation, preparation, action, and maintenance).

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  5. Self-efficacy for Exercise Scale

    A 9-item survey, each item is scored on a scale of 0 (not confident) to 10 (very confident) and higher scores indicate greater self-efficacy.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  6. Self-efficacy of Managing Chronic Conditions

    A 8-item survey rated on a 5-point Likert scale [I am not at all confident (1) to I am very confident (5)], and higher scored indicates better self-efficacy.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  7. The Patient-Specific Functional Scale

    This is a questionnaire collected via interview format that quantifies activity or participation limitations that are important to the patient. Each participant identifies 3 activities that are important and that they are currently unable to do or having difficult performing due to their health; each item is then rated on a 0 (unable to preform activity) 0 to 10 (able to perform activity at the same level as before injury or problem) scale. The total score is an average of the 3 activities.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  8. Activity Measure for Post-Acute Care (AM-PAC) basic mobility outpatient routine short form

    This questionnaire consists of 18 items rated on a 4-point Likert scale in response to the prompt, "How much difficulty do you currently have..." Total scores range from 18 to 72 and higher scores indicate less difficulty with physical tasks.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  9. Patient-Reported Outcomes Measurement Information System (PROMIS) 29+2 Profile v2.1 (PROPr) survey

    This is a 29-item questionnaire, and most items are rated on a 5-point Likert scale. There is one pain intensity item rated on a 0 (no pain) to 10 (worst pain imaginable) scale. Higher scores indicate more of the concept being measured.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  10. Patient-Reported Outcomes Measurement Information System (PROMIS) v2 social isolation short form (SF) 8a

    An 8-item questionnaire rated on a 1 (never) to 5 (always) Likert scale. Higher scores indicate greater perceptions of loneliness and isolation, which is considered a worse outcome.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  11. Patient-Reported Outcomes Measurement Information System (PROMIS) satisfaction with participation in discretionary social activities short form (SF) 7a

    Includes 7 items rated on a 1 (not at all) to 5 (very much) Likert scale. Higher scores indicate greater satisfaction with discretionary social activities.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  12. Physical Activity and Social Support Scale

    A 20 -item survey rated on a scale of 1 (never true) to 7 (always true) that measures emotional, informational, instrumental, validation, and companionship support related to physical activity. Higher scores indicated greater levels of perceived social support.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  13. Geriatric Pain Measure

    Consists of 22 items scored as yes (1 point) or no (0 points) that assess whether or not a person does or would have pain during activities. There are also 2 items measured on a scale of 0 (no pain) to 10 (worst pain). Total scores range from 0-42 and adjusted scores range from 0-100 with higher scores indicating worse pain.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

  14. Pain Coping Inventory

    This measures both active (transformation, distraction, reducing demands) and passive (retreating, worrying, resting) coping strategies. The inventory includes 34 items rated on a scale from 1 (hardly ever) to 4 (very often). Higher scores indicate more frequent use of each specific coping strategy.

    Measured: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2024
  2. Study start18 Apr 2024
  3. Primary completion2 Nov 2026 (estimated)
  4. Study completion31 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
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.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
126 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06288438
Sponsor's protocol ID
E5012-R
Other IDs
23-2306
Status last verified
Feb 2026
First submitted
23 Feb 2024
Last updated
24 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Motivational Interviewing Techniques, Physical Therapy Interventions and Education in people with Multimorbidity and Physical Deconditioning, run by VA Office of Research and Development at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jennifer E Stevens-Lapsley, PhD ((303) 949-9304, Jennifer.Stevens-Lapsley@va.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

2 Minute Step Test (time frame: Change from baseline to 6 weeks, 12 weeks, and 24 weeks compared to the control group.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2026.

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