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Multiple ComorbidityTELEREAHB-COLNCT07299786

Telerehabilitation With Multicomponent Exercise for Older Adults With Multiple Chronic Conditions

A study testing Multicomponent Exercise via Telerehabilitation and Home-Based Physiotherapy in people with Multiple Comorbidity, run by Fundacion Universitaria Maria Cano at 1 site in Colombia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to learn if a multicomponent exercise program delivered through telerehabilitation improves physical fitness and quality of life in older adults with multiple chronic conditions living in Antioquia, Colombia. Read more about this study

Who is it for?
Ages 60 to 100 years
Conditions the study is for
Multiple Comorbidity
What is being tested?
Multicomponent Exercise via Telerehabilitation and Home-Based Physiotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 siteColombia
Study dates
30 Jan 2024to 10 Oct 2025
Phase
Interventional
Are there results?
None posted in the registry

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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 60 years or older.
  • Diagnosed with a chronic cardiorespiratory condition (e.g., chronic obstructive pulmonary disease, asthma, heart failure, or ischemic heart disease).
  • May present other stable chronic comorbidities (e.g., metabolic or musculoskeletal diseases).
  • Medically stable and cleared by a physician to participate in moderate exercise.
  • Able to stand and walk independently, with or without assistive devices.
  • Have access to a device with an internet connection (computer, tablet, or smartphone) for online sessions.
  • Cognitive ability to follow instructions and communicate with the physiotherapist.
  • Willingness to provide informed consent and comply with the study procedures.

Who cannot join

  • Severe dementia or cognitive impairment preventing participation.
  • Uncontrolled epilepsy or recent seizure history.
  • Recent major surgery (within the past 3 months).
  • Delirium or acute confusional state.
  • Recent acute myocardial infarction or unstable angina.
  • Uncontrolled arrhythmias. -Dissecting aortic aneurysm.-
Show all 9Show fewer
  • Severe aortic stenosis.
  • Acute endocarditis or pericarditis.
  • Uncontrolled hypertension. -Acute thromboembolic disease.- Any medical condition or instability that, in the investigator's judgment, would make participation unsafe or inappropriate.

Trial locations and contacts

1 site in 1 country.

Colombia1 site
  • Fundación Universitaria María Cano

    Envigado, Antioquia, 055420

Other trials in Colombia

About this study

Official title: Multicomponent Exercise Prescription Through Telerehabilitation for Older Adults With Multiple Chronic Conditions in Antioquia, Colombia

The goal of this clinical trial is to learn if a multicomponent exercise program delivered through telerehabilitation improves physical fitness and quality of life in older adults with multiple chronic conditions living in Antioquia, Colombia.

The main questions it aims to answer are:

Read more

Does telerehabilitation with multicomponent exercise improve physical performance compared to home-based physiotherapy provided in person by a physiotherapist?

Does this program enhance participants' quality of life and functional independence?

Participants will:

Join a 12-week exercise program with two 45-minute online sessions per week, led by a physiotherapist through Microsoft Teams.

Perform exercises including aerobic, strength, flexibility, and balance training, adapted to their health condition.

Complete pre- and post-intervention assessments of physical function (Senior Fitness Test, SPPB) and quality of life (WHOQOL-BREF).

Researchers will compare the telerehabilitation group to a home-based physiotherapy group, in which physiotherapists visit participants at their homes, to determine whether the online multicomponent exercise intervention is effective, safe, and feasible for older adults with multiple chronic conditions.

Read the detailed description

This study is a randomized, single-blind, parallel-group controlled clinical trial designed to evaluate the implementation and effects of a multicomponent exercise program delivered through synchronous telerehabilitation in older adults with multiple chronic conditions living in Antioquia, Colombia.

Population aging has led to a growing prevalence of multimorbidity, characterized by the coexistence of cardiovascular, respiratory, metabolic, and musculoskeletal conditions. This clinical complexity is commonly associated with declines in physical function, increased frailty, loss of independence, and reduced quality of life. Although exercise-based rehabilitation is a key component of chronic disease management, access to supervised programs remains limited for many older adults due to geographic barriers, mobility restrictions, and resource constraints, particularly in low- and middle-income settings.

Telerehabilitation, defined as the remote delivery of rehabilitation services through information and communication technologies, has emerged as an alternative approach to improve access to physiotherapy services while maintaining professional supervision. Multicomponent exercise programs that integrate aerobic, resistance, flexibility, and balance training have demonstrated benefits for physical and functional health in older populations. However, there is limited evidence regarding the use of supervised telerehabilitation models for older adults with multimorbidity in Colombia.

Participants are allocated in a 1:1 ratio to either a Telerehabilitation Group or a Home-Based Physiotherapy Group. Randomization is stratified by sex and primary diagnosis to promote balance between groups. Outcome assessors are blinded to group allocation.

The telerehabilitation intervention consists of a structured, supervised multicomponent exercise program delivered in real time using videoconferencing technology. Sessions are conducted twice weekly over a 12-week period and follow a standardized format that includes warm-up activities, aerobic conditioning, resistance exercises using body weight or elastic bands, flexibility training, balance exercises, and cool-down. Exercise intensity and progression are individualized based on functional capacity, health status, and participant tolerance. All sessions are supervised synchronously by a licensed physiotherapist, who provides guidance, monitors responses to exercise, and applies predefined safety procedures.

The comparison group receives an equivalent multicomponent exercise program delivered face-to-face in the participant's home by a physiotherapist over the same intervention period. Session structure, exercise components, and progression principles are comparable between groups, with the primary difference being the mode of delivery. Both groups receive standardized educational guidance related to physical activity, healthy aging, and self-management strategies.

Assessments are conducted at baseline and immediately after completion of the intervention period. Study procedures include monitoring adherence, documenting attendance, and recording any adverse events occurring during supervised exercise sessions. These elements are used to evaluate feasibility, acceptability, and safety of the intervention in both delivery modalities.

Ethical approval was obtained from the Research Ethics Committee of Fundación Universitaria María Cano. All participants provided written informed consent prior to enrollment. Participant confidentiality and data protection are ensured in accordance with institutional protocols and national regulations, including secure management of digital platforms used for telerehabilitation.

This trial aims to generate context-specific evidence on the use of supervised telerehabilitation as a strategy to deliver physiotherapy services to older adults with multiple chronic conditions, supporting future integration of digital rehabilitation models into clinical practice and public health initiatives in Colombia.

Being tested
Multicomponent Exercise via Telerehabilitation, Home-Based Physiotherapy
Keywords
telerehabilitation, Multicomponent Exercise, Multiple Chronic Conditions
Medical subject headings
Multiple Chronic Conditions

What participants receive

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

  • Multicomponent Exercise via TelerehabilitationBehavioural

    Also called TRG

    A supervised multicomponent exercise program delivered remotely through Microsoft Teams. The program includes aerobic, strength, flexibility, and balance exercises performed twice per week for 12 weeks, under real-time supervision by a physiotherapist. The exercises are individualized according to each participant's health status and physical capacity.

  • Home-Based PhysiotherapyBehavioural

    Also called HBG

    A physiotherapist-led multicomponent exercise program conducted in person at the participant's home. The intervention includes aerobic, strength, flexibility, and balance exercises, delivered twice per week for 12 weeks. The physiotherapist provides individualized progression, monitors adherence, and ensures participant safety during each home session.

Study groups in NCT07299786
Study groupRoleWhat they receive
Telerehabilitation Group (TRG)ExperimentalParticipants in the Telerehabilitation Group (TRG) will take part in a 12-week multicomponent exercise program delivered online through Microsoft Teams. Sessions will be held twice per week, lasting 45 minutes each, and will include aerobic, strength, flexibility, and balance exercises. Intensity will be individually adjusted according to perceived exertion and functional status. A physiotherapist will conduct the sessions in real time, providing continuous supervision, feedback, and safety monitoring.
Receives: Behavioral: Multicomponent Exercise via Telerehabilitation
Home-Based Physiotherapy Group (HBG)Active comparatorParticipants in the Home-Based Physiotherapy Group (HBG) received a 12-week in-home physiotherapy program conducted by a physiotherapist who visited the participants' homes twice per week. Each session lasted approximately 45 minutes and included aerobic, strength, flexibility, and balance exercises, following the same structure as the telerehabilitation protocol. The exercises were individualized according to the participant's clinical condition and physical capacity. Progress and safety were monitored directly during each home session.
Receives: Behavioral: Home-Based Physiotherapy

What is being measured

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

  1. Change in Physical Performance Measured by the Short Physical Performance Battery (SPPB)

    The Short Physical Performance Battery (SPPB) is a standardized test that assesses lower extremity function through three components: balance, gait speed, and chair stand performance. Each component is scored from 0 to 4, with a total score ranging from 0 to 12, where higher scores indicate better physical performance. The SPPB has been validated as a predictor of functional capacity, frailty, and disability in older adults. In this study, the SPPB will be used to evaluate changes in physical performance before and after the 12-week intervention in both groups.

    Measured: Baseline and 12 weeks post-intervention

  2. Change in Physical Fitness Measured by the Senior Fitness Test (SFT)

    The Senior Fitness Test (SFT) is a standardized battery designed to assess physical fitness in older adults across multiple components of functional capacity. It includes six subtests evaluating lower-body strength, upper-body strength, aerobic endurance, flexibility, agility, and dynamic balance: chair stand, arm curl, 2-minute step, chair sit-and-reach, back scratch, and 8-foot up-and-go.

    Each subtest is scored independently using performance-based measures. There is no single composite score for the SFT. The minimum and maximum values for each subtest are as follows:

    Chair Stand Test: number of repetitions completed in 30 seconds (minimum = 0 repetitions; no fixed maximum).

    Arm Curl Test: number of repetitions completed in 30 seconds (minimum = 0 repetitions; no fixed maximum).

    2-Minute Step Test: number of steps completed in 2 minutes (minimum = 0 steps; no fixed maximum).

    Chair Sit-and-Reach Test: distance reached in centimeters relative to the toes (negative values indicate

    Measured: Baseline and 12 weeks post-intervention

Secondary outcomes (1)
  1. Change in Quality of Life Measured by the WHOQOL-BREF Questionnaire

    The World Health Organization Quality of Life Instrument (WHOQOL-BREF) is a validated questionnaire that assesses quality of life across four domains: physical health, psychological health, social relationships, and environment. The instrument consists of 26 items rated on a 5-point Likert scale. Domain scores are calculated and transformed to a 0-100 scale following World Health Organization guidelines.

    For all domains and the overall quality of life score, higher scores indicate better perceived quality of life, while lower scores indicate poorer perceived quality of life.

    In this study, the WHOQOL-BREF will be administered at baseline and after the 12-week intervention to evaluate changes in overall and domain-specific quality of life in both study groups.

    Measured: Baseline and 12 weeks post-interventio

Timeline

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

  1. First posted23 Dec 2025
  2. Study start30 Jan 2024
  3. Primary completion30 Jun 2024
  4. Study completion10 Oct 2025

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study follows a parallel-group design with two intervention arms: a Telerehabilitation Group (TRG) and a Conventional Home-Based Physiotherapy Group (HBG). Participants will be randomly assigned in a 1:1 ratio, stratified by primary diagnosis and sex, to ensure balanced distribution between groups. Each participant will remain in the same group throughout the 12-week intervention period.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07299786
Sponsor's protocol ID
013008001-2024311
Acronym
TELEREAHB-COL
Status last verified
Nov 2025
First submitted
28 Nov 2025
Last updated
23 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared due to institutional and ethical restrictions. Only aggregated and anonymized data will be published in scientific reports and peer-reviewed journals.

Questions about this trial

What is this clinical trial studying?

A study testing Multicomponent Exercise via Telerehabilitation and Home-Based Physiotherapy in people with Multiple Comorbidity, run by Fundacion Universitaria Maria Cano at 1 site in Colombia.

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 8 inclusion and 9 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: finished, as of the sponsor's last update on 23 Dec 2025. 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 Colombia. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Physical Performance Measured by the Short Physical Performance Battery (SPPB) (time frame: Baseline and 12 weeks post-intervention). The study lists 2 primary outcomes in all. 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 23 Dec 2025.

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