Tele-video to Improve Daily Activity

Leveraging Social Networks: a Novel Physical Activity Intervention for Senior Housing

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06007664

Acronym

T-VIDA

Enrollment

Registered

2023-08-23

Start date

2023-08-23

Completion date

2024-12-10

Last updated

2026-08-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Physical Inactivity

Keywords

physical activity, physical function

Brief summary

This pilot study will test the feasibility of pairing a social network-based approach with a 6-week Occupational Therapist (OT)-led intervention administered remotely (via Zoom) to increase physical function and activity among residents of a HUD subsidized independent-living senior housing community. The intervention is called Tele-Video to Improve Daily Activity (T-VIDA) and will be administered with two cohorts of residents in a single community. The study has two main goals: 1) To determine if an OT-led program administered remotely over the internet using Zoom is useful in helping residents increase their physical activity; and 2) to determine if involving respected members of the community in the program as Advisory Committee members has an impact on how much other residents participate in program activities and engage in behaviors discussed. The OT intervention will be comprised of a combination of adapted components from multiple evidence-based interventions including individual meetings with an OT and OT-led group sessions. To evaluate the intervention pre- and post-program interviews will be conducted with participants over the phone, and activity monitoring will be conducted after both the pre- and post-program interviews for 7-days using an activity monitoring device. The following hypotheses will be tested: 1) at least 75% (3 of 4) of identified residents will accept the invitation to serve on the Advisory Committee; 2) Advisory Committee Members will attend at least 2 of 3 committee meetings; 3) Participants will on average participate in at least 70% (7 of 10) of intervention activities; 4) Residents knowing one or more committee members at baseline will participate in more intervention activities compared to those who do not; and 5) The influence of knowing a committee member on participation will be greater among residents reporting more pain at baseline compared to those reporting less pain.

Interventions

BEHAVIORALTele-Video to Improve Daily Activity

Participants will be asked to meet individually with an Occupational Therapist (OT) via Zoom to assess activity performance, establish short-term activity goals, and outline an individualized home exercise program. Participants will also be asked to participate in 4 weekly one hour group sessions via Zoom that will include: 1) education; 2) OT facilitated discussion; and 3) activity demonstration, engagement and feedback. The following topics will be covered: mobility, physical activity, pain management, and energy conservation. Participants will be asked to meet individually with the OT via Zoom for 15-20 minutes weekly to answer questions. At the end, participants will be asked to again meet individually with the OT via Zoom to re-assess activity performance and revisit short-term activity goals and the individualized home exercise program. Advisory Committee Members will be asked to make note of intervention activities during their regular interactions with other participants.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* resident of the senior housing community of focus * English-proficient * ambulatory with or without assistive device (e.g., cane, walker)

Exclusion criteria

* requiring use of a wheelchair for ambulation; * requiring highly specialized equipment (e.g., spinal cord injury, leg amputation, wound vacuum assisted closure, heavy leg boot); * hospitalized within last 3 months; * has probable dementia (TICSm score \<27); * requiring ongoing complicated treatments (e.g., home oxygen use \>2 liters); * has active mental health condition judged to pose significant barrier to participation; and * meets CDC recommendations for physical activity (150+ minutes of moderate-intensity aerobic activity during typical week).

Design outcomes

Primary

Measure	Time frame	Description
Process Outcome - Advisory Committee Members Accept Invitation	1 week pre-intervention	Number of originally identified potential Advisory Commitee Members who accept the invitation to serve on the committee. Possible scores range from 0 to 1.
Process Outcome - Advisory Committee Member Participation	Week 5 of intervention	Number of committee meetings attended by Advisory Committee Members. Possible scores range from 0 to 3.
Process Outcome - Individual Activity Participation	Immediately after the intervention, 6 weeks after the intervention started	Number of individual (one-on-one) intervention activities attended by participants. Possible scores range from 0 to 6.
Process Outcome - Group Activity Participation	Immediately after the intervention, 6 weeks after the intervention started	Number of group intervention activities attended by participants. Possible scores range from 0 to 4.
Process Outcome - Total Activity Participation	Immediately after the intervention, 6 weeks after the intervention started	Total number of intervention activities attended by participants (individual and group). Possible scores range from 0 to 10.
Process Outcome - Number Acitivites Via Zoom	Immediately after the intervention, 6 weeks after the intervention started	Number of activities attended via zoom as opposed to calling in by telephone. Possible scores range from 0 to 10.

Secondary

Measure	Time frame	Description
Change in Pain Interference	1 week pre and 1 week post the 6-week intervention	This includes 8 questions/items that measure how much pain interferes with daily activities. The response scale for each the 8 items ranges from 1=not at all to 5=very much. On this scale, lower values represent a better outcome. A total pain interference score is calculated by averaging the score of all 8 items. The range for the total score also ranges from 1 to 5. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in pain interference.
Change in Pain Intensity	1 week pre and 1 week post the 6-week intervention	This includes one question about how participants rate their pain on average using a scale ranging from 0=no pain to 10=the worst imaginable pain. Change will be measured by creating a difference score between the pre and post intervention scores.
Change in Physical Function Difficulty	1 week pre and 1 week post the 6-week intervention	This includes a modified version of the National Health and Aging Trends Study disability and functioning measure. The measure includes 11 questions/items assessing difficulty performing self-care, mobility, and household activities. The response scale for each of the 11 items asking about difficulty doing these activities ranges from 1=none to 4=a lot. On this scale, lower values represent a better outcome. A total physical function difficulty score is calculated by averaging the score of all 11 items. The range for the total score also ranges from 1 to 4. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in physical function difficulty.
Change in Self-efficacy in Activity	1 week pre and 1 week post the 6-week intervention	This includes 10 questions/items that measure participants' confidence in doing a number of activities that will be discussed during the intervention. The response scale for each of the 10 items ranges from 1=not confident at all to 5=completely confident. On this scale, higher values represent a better outcome. A total self-efficacy in activity score is calculated by averaging the score of all 10 items. The range for the total score also ranges from 1 to 5. Change will be measured by creating a difference score between the pre and post intervention total scores. Positive change scores represent a better outcome, i.e., an increase in self-efficacy in activity.
Change in Percentage of Other Participants Known	1 week pre and 1 week post the 6-week intervention	This will include a measure of the percentage of other participants each participant reports knowing. Possible scores range from 0 to 100. Change will be measured by creating a difference score between the pre and post intervention scores.
Change in Respect Level of Other Participants	1 week pre and 1 week post the 6-week intervention	This will include a measure of how much respect on average participants have for the other participants that they report knowing. This question will be asked on a scale ranging from 1=respect them very much to 5=don't respect them at all. Change will be measured by creating a difference score between the pre and post intervention scores.
Change in Sedentary Behavior	1 week pre and 1 week post the 6-week intervention	Participants will be asked to wear an accelerometer for 7 days following participation in pre- and post intervention interviews. Data from the accelerometers will be used to quantify the average amount of time that participants were sedentary per day over the 7 days. Change will be measured by creating a difference score between the pre and post intervention scores.
Change in Number of Steps	1 week pre and 1 week post the 6-week intervention	Participants will be asked to wear an accelerometer for 7 days following participation in pre- and post intervention interviews. Data from the accelerometers will be used to quantify the average number of steps taken per day over the 7 days. Change will be measured by creating a difference score between the pre and post intervention scores.
Change in Self-reported Physical Activity	1 week pre and 1 week post the 6-week intervention	We use two items from the Community Health Activities Model Program questionnaire asking if participants in a typical week in the past month: 1) walked fast or briskly for exercise; and 2) did light strength training, i.e., used hand held weights of 5 lbs. or less or elastic bands. The response scale for each of the two items was 0=no or 1=yes. A self-reported physical activity score for is calculated for each participant by summing the number of items participants indicated doing, i.e., indicated yes. The range for the total score ranges from 0 to 2. Change will be measured by creating a difference score between the pre and post intervention self-reported physical activity score. Positive change scores represent a better outcome, i.e., an increase in self-reported physical activity.
Change in Perceived Barriers to Physical Activity	1 week pre and 1 week post the 6-week intervention	This includes 16 questions/items that measure the degree to which specific things make it more difficult for participants to engage in 30 minutes of moderate intensity physical activity on 5 or more days a week. The response scale for each of the 16 items ranges from 1=not at all more difficult to 4=much more difficult. On this scale, lower values represent a better outcome. A total perceived barriers to physical activity score is calculated by averaging the score of all 16 items. The range for the total score also ranges from 1 to 4. Change will be measured by creating a difference score between the pre and post intervention total scores. Negative change scores represent a better outcome, i.e., a decrease in perceived barriers to physical activity.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORNoah J Webster, PhD

University of Michigan

Participant flow

Participants by arm

Arm	Count
Experimental: Occupational Therapy Intervention Group Behavioral: Tele-Video to Improve Daily Activity Participants will be asked to meet individually with an Occupational Therapist (OT) via Zoom to assess activity performance, establish short-term activity goals, and outline an individualized home exercise program. Participants will also be asked to participate in 4 weekly one hour group sessions via Zoom that will include: 1) education; 2) OT facilitated discussion; and 3) activity demonstration, engagement and feedback. The following topics will be covered: mobility, physical activity, pain management, and energy conservation. Participants will be asked to meet individually with the OT via Zoom for 15-20 minutes weekly to answer questions. At the end, participants will be asked to again meet individually with the OT via Zoom to re-assess activity performance and revisit short-term activity goals and the individualized home exercise program. Advisory Committee Members will be asked to make note of intervention activities during their regular interactions with other participants. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.	8
Total	8

Arm

Count

Experimental: Occupational Therapy Intervention Group

Behavioral: Tele-Video to Improve Daily Activity Participants will be asked to meet individually with an Occupational Therapist (OT) via Zoom to assess activity performance, establish short-term activity goals, and outline an individualized home exercise program. Participants will also be asked to participate in 4 weekly one hour group sessions via Zoom that will include: 1) education; 2) OT facilitated discussion; and 3) activity demonstration, engagement and feedback. The following topics will be covered: mobility, physical activity, pain management, and energy conservation. Participants will be asked to meet individually with the OT via Zoom for 15-20 minutes weekly to answer questions. At the end, participants will be asked to again meet individually with the OT via Zoom to re-assess activity performance and revisit short-term activity goals and the individualized home exercise program. Advisory Committee Members will be asked to make note of intervention activities during their regular interactions with other participants. Advisory Committee Members will be selected from the group of enrolled participants, and will not be considered additional participants in the study.

Total

Baseline characteristics

Characteristic	Experimental: Occupational Therapy Intervention Group
Age, Continuous	78 Years
Ethnicity (NIH/OMB) Hispanic or Latino	0 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	8 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants
Race (NIH/OMB) Asian	0 Participants
Race (NIH/OMB) Black or African American	1 Participants
Race (NIH/OMB) More than one race	1 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants
Race (NIH/OMB) White	6 Participants
Region of Enrollment United States	8 Participants
Sex: Female, Male Female	8 Participants
Sex: Female, Male Male	0 Participants

Adverse events

Event type	EG000 affected / at risk
deaths Total, all-cause mortality	0 / 8
other Total, other adverse events	4 / 8
serious Total, serious adverse events	0 / 8

Outcome results

Primary

Process Outcome - Advisory Committee Member Participation

Number of committee meetings attended by Advisory Committee Members. Possible scores range from 0 to 3.

Time frame: Week 5 of intervention

Arm	Measure	Value (NUMBER)
Experimental: occupational therapy intervention group	Process Outcome - Advisory Committee Member Participation	3 Number of meetings attended

Primary

Process Outcome - Advisory Committee Members Accept Invitation

Number of originally identified potential Advisory Commitee Members who accept the invitation to serve on the committee. Possible scores range from 0 to 1.

Time frame: 1 week pre-intervention

Arm	Measure	Value (NUMBER)
Experimental: occupational therapy intervention group	Process Outcome - Advisory Committee Members Accept Invitation	1 Participants

Primary

Process Outcome - Group Activity Participation

Number of group intervention activities attended by participants. Possible scores range from 0 to 4.

Time frame: Immediately after the intervention, 6 weeks after the intervention started

Arm	Measure	Value (MEAN)	Dispersion
Experimental: occupational therapy intervention group	Process Outcome - Group Activity Participation	3.5 Number of group activities attended	Standard Deviation 0.71

Primary

Process Outcome - Individual Activity Participation

Number of individual (one-on-one) intervention activities attended by participants. Possible scores range from 0 to 6.

Time frame: Immediately after the intervention, 6 weeks after the intervention started

Arm	Measure	Value (MEAN)	Dispersion
Experimental: occupational therapy intervention group	Process Outcome - Individual Activity Participation	5.8 Number of one-on-one activities attended	Standard Deviation 0.4

Primary

Process Outcome - Number Acitivites Via Zoom

Number of activities attended via zoom as opposed to calling in by telephone. Possible scores range from 0 to 10.

Time frame: Immediately after the intervention, 6 weeks after the intervention started

Arm	Measure	Value (MEAN)	Dispersion
Experimental: occupational therapy intervention group	Process Outcome - Number Acitivites Via Zoom	9.38 Number of activities attended on Zoom	Standard Deviation 0.99

Primary

Process Outcome - Total Activity Participation

Total number of intervention activities attended by participants (individual and group). Possible scores range from 0 to 10.

Time frame: Immediately after the intervention, 6 weeks after the intervention started

Arm	Measure	Value (MEAN)	Dispersion
Experimental: occupational therapy intervention group	Process Outcome - Total Activity Participation	9.38 # of intervention activities attended	Standard Deviation 0.99

Secondary

Change in Number of Steps

Participants will be asked to wear an accelerometer for 7 days following participation in pre- and post intervention interviews. Data from the accelerometers will be used to quantify the average number of steps taken per day over the 7 days. Change will be measured by creating a difference score between the pre and post intervention scores.