Effectiveness of a Supervised Multicomponent Exercise-Based Telerehabilitation Intervention on Physical Performance in Older Patients with Multiple Chronic Conditions in Colombia

Currently, the older adult population faces an increase in the prevalence of cardiopulmonary diseases, which negatively impact their quality of life by limiting their ability to perform daily activities and affecting their physical and emotional well-being. In particular, cardiovascular and respiratory diseases are among the leading causes of morbidity and mortality among older adults in Colombia. Despite advances in pharmacological treatment and medical care, physical rehabilitation remains an essential component in the management of these diseases, with physical exercise serving as one of its fundamental pillars. However, access to physical rehabilitation programs for the older adult population, particularly in rural or hard-to-reach areas, continues to pose a significant challenge. Telemedicine and Information and Communication Technologies (ICT) have emerged as viable solutions to overcome this barrier, enabling the remote prescription and monitoring of physical exercises, facilitating the inclusion of more patients in rehabilitation programs, and improving their quality of life. Therefore, this study aims to evaluate the effectiveness of a multicomponent ICT-mediated intervention in terms of improving physical condition, reducing frailty, adherence, satisfaction, and quality of life in older adults with cardiopulmonary diseases.

Study Overview

• Status: Completed
• Conditions: Non Communicable Chronic Diseases
• Intervention / Treatment: Other: telerehabilitation

• Study Type: Interventional
• Enrollment (Actual): 41
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Colombia
  • Medellín, Colombia
    • Fundación Universitaria María Cano

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria

• Diagnosis of a non-communicable disease.
• Ability to communicate verbally or in writing.
• Stable disease status confirmed by clinical history.
• Condition present for at least three months to qualify as chronic.
• For patients with type II diabetes mellitus: glucose levels below 200 mg/dL during tele-rehabilitation sessions.

Exclusion Criteria

• Requirement for assistance with walking.
• History of disease exacerbation within the past six months.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: NCD´s Telerehabilitation; 41 participants enrolled in a tele-rehabilitation program with Exercise-based interventions conducted twice weekly for three months via videoconferencing on Microsoft Teams	Other: telerehabilitation; Exercise-based interventions were conducted twice weekly for three months via videoconferencing on Microsoft Teams. The program included various components: Aerobic and strength training, Flexibility, Balance and coordination

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Short Physical Performance Battery	This battery includes tests for usual walking speed over 4 meters, five-chair stands, and balance. Each task receives a score (0-4) based on the time required to perform five sit-to-stand repetitions, standing balance, and walking speed over 4 meters. The total score (0-12) is calculated by summing individual scores, with higher scores indicating better lower-body function.	Baseline and at 1 month postest

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Six-minute walk test	Conducted on a straight, level, hard surface, ideally 30 meters long, with a minimum acceptable length of 20 meters. The track was marked every 3 meters, with cones at the ends and bright tape at the start. Variables recorded included meters (m), which represent the total distance covered by the individual during the six-minute period.	Baseline and at 1 month postest

Collaborators and Investigators

• Sponsor: Fundacion Universitaria Maria Cano

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2024
• Primary Completion (Actual): November 14, 2024
• Study Completion (Actual): December 30, 2024

Study Registration Dates

• First Submitted: January 15, 2025
• First Submitted That Met QC Criteria: January 27, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 27, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: elderly; Exercise Therapy; telerehabilitation
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Noncommunicable Diseases; Multiple Chronic Conditions; Chronic Disease
• Other Study ID Numbers: 013008018-2023

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No