Tele-video to Improve Daily Activity 2.0 (T-VIDA-2)

Feasibility of a Remote Social Network-Based Occupational Therapy Intervention to Address Physical Function, Activity and Pain in Affordable Senior Housing

In this Phase 1 pilot study, the investigators will test the feasibility of pairing a social network-based approach with a 6-week Occupational Therapist (OT)-led intervention administered remotely to increase physical function and activity among residents of a HUD subsidized independent-living senior housing community. The social network-based approach will involve systematic identification and involvement of influential human agents of change in the community (i.e., the most respected resident and resident with whom others have the most contact) to help recruit and sustain others' participation in the OT intervention. 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. The goal of the intervention is to increase physical function and activity among older adults through development of habits and skills that address barriers such as pain.

Study Overview

• Status: Active, not recruiting
• Conditions: Physical Inactivity
• Intervention / Treatment: Behavioral: A remote social network-based occupational therapy intervention to address physical function, activity and pain in affordable senior housing.

• Study Type: Interventional
• Enrollment (Estimated): 12
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Michigan
    • Ann Arbor, Michigan, United States, 48104
      • University of Michigan

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• resident of proposed intervention community (HUD subsidized independent-living senior housing community);
• 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 an active and untreated mental health condition; and
• meets CDC recommendations for physical activity (150+ minutes of moderate-intensity aerobic activity during typical week).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• 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: Occupational therapy intervention group

Behavioral: A remote social network-based occupational therapy intervention to address physical function, activity and pain in affordable senior housing.; In this Phase 1 pilot study, the investigators will test the feasibility of pairing a social network-based approach with a 6-week Occupational Therapist (OT)-led intervention administered remotely to increase physical function and activity among residents of a HUD subsidized independent-living senior housing community. The social network-based approach will involve systematic identification and involvement of influential human agents of change in the community (i.e., the most respected resident and resident with whom others have the most contact) to help recruit and sustain others' participation in the OT intervention. 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. The goal of the intervention is to increase physical function and activity among older adults through development of habits and skills that address barriers such as pain.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Process Outcome - Advisory Committee Member Participation	Number of committee meetings attended by Advisory Committee Members. Possible scores range from 0 to 3.	Week 5 of intervention
Process Outcome - Individual Activity Participation	Number of individual (one-on-one) intervention activities attended by participants. Possible scores range from 0 to 6.	Immediately after the intervention, 6 weeks after the intervention started
Process Outcome - Group Activity Participation	Number of group intervention activities attended by participants. Possible scores range from 0 to 4.	Immediately after the intervention, 6 weeks after the intervention started
Process Outcome - Total Activity Participation	Total number of intervention activities attended by participants (individual and group). Possible scores range from 0 to 10.	Immediately after the intervention, 6 weeks after the intervention started
Process Outcome - Advisory Committee Members Accept Invitation	Number of originally identified potential Advisory Committee Members who accept the invitation to serve on the committee. Possible scores range from 0 to 2.	1 week pre-intervention
Process Outcome - Number Activities Via Zoom	Number of activities attended via zoom as opposed to calling in by telephone. Possible scores range from 0 to 10.	Immediately after the intervention, 6 weeks after the intervention started

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Self-reported Physical Activity	Modified Community Health Activities Model Program questionnaire. This includes 16 questions/items that measure the number of times and the frequency of each activity engaged in during a typical week in the past month. The response scale for each of the 16 items ranges from 1=less than 1 hour to 6=9 or more hours. On this scale, higher values represent a better outcome. A total self-reported physical activity score is calculated by averaging the score of all 16 items. The range for the total score also ranges from 1 to 6. 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-reported physical activity.	1 week pre and 1 week post the 6-week intervention
Change in Perceived Barriers to Physical Activity	This includes 17 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 17 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 17 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.	1 week pre and 1 week post the 6-week intervention
Change in Pain Interference	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.	1 week pre and 1 week post the 6-week intervention
Change in Pain Intensity	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.	1 week pre and 1 week post the 6-week intervention
Change in Physical Function Difficulty	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.	1 week pre and 1 week post the 6-week intervention
Change in Self-efficacy in Activity	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.	1 week pre and 1 week post the 6-week intervention
Change in Percentage of Other Participants Known	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.	1 week pre and 1 week post the 6-week intervention
Change in Respect Level of Other Participants	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.	1 week pre and 1 week post the 6-week intervention
Change in Sedentary Behavior	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.	1 week pre and 1 week post the 6-week intervention
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.	1 week pre and 1 week post the 6-week intervention

Collaborators and Investigators

• Sponsor: University of Michigan
• Collaborators: National Institute on Aging (NIA); Cornell University
• Investigators: Principal Investigator: Noah J Webster, PhD, University of Michigan

Study record dates

Study Major Dates

• Study Start (Actual): March 20, 2026
• Primary Completion (Estimated): May 1, 2026
• Study Completion (Estimated): May 1, 2026

Study Registration Dates

• First Submitted: February 12, 2026
• First Submitted That Met QC Criteria: February 12, 2026
• First Posted (Actual): February 19, 2026

Study Record Updates

• Last Update Posted (Actual): April 14, 2026
• Last Update Submitted That Met QC Criteria: April 8, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: physical activity; physical function
• Additional Relevant MeSH Terms: Behavior; Motor Activity; Sedentary Behavior; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise
• Other Study ID Numbers: HUM00238400; P30AG022845 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Sharing Time Frame: Starting 6 months after publication
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No