Behavioral Activation + Occupational Therapy: An Innovative Intervention for Empowered Self-Management of Multiple Chronic Conditions

Recruiting now · Not applicable

Conditions studied: Multiple Chronic Conditions, Disability Physical

In brief

Approximately 45% of older adults in the U.S. have 2 or more chronic health conditions (e.g., arthritis, hypertension, diabetes) in addition to functional limitations that prevent performance of health self-management activities. Self-management continues to be the gold standard for managing MCC, but functional limitations create difficulty with these activities (e.g., physical activity, symptom monitoring). Restricted self-management accelerates the downward spiral of disability and accumulating chronic conditions which, in turn, increases rates of institutionalization and death by 5-fold. Currently, there are no tested interventions designed to improve independence in health self-management activities in older adults with MCC and functional limitations. Research suggests that older adults are more likely to change behavior with interventions that assist with planning health-promoting daily activities, especially when contending with complex medical regimens and functional limitations. Combined with occupational therapy (OT), behavioral activation (BA) shows promise to improve health self-management in populations with chronic conditions and/or functional limitations. This innovative combination uses the goal setting, scheduling/monitoring activities, and problem-solving components of the BA approach as well as the environmental modification, activity adaptation, and focus on daily routines from OT practice. The investigators will test the effect of this combined approach in a Stage I, randomized controlled pilot feasibility study compared to enhanced usual care. The investigators will recruit 40 older adults with MCC and functional limitation and randomize 20 to the PI- delivered BA-OT protocol. This research will inform modification and larger-scale testing of this novel intervention and provide data for a federally funded career development award.

Key facts

Study ID

NCT05600465

Run by

University of Oklahoma

People needed

40

Starts

2022-11-01

Expected to finish

2025-07-01

Last updated by the study team

2024-09-19

Who can join

Age: 60 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• at least 2 chronic conditions
• at least 1 functional limitation
• intention to set at least 1 physical activity goal
• live within 15 miles of University of Oklahoma (OU) Schusterman Center

You may not qualify if…

• life expectancy less than 6 months
• progressive neurological condition
• in active treatment for cancer
• not English speaking
• cognitive impairment
• current or history of severe mental illness
• in concurrent treatment with occupational and physical therapy

Where it is running

• OU Health Internal Medicine- Schusterman Clinic — Tulsa, Oklahoma, United States (enrolling)

Full record on ClinicalTrials.gov

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