Telehealth Pilot for Veterans With Chronic Multi-Symptom Illness.

Purpose

The objective of this study is to examine the effectiveness of a telehealth intervention intended to augment several factors related to brain health and cognition in Veterans with chronic multi-symptom illness.

Condition

  • Chronic Multisymptom Illness

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Veterans who are National Referral Program patients and undergoing clinical care at the DC War Related Illness and Injury Study Center. - Local and previously enrolled National Referral Program patients. - Veterans who were deployed with Chronic Multisymptom Illness. - Able to engage in physical activity - No current or previous drug use past 90 days. - No excessive alcohol consumption - No current prominent suicide or homicidal ideation - No recent exposure to trauma - No acute or unstable illness - No dementia or significant cognitive impairments

Exclusion Criteria

  • AUDIT Score >= 4 (men) AUDIT Score >= 3 (women) - Current or previous drug use past 90 days. - Excessive alcohol consumption - Current prominent suicide or homicidal ideation - Recent exposure to trauma - Acute or unstable illness - Dementia or significant cognitive impairments

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Self-Guided
Participant's do not receive text message direction from the VA Annie Text Messaging System. Participant's create their own method for accomplishing app-based exercise and mindfulness practice without detailed instructions.
  • Behavioral: Self-guided practice of the combined intervention of physical activity and mindfulness meditation
    The participants will receive the same goals about exercise and mindfulness practice, but without the added text messages where explicit instruction will be provided
Experimental
Directed Messaging
Participant's receive text message directions from the ANNIE VA messaging system. The directed messaging system provides text message details of the participant's app-based meditation and exercise instructions.
  • Behavioral: Directed instruction of the combined intervention of physical activity and mindfulness meditation
    By using the VA's ANNIE text messaging systems, the participant's will receive detailed guidance on the exercise and mindfulness session.

Recruiting Locations

Washington DC Veteran's Affair Medical Center
Washington, District of Columbia 20422
Contact:
Timothy Chun, BS
202-745-8000
timothy.chun@va.gov

More Details

Status
Unknown status
Sponsor
War Related Illness and Injury Study Center

Study Contact

Timothy J Chun, BS
202-745-8000
timothy.chun@va.gov

Detailed Description

The objective of this study is to examine the effectiveness of a telehealth intervention intended to augment several factors related to brain health and cognition in Veterans with chronic multi-symptom illness. This pilot study innovatively merges with ongoing clinical practice at the War Related Illness and Injury Study Center to explore if utilizing new VA technologies and distance-bridging approaches can improve executive function by promoting health behaviors (e.g. physical activity and mindfulness meditation, called mental and physical training or MAP). Not only does this study intend to examine the feasibility of using these tools within the home setting and integrating these practices into the weekly lives of Veterans, but it also aims to determine the best way to provide this type of intervention by comparing a text-message based directed MAP (dMAP) arm to a self-guided MAP (sgMAP) arm. Understanding how much guidance to provide Veterans during their path towards recovery is important since we hope that this pilot study will offer not only evidence that these practices can be administered without supervision but also reveal that giving Veterans the right tools (exercise and meditation app on tablet), guidance (directed text message or holistic goals), and support (video-chat health coaching) can have measurable benefits on symptom severity and function.