Tele-video to Improve Daily Activity 2.0

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.

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).