Behavioral Activation + Occupational Therapy: An Innovative Intervention for Empowered Self-Management of Multiple Chronic Conditions (BA+OT)
Multiple Chronic Conditions, Disability Physical
About this trial
This is an interventional treatment trial for Multiple Chronic Conditions focused on measuring functional limitation
Eligibility Criteria
Inclusion Criteria: 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 Exclusion Criteria: 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
Sites / Locations
- OU Health Internal Medicine- Schusterman ClinicRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
BA+OT intervention
Enhanced Usual Care
Following baseline assessment, the PI, a BA-trained, licensed occupational therapist will deliver a 10-session manualized program in the participants' homes to ensure optimal uptake of the active ingredients and integration into daily life routines. This intervention occurs over 10 weeks. The intervention manual will include educational materials for the 4-step approach, and worksheets for goal setting and developing daily routines. In the 1st BA-OT session, the PI will collect baseline assessments and use Canadian Occupational Performance Measure (COPM) data to facilitate goal setting. The top 5 participant-selected goals chosen will be the subject of the 4-step process in sessions 2 - 10. At least one goal must be related to improving physical activity routines; each participant will receive a Fitbit Charge 5 to self-monitor fitness progress. The unbiased evaluator will carry out follow-up assessments at 10 weeks and 22 weeks with participants in both conditions.
The enhanced usual care control group will receive the same assessment battery, a Fitbit Charge 5 with 1 hour training, and a handout about living with chronic conditions.