Implementation
Implementation measures whether the intervention was delivered as intended. We include measurements of fidelity to clinical trial protocols, describing in detail any adaptations that were made based on CAB feedback as well as due to early findings in the clinical trial execution. We also report fidelity to the TelePR intervention components, to address specific factors relevant to TelePR sessions being executed as intended.Our CAB provided recommendations for successful implementation of TelePR. This included improvements to equipment functionality, safety features for frail, older patients using the ergonomic stationary bike, providing a micro-key to the telehealth tablet computer to make it easier for older patients to turn it on and off and to access the features needed; and a laminated how-to sheet attached to the equipment. To increase retention among those patients who were enrolled in the program, we distributed a monthly newsletter, and a dedicated social worker helped participants obtain medical clearance appointments and associated considerations if they were re-hospitalized during the program.