No registrations found.
ID
Source
Brief title
Health condition
Combined chronic cardiac and pulmonary disease
Sponsors and support
Intervention
Outcome measures
Primary outcome
To determine the feasibility (i.e. the ability to complete the exercise program and a qualitative exploration of barriers for adherence) of a home-based exercise program in a pilot study with patients with combined chronic pulmonary and cardiac disease.
Secondary outcome
- Patient satisfaction with the program.
- Safety of the program.
- Changes in functional capacity and quality of life.
Background summary
Chronic cardiac and pulmonary diseases often co-exist and both diseases are associated with high morbidity and mortality. Exercise is a proven effective strategy in these patients to reduce the risk of rehospitalization and improve functional capacity. However, due to breathlessness, muscle atrophy and anxiety, patients with combined cardiac and pulmonary disease generally have low activity levels and have low motivation to participate in center based rehabilitation programs. To improve exercise behavior in the home environment we aim to conduct a pilot-study to evaluate the feasibility of a telemonitored home-based exercise program. The results of this study will be used to design a larger randomized trial.
Study objective
A novel, home-based, goal-orientated exercise program for patients with combined chronic cardiac and pulmonary disease is feasible and safe.
Study design
At baseline / intake the following questionnaires and functional tests will be obtained:
- EQ-5D-5L (quality of life) questionnaire
- mMRC dyspnea scale
- One-minute sit-to-stand test
- Handgrip test
- Patient Specific Complaints (PSC) questionnaire
At final evaluation the following questionnaires and functional tests will be obtained:
- EQ-5D-5L (quality of life) questionnaire
- mMRC dyspnea scale
- One-minute sit-to-stand test
- Handgrip test
- Patient Specific Complaints (PSC) questionnaire
- CSQ-8 (patient satisfaction) questionnaire
- Purpose-designed patients satisfaction questionnaire
Intervention
Eligible patients participate in an 8 week home-based, goal-orientated exercise program. The program begins with in an intake at the outpatient physical therapy clinic of Máxima MC. This intake is performed with both a physical therapist and an occupational therapist. Based on this intake, the patient receives a personalized, goal-orientated exercise program using a digital platform to report training sessions and a smartwatch. Weekly video consultations take place to discuss progress and to adjust the training scheme if needed. Also, the digital platform is equipped with an activity diary to be filled in by the patient for evaluation with the occupational therapist. After 8 weeks a final evaluation takes place at the outpatient physical therapy clinic.
Inclusion criteria
- Patients with combined chronic pulmonary and cardiac disease already participating in remote patient care.
- Motivated to participate in an exercise program.
- Age ≥ 16 years.
- Speaking, writing and reading the Dutch language.
Exclusion criteria
- Neurological, orthopedic or peripheral vascular conditions preventing the patient from performing exercise.
- Hemodynamic significant valvular disease.
- Proven cardiac ischemia or heart rhythm disturbances at a low-intensity exercise level.
Design
Recruitment
IPD sharing statement
Plan description
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL9182 |
| Other | METC MMC : W18.116 |