Gerofit Exercise Intervention for Older Adults With Sickle Cell Disease (SICKLE-FIT Study) (SICKLE-FIT)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Charity I Oyedeji, MD
- Phone Number: 9196840628
- Email: charity.oyedeji@duke.edu
Study Contact Backup
- Name: John J. Strouse, MD, PhD
- Phone Number: 9196840628
- Email: john.strouse@duke.edu
Study Locations
-
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have a diagnosis of sickle cell disease (any genotype) confirmed by hemoglobin electrophoresis, high performance liquid chromatography, or genotyping
- Understand and speak fluent English.
Exclusion Criteria:
- Diagnosed with moderate or severe cognitive impairment based on ICD-10 codes or report from their outpatient provider
- Unable to self-consent
- Wheelchair-bound
- Successfully treated with hematopoietic stem cell transplantation for SCD
- Have moderate to severe uncorrected visual or auditory impairment
- Oxygen-dependent
- Pregnant
- Have severe avascular necrosis requiring an assist device
- Unstable cardiac disease.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Exercise
Each cohort of 5-8 participants will exercise 3 days a week for up to 12 weeks.
Exercise sessions will be virtual
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The tele-Gerofit exercise intervention has training focused on meeting the physical activity guidelines and incorporating cardiovascular, strength, and balance training.
Sessions will also include a mindfulness component, warm up, cool-down, and safety checks.
Exercises are personalized to each person's functional status.
Intensity of exercises will be determined by participants providing a rating of perceived exertion (RPE) on a scale of 0 (easy) to 10 (very hard) throughout the session.
Initial exercise sessions will start at low-intensity and will gradually increase the duration and intensity to allow each person to reach recommended exercise levels at their own pace.
Exercises are done virtually via Zoom.
Each cohort will have 5-8 participants.
The exercise program will be optimized after each cohort with modifications based on participant and exercise expert feedback.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Feasibility, as Measured by Number of Participants Completing at Least 50% of the Exercise Sessions
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety, as Measured by Number of Participants With Moderate or Severe Adverse Events
Time Frame: 12 weeks
|
Number of participants with one or more moderate or severe adverse events within 48 hours after each exercise session.
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12 weeks
|
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Acceptability, as Measured by the Number of Participants Reporting the Intervention as Acceptable
Time Frame: 12 weeks
|
Acceptability of the exercise program was measured on a scale of 1-10, where 1= severe dislike and 10 = absolute enjoyment.
Reported as the number of participants with scores of 8-10.
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12 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent of Participants With Clinically Meaningful Change in Mobility as Measured by Usual Gait Speed
Time Frame: Baseline, 24 weeks
|
Reported as the percent change in usual walking speed on a 4.57 meter (15 feet) walking course.
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Baseline, 24 weeks
|
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Percent of Participants With Clinically Meaningful Change in Balance as Measured by Timed Up and Go
Time Frame: Baseline, 12-24 weeks
|
Performance test of physical mobility.
This measures the number of seconds it takes to stand up from a standard chair (46cm), walk a distance of 10 ft (3 meters), turn back to the chair, and sit down again.
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Baseline, 12-24 weeks
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Percent of Participants With Clinically Meaningful Change in Aerobic Endurance as Measured by Six-Minute Walk Test (6MWT)
Time Frame: Baseline, 12-24 weeks
|
Measure of aerobic endurance.
The participant walks as fast and as safely as possible for 6 minutes with prompts given every minute.
Distance traveled in 6 minutes is recorded.
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Baseline, 12-24 weeks
|
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Percent of Participants With Clinically Meaningful Change in Upper Body Strength as Measured by Grip Strength
Time Frame: Baseline, 12-24 weeks
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Measure of upper body strength.
Jamar hydraulic hand dynamometer (Jamar Technologies) was used to measure grip strength in triplicate for both hands while subject remains seated.
The greatest value was used in analysis.
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Baseline, 12-24 weeks
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Percent of Participants With Clinically Meaningful Change in Lower Body Strength as Measured by 30-second Chair Stand
Time Frame: Baseline, 12-24 weeks
|
30-second chair stand is a measure lower body strength.
The participant sits in a folding chair without arms with chair pressed against the wall and stands up and sits back down with arms across their chest as many times as possible in 30 seconds.
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Baseline, 12-24 weeks
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Percent of Participants With Improved Quality of Movement Measured by Functional Movement Screen
Time Frame: Baseline, 12-24 weeks
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Includes deep squat and mobility test of upper and lower extremities.
This is measure of squat quality/form.
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Baseline, 12-24 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Charity I Oyedeji, MD, Duke University
Publications and helpful links
General Publications
- Morey MC, Lee CC, Castle S, Valencia WM, Katzel L, Giffuni J, Kopp T, Cammarata H, McDonald M, Oursler KA, Wamsley T, Jain C, Bettger JP, Pearson M, Manning KM, Intrator O, Veazie P, Sloane R, Li J, Parker DC. Should Structured Exercise Be Promoted As a Model of Care? Dissemination of the Department of Veterans Affairs Gerofit Program. J Am Geriatr Soc. 2018 May;66(5):1009-1016. doi: 10.1111/jgs.15276. Epub 2018 Feb 12.
- Oyedeji CI, Hall K, Luciano A, Morey MC, Strouse JJ. The Sickle Cell Disease Functional Assessment (SCD-FA) tool: a feasibility pilot study. Pilot Feasibility Stud. 2022 Mar 4;8(1):53. doi: 10.1186/s40814-022-01005-3.
- Morey MC, Pieper CF, Crowley GM, Sullivan RJ, Puglisi CM. Exercise adherence and 10-year mortality in chronically ill older adults. J Am Geriatr Soc. 2002 Dec;50(12):1929-33. doi: 10.1046/j.1532-5415.2002.50602.x.
- Morey MC, Cowper PA, Feussner JR, DiPasquale RC, Crowley GM, Kitzman DW, Sullivan RJ Jr. Evaluation of a supervised exercise program in a geriatric population. J Am Geriatr Soc. 1989 Apr;37(4):348-54. doi: 10.1111/j.1532-5415.1989.tb05503.x.
- Oyedeji C, Strouse JJ, Crawford RD, Garrett ME, Ashley-Koch AE, Telen MJ. A multi-institutional comparison of younger and older adults with sickle cell disease. Am J Hematol. 2019 Apr;94(4):E115-E117. doi: 10.1002/ajh.25405. Epub 2019 Jan 31. No abstract available.
- Liem RI. Balancing exercise risk and benefits: lessons learned from sickle cell trait and sickle cell anemia. Hematology Am Soc Hematol Educ Program. 2018 Nov 30;2018(1):418-425. doi: 10.1182/asheducation-2018.1.418.
- Merlet AN, Messonnier LA, Coudy-Gandilhon C, Bechet D, Gellen B, Rupp T, Galacteros F, Bartolucci P, Feasson L. Beneficial effects of endurance exercise training on skeletal muscle microvasculature in sickle cell disease patients. Blood. 2019 Dec 19;134(25):2233-2241. doi: 10.1182/blood.2019001055.
- Liem RI, Akinosun M, Muntz DS, Thompson AA. Feasibility and safety of home exercise training in children with sickle cell anemia. Pediatr Blood Cancer. 2017 Dec;64(12). doi: 10.1002/pbc.26671. Epub 2017 Jun 9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Pro00111833
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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