- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01239667
Rehabilitative Care to Patients With Heart Failure
Hypothesis and objectives of the study Systematic preparation of rehabilitation plan for rehabilitation in Phase III based on identification of self-care behavior patients with heart failure in NYHA class II and III, leading to patients' self-care behaviors strengthened, which will result in increased health status and ADL level 6 months after discharge from hospital with heart failure .
Target
- To develop evidence-based clinical guidelines for patient rehabilitation phase III
- To test the effect of individual rehabilitation plans based on clinical guidelines for patient rehabilitation in Phase III. Efficacy evaluated in relation to changes in self-care behaviors, health status and ADL function.
Material and Methods:
Controlled longitudinal study. Each intervention patient receives before the end of hospital rehabilitation designed a specific rehabilitation plan also contacted the patient by specially trained nurse telephone 4 and 12 weeks after completion of their rehabilitation in hospital and the patient has the opportunity to contact the department when needed. The effect of rehabilitation assessed by sending questionnaires SF 36 and EHFScB Scale 9, to assess patients' ADL functioning, self-care behaviors and self-rated health.
All patients participating in the planned rehabilitation in hospitals, so that the baseline is the end of Phase II. Intervention based on an analysis of the individual's need for continued rehabilitation (self care behavior, health status, ADL function) and the patient's perception of own situation. Draw up a plan and program together with the patient
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Rehabilitation for people with serious illness, has been in focus over the last 10-15 years which is also valid for heart field (1). The focus of cardiac rehabilitation has been on the efficacy of treatment in relation to mortality, morbidity and health-related quality of life (HRQoL).
Purpose of rehabilitation are:
"Rehabilitation is a targeted and time-bound collaborative process between an individual, relatives and professionals. The aim is that citizens who have or are at risk of significant limitations in physical, mental and / or social functioning, achieve an independent and meaningful life. Rehabilitation based on the citizen's whole life situation and decisions made by a coordinated, coherent, knowledge-based action (1).
Background. Worldwide, estimated that around. 50 million people suffer from heart disease (2). In Denmark assumed that 60,000 people live with chronic heart failure, with prevalence increasing with increasing age (3) (4). In 2005 there were 142,245 hospitalizations with cardiovascular disease in Denmark, by 86,336 people, 1,786 per 100,000 men and 1,409 per 100,000 women. Viewed in isolation on heart-related deaths in the period 1998 -2005 is a decrease in mortality in general, and in 30 day mortality after AMI decreased from 10 to 4% (5). Cardiac rehabilitation has been made in traditional hospital setting and there is a documented effect of effort in terms of patients' physical function, decrease in relapse of disease, and decrease in morbidity and mortality (2) (6) (7) (8) (9).
Hypothesis and objectives of the study Hypothesis: Systematic preparation of rehabilitation plan in Phase III based on the identification of self care behavior patients with heart failure in NYHA class II and III, leading to patients' self-care behaviors strengthened, which will result in improved health status and ADL level 6 months after discharge from hospital with heart failure .
Target
- To develop evidence-based protocol for patient rehabilitation phase III
- To test the effect of individual rehabilitation plans based on evidence-based knowledge of patient rehabilitation in Phase III. Efficacy evaluated in relation to changes in self-care behaviors, health status and ADL function.
Materials and methods. 3.1 Population: Patients recruited from Zealand Region Hospital South in Naestved and Slagelse. There are printed annually 55-60 patients with heart failure from each of the respective hospitals. The material in the study are women and men with heart failure in NYHA class II - III of participants are calculated based on strength calculation.
Inclusion:
Patients in NYHA II-III Participation happens after written informed consent. Patients included in the respective intervention or control group depending on the hospital site.
Exclusion:
Patients who do not wish to participate. Patients with language and communication impedes Sufficient participation. Patients who do not understand information, as well as patients diagnosed with neurological deficits.
Calculation of sample size:
Calculation of patient numbers are based on strength calculation. The level of type 1 error set at 5% and type 2 errors to 20%, and expected an improvement in ADL level at 50%, Power Calculation shows that the participating 60 patients in the control and 60 patients in the intervention group (http:/ / statpages.org / proppowr.html). With an expected dropout rate of 25%, therefore, invited 72 patients in each group
Design. quasi experimental study of patients from the Regions Hospital in Naestved and the hospital in Slagelse. Each intervention patient receives before the end of hospital rehabilitation designed a specific rehabilitation plan also contacted the patient by specially trained nurse telephone 4 and 12 weeks after completion of their rehabilitation in hospital and the patient has the opportunity to contact the department when needed. The effect of rehabilitation assessed by sending questionnaires SF 36 and EHFScB Scale 9 (36) to assess patients' ADL functioning, self-care behaviors and self-rated health. Patients included in the experimental and control group. Randomization and blinding is not possible since the staffing resources are not sufficient to enable the staff only have contact with the respective intervention or control patients.
All patients participating in the planned rehabilitation in hospitals, so that the baseline is the end of Phase II. Intervention based on an analysis of the individual's need for continued rehabilitation (selfcare behavior, health status, ADL function) and the patient's perception of own situation. Draw up a plan and program together with the patient. The program must be tailored to the individual patient's possibilities. The program supplied with guides to what the patient can do yourself. The patient acknowledged copy of the plan to your physician and home care. Furthermore, the patient will be contacted by specially trained nurse telephone 4 and 12 weeks after initiation of phase III rehabilitation, providing telephone support from a structured interview guide. Patients also have the opportunity outside the agreed times to contact the specialist nurse.
Variables: Demographic data, sex, age, living alone, dependent / independent of help from others, diagnosis, status of job, comorbidities, NYHA class
NYHA classification is carried out by specialists at discharge from hospital and transition to rehabilitation
Self-Care Behavior and ADL functions, estimated using the European Heart Failure Self-Care Behavior Scale. The instrument is translated and face validated in a pilot test before use. The test measures patients' ability to assess their own situation and ability to act on the observations made (36).
Health Status Assessed with Short Form 36 (SF-36). The form is generic and covers the patient's perception of their health. SF-36 has been translated into Danish and validated (37). SF-36 includes 36 questions on self-assessment of health status that includes eight specific areas: physical functioning, physical constraints, pain, general health, energy / fatigue, social functioning, psychological constraints and psychological wellbeing. For each of the eight strands transformed responses to an interval scale from 0-100 where 0 indicates no impairment or full restriction and 100 indicates full function or no restriction.
Process variable: compliance over nursing program examined self-reported data.
Statistical analysis:
Data will be analyzed in the statistical program SPSS. Ratio-scaled data from the two groups is tested by F test MHP. of distribution. For normally distributed data are compared by using parametric methods (t test), otherwise non-parametric methods (Mann-Whitney Rank Sum Test). Nominal Scale Data compared by chi-square test or by using 95% confidence interval.
The project reported to the Data Inspectorate. Furthermore, the experiment reported to the local Research Ethics Committee, and to www.Clinicaltrials.gov so that rights to the project ensured.
.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Palle Larsen, MSN and ph,.d student
- Phone Number: +4572481278
- Email: pla@ucsj.dk
Study Locations
-
-
-
Aarhus, Denmark, 8000
- Recruiting
- University of Aarhus Denmark
-
Contact:
- Preben Petersen, Lecturer Ph.d
- Email: pup53@post.cybercity.dk
-
Principal Investigator:
- Palle Larsen, MSn,ph.d stud
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:Patients who are 18 years or older and valued at NYHA II and III are included in the study. -
Exclusion Criteria:
- Patients who do not wish to participate. Patients with language and communication impedes Sufficient participation. Patients who do not understand information, as well as patients diagnosed with neurological deficits.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Life style counseling
Individual oriented rehabilitation plan in collaboration with the patient followed by measuring health related quality of life and self care behavior
|
Individual oriented rehabilitation plan in collaboration with the patient followed by measuring health related quality of life and self care behavior
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health related quality of life
Time Frame: Measured 6 month after discharge from hospital
|
Evidence for health related quality of life in heart failure patients in the rehabilitation phase, measured with instrument SF 36
|
Measured 6 month after discharge from hospital
|
Self Care Behavior
Time Frame: measured 6 month after discharge
|
Mesure the patients self care behavior by using the instrument European Heart Failure Self Care Behavior Scale
|
measured 6 month after discharge
|
Activities of Daily Living
Time Frame: 6 month after discharge
|
measure the patients PADL and IADL functions
|
6 month after discharge
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Palle Larsen, MSN and Ph.d. student, Univcersity College Sjaelland
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- pla123
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Rehabilitation After Heart Failure
-
Leiden University Medical CenterCompletedMobile Health | Rehabilitation After Cardiovascular SurgeryNetherlands
-
Paracelsus Harz Clinic Bad Suderode.KKS NetzwerkUnknownLipid Lowering Therapy After Cardiac RehabilitationGermany
-
University Hospital, Clermont-FerrandUnknownOpen Colorectal Surgery | Early Rehabilitation After SurgeryFrance
-
Inha University HospitalRecruitingChronic Heart Failure | Cardiac RehabilitationKorea, Republic of
-
Hospital Israelita Albert EinsteinCompletedCardiac Rehabilitation | Physical Exercise | Heart Failure,CongestiveBrazil
-
University Hospital, Clermont-FerrandClinique Médicale Cardio-Pneumologique de DurtolTerminatedRehabilitation Program | Chronic Heart Failure PatientFrance
-
Institute for Biomechanics, ETH ZürichCompletedRehabilitation After Ankle InjuriesSwitzerland
-
Klinik ValensActive, not recruitingRehabilitation | Oncology | Post-Operative Condition | Deconditioning After Acute HospitalSwitzerland
-
University Hospital, SaarlandFriede Springer Herz StiftungCompletedHeart Failure Patients Before and After ICD ImplantationGermany
-
University Hospital Birmingham NHS Foundation TrustCompletedRehabilitation After Critical Illness
Clinical Trials on Individual oriented planning of the rehabilitation program for patients with heart failure
-
Sidekick HealthLandspitali University HospitalActive, not recruiting
-
University of AarhusRecruiting
-
Marmara University Pendik Training and Research...CompletedHeart Diseases | Heart Failure | Acute Heart FailureTurkey
-
Umm Al-Qura UniversityRecruitingPHYSICAL THERAPY TECHNIQUESSaudi Arabia
-
Assiut UniversityUnknownSpinal Anesthetics Causing Adverse Effects in Therapeutic Use