- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01752192
Teledi@Log - Tele-rehabilitation of Heart Patients (Teledi@log)
Tele-rehabilitation of Heart Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The aims of the research project are:
To assess the heart patients' and family members' needs for rehabilitation in the health system
To assess the need for coordination of the rehabilitation effort in the health system
To develop tele-rehabilitation concepts and technologies for heart patients, family members and health professionals in the health sector
To promote an early, rapid and effective rehabilitation of heart patients to improve their daily life and working life.
To prevent re-hospitalization of heart patients through a more individualized and differentiated rehabilitation effort using tele-rehabilitation technologies.
To conduct a randomized study of a tele-rehabilitation concept using tele-rehabilitation technologies and to assess the clinical, technical, organizational and health-economic effects.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Aalborg, Denmark, 9000
- Thoracic Ward, Aalborg University Hospital
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Hjoerring, Denmark, 9800
- Cardiology Ward Vendyssel Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women and men above 18 years
- Must have signed the "Informed Consent" document
- Must be able to understand study information
- Must live in Hjørring or Frederikshavn Kommune
- Must have mobile network
- Must be able to use IT or have a near person who can use IT
- Patients with clinical diagnosis of Heart Failure, Myocardial Infarction, Angina Pectoris, patients who have had Coronary-Artery Bypass Surgery.
Exclusion Criteria:
- Patients who, according to investigator, will not be able to participate in the study
- Lack of ability to speak and understand Danish
- Pregnancy or nursing
- Neurologic disease
- Use of wheelchair/lack of ability to walk
- Participation in other studies which can influence the outcomes of this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Telerehabilitation programme
Telerehabilitation programme: Each patient will use a telehealth monitor and measure blood pressure, pulse and weight once or twice a week over a 3 months periods with the use of a blood pressure monitor and a weightscale connected to the monitor.
The patients will also measure their steps daily by the use of a digital step-counter.
The patients will be able to see their data in a personal health record on a tablet where they can share informations with healthcare professionals.
The patient are also offered access to a portal called www.aktivehjerte.dk
where they can find informations on rehabilitations topics in text, video and sound.
The patients are randomised in block of different sizes to follow rehabilitation from hospital, healthcare center or a callcenter.
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Telerehabilitation programme: Each patient in the intervention group will use a telehealth monitor.
The patient will measure blood pressure, pulse and weight once or twice a week over a 3 months periode with the use of a blood pressure monitor and a weightscale connected to the monitor.
The patients will also measure their steps daily by the use of a digital stepcounter.
The patients will be able to see their data in a personal health record on a tablet where they can share informations with their GP, nurse and doctor at the hospital or healthcare center.
The patient are also offered access to a portal called www.aktivehjerte.dk
where they can find informations on rehabilitations topics in text, video and sound.
Other Names:
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NO_INTERVENTION: Control group traditional rehabilitation
The control group of heart patients follow traditional rehabilitation activities for a period of 3 months.The patients are randomised in block of different sizes to follow rehabilitation from hospital, healthcare center or a callcenter.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Quality of life
Time Frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Quality of life is measured via the questionaire SF 36 (short form health survey) at baseline (at inclusion) and changes from baseline at 3, 6 and 12 months.
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At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Hospital Anxiety and Depression Scale (HADS)
Time Frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
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To measure the patients degree of anxiety and depression at baseline (inclusion), changes from baseline at 3, 6 and 12 months.
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At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Self-determination
Time Frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Questionaires on self-determination will be used in order to get an impression of the patients perception on handling their disease at baseline(inclusion)and changes from baseline at 3, 6 and 12 months.
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At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Health outcome EQ 5
Time Frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
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To measure health outcome at baseline (inclusion, and changes from baseline at 3, 6 and 12 months.
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At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Health economical evaluation
Time Frame: At inclusion (baseline), change from baseline at 3, 6 and 12 months
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An assessment of the economical perspective of the telerehabilitation programme will be performed at baseline (inclusion of patients) and changes from baseline at 3, 6 and 12 months.
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At inclusion (baseline), change from baseline at 3, 6 and 12 months
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Interorganizational aspects of a telerehabilitation programme
Time Frame: Cnanges during 2012-2014
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Interorganiszational aspect of the crosssectional telerehabilitation programme will be explored through observations and qualitative interviews with healthcare professionals at baseline (start of the study) and changes from baseline will be identified in October 2013.
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Cnanges during 2012-2014
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Social media for telerehabilitation
Time Frame: Changes within 3 months
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Patients use of social media during an rehabilitation process will be explored through interviews at baseline (inclusion) and changes from baseline at 3, 6 and 12 months will be identified.
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Changes within 3 months
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Perception of health
Time Frame: At inclusion (baseline), changes from baseline at 3, 6 and 12 months
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To identify the patients feeling of their health during telerehabilitation
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At inclusion (baseline), changes from baseline at 3, 6 and 12 months
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Steps taken
Time Frame: At inclusion (baseline) and changes from baseline will be indtified
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To measure steps taken with a step counter at baseline(inclusion) and Changes during 12 months
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At inclusion (baseline) and changes from baseline will be indtified
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Qualitative perceptions of telerehabilitation
Time Frame: Changes within 3 months
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To explore patients perceptions of participating in a telerehabilitation program at baseline (incluion) and changes from baseline at 3, 6 and 12 months will be identified
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Changes within 3 months
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Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Dithmer M, Rasmussen JO, Gronvall E, Spindler H, Hansen J, Nielsen G, Sorensen SB, Dinesen B. "The Heart Game": Using Gamification as Part of a Telerehabilitation Program for Heart Patients. Games Health J. 2016 Feb;5(1):27-33. doi: 10.1089/g4h.2015.0001. Epub 2015 Nov 18.
- Cost-utility analysis of the telerehabilitation of heart patients : the Teledi@log project. / Kidholm, Kristian; Rasmussen, Maja Kjær; Andreasen, Jan Jesper; Hansen, John; Nielsen, Gitte; Dinesen, Birthe Irene. I: International Journal of Integrated Care, Vol. 15, Nr. ETC Conf. Suppl., 2015.
- Pedometer use as motivation for physical activity in cardiac tele-rehabilitation. / Thorup, Charlotte Brun; Grønkjær, Mette; Spindler, Helle; Andreasen, Jan Jesper; Hansen, John; Dinesen, Birthe Irene; Nielsen, Gitte; Sørensen, Erik Elgaard. I: International Journal of Integrated Care, Vol. 15, Nr. ETC Conf. Suppl., 2015.
- Telerehabilitation of cardiac patients : findings from an interdisciplinary telerehabilitation program. / Dinesen, Birthe Irene. I: Telemedicine and e-Health, Vol. 21, Nr. 5, 2015, s. A-59.
- Pedometer and physical activity for cardiac patients in a telerehabilitation program. / Thorup, Charlotte Brun; Andreasen, Jan Jesper; Dinesen, Birthe; Hansen, John; Grønkjær, Mette; Sørensen, Erik Elgaard. I: European Journal of Cardiovascular Nursing, Vol. 13, Nr. Suppl. 1, 2014, s. S17.
- Tværsektoriel kommunikationsplatform en gevinst i telerehabilitering af hjertepatienter på tværs af sektorer. / Skov, Christina; Sørensen, Stine Bæk; Dinesen, Birthe. 2014. Abstract from National Konference for Center for Innovativ Medicinsk Teknologi, CIMT, Middelfart, Danmark.
- Udvikling af Aktivthjerte.dk : en digital værktøjskasse til telerehabilitering af hjertepatienter i Teledi@log projektet via en brugerdreven innovations proces. / Dinesen, Birthe; Spindler, Helle. 2014. Abstract from National Konference for Center for Innovativ Medicinsk Teknologi, CIMT, Middelfart, Danmark.
- Heart patients' experiences and use of social media in their rehabilitation : a qualitative study. / Jørgensen, Camilla Bech; Hansen, John; Spindler, Helle; Andreasen, Jan Jesper; Nielsen, Gitte; Dinesen, Birthe. Scandinavian Conference on Health Informatics 2013, 20 August 2013, Copenhagen, Denmark. red. / Gustav Bellika; Ann Bygholm; Mette Dencker; Mariann Fossum; Gert Galster; Gunnar Hartvigsen; Ole Hejlesen; Daniel Karlsson; Sabine Koch; Carl-Erik Moe. Linköping University Electronic Press, 2013. s. 51-54 (Linköping Electronic Conference Proceedings; Nr. 91).
- Identification of heart patients' everyday need : Based on user-driven innovation. / Hæsum, Lisa Korsbakke Emtekær; Nielsen, G.; Hangaard, Stine Veje; Hejlesen, Ole; Dinesen, Birthe. Global Telemedicine and eHealth Updates : Knowledge Resources, 18-20 April 2012, Luxembourg. red. / Malina Jordanova; Frank Lievens. Vol. 5 International Society for Telemedicine & eHealth, 2012. s. 611-614 ( Global Telemedicine and eHealth Updates : Knowledge Resources, Vol. 5).
- Personal health record for chronic patient. / Dinesen, Birthe. The International eHealth, Telemedicine and Health ICT Forum for Education, Networking and Business, 18-20 April 2012, Luxembourg: Exhibition and Conference Guide. International Society for Telemedicine & eHealth, 2012. s. 123.
- Dinesen B, Spindler H. The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study. JMIR Rehabil Assist Technol. 2018 Nov 19;5(2):e10758. doi: 10.2196/10758.
- Thorup C, Hansen J, Gronkjaer M, Andreasen JJ, Nielsen G, Sorensen EE, Dinesen BI. Cardiac Patients' Walking Activity Determined by a Step Counter in Cardiac Telerehabilitation: Data From the Intervention Arm of a Randomized Controlled Trial. J Med Internet Res. 2016 Apr 4;18(4):e69. doi: 10.2196/jmir.5191.
- Kidholm K, Rasmussen MK, Andreasen JJ, Hansen J, Nielsen G, Spindler H, Dinesen B. Cost-Utility Analysis of a Cardiac Telerehabilitation Program: The Teledialog Project. Telemed J E Health. 2016 Jul;22(7):553-63. doi: 10.1089/tmj.2015.0194. Epub 2015 Dec 29.
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
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
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Pain
- Neurologic Manifestations
- Pathological Conditions, Anatomical
- Heart Valve Diseases
- Coronary Disease
- Chest Pain
- Myocardial Infarction
- Infarction
- Constriction, Pathologic
- Angina Pectoris
- Coronary Stenosis
- Mitral Valve Stenosis
Other Study ID Numbers
- N-20120051 (OTHER_GRANT: EIR Businesspark and cofinancing from partners)
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.
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