- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02632695
Physical Activity Interventions for Leg Ulcer Patients (FOOTFIT)
September 5, 2018 updated by: Teresa Kelechi, Medical University of South Carolina
The goal of this study is to test FOOTFIT and enhanced FOOTFIT+, home-based mobile health (mHealth) physical activity (PA) interventions for a minimally ambulatory, chronically-ill, population with leg ulcers.
A highly sensitive clinically designed Bluetooth® enabled accelerometer and tracking device (BEAT) worn on the foot during a progressive and evidence-based non-exertive leg conditioning activities for lower leg function (CALF) captures minute foot movements and sends the data to a Smartphone.
This six-week feasibility study will compare FOOTFIT to FOOTFIT+, with the added connectivity feature, to promote patient-provider communication, evaluate adherence to PA, and assess signals of efficacy on functional outcomes in a very low fitness population.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
FOOTFIT is a study of a lower leg conditioning mHealth intervention for patients with venous leg ulcers.
The aims are to compare two versions, one of which is enhanced (FOOTFIT+), to determine which has the greatest impact on physical activity adherence, patient-provider communication, and leg function.
FOOTFIT and FOOTFIT+ share three components: 1) a low-cost, tri-axial Bluetooth® enabled highly sensitive accelerometer and tracking device (BEAT) worn on the foot during, 2) phased conditioning activities for lower leg function (CALF) tracked by a, 3) Smartphone that captures signals from BEAT, provides motivational messages, CALF instruction, and automated feedback on progress.
Forty patients will be targeted in this six-week study, 20 of which will receive FOOTFIT and 20 FOOTFIT+.
Study Type
Interventional
Enrollment (Actual)
24
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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South Carolina
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Spartanburg, South Carolina, United States, 29303
- Spartanburg Regional Medical Center
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
55 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Active venous leg ulcer
- Ankle brachial index 0.80 to 1.3 mmHg, a measure of arterial sufficiency
- Sedentary-able to only walk a few steps at a time or not farther than 10 feet
- Not currently exercising or participate in a PA or physical therapy program
- Receives at least weekly wound care anticipated to last for at least six weeks from start of study
- Able to don accelerometer - if unable to apply independently, has assistance from other
- Capable of using Smartphone
Exclusion Criteria:
- Co-morbid conditions such as stroke (limits ankle function)
- Ulcer from other causes (arterial, diabetic, trauma, surgery)
- Documented cognitive impairment (MiniCog)
- No 3G service in area where patient resides
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: FOOTFIT Plus
The intervention consists of: 1) a prescribed, evidence-based, phased, non-exertive physical activity conditioning activities for lower leg function (CALF) movements that are to be performed daily at home; 2) a low-cost, tri-axial Bluetooth® enabled highly sensitive motion-sensing accelerometer and tracking device (BEAT) worn on the foot during CALF to capture frequency and intensity of foot movements; and 3) a Smartphone that receives foot movement data, provides automated educational/motivational messages, and reports and allows regular communication with the wound care provider on progress.
|
Individuals with venous leg ulcers will be instructed on physical activity movements for their lower legs to be performed over six weeks while wearing a foot based activity monitor (accelerometer) that will send them motivational messages and progress reports.
For those in the FOOTFIT Plus group, individuals will have the option to communicate with their wound care provider via text messages, emails or phone calls.
|
Experimental: FOOTFIT
The intervention consists of: 1) a prescribed, evidence-based, phased, non-exertive physical activity conditioning activities for lower leg function (CALF) movements that are to be performed daily at home; 2) a low-cost, tri-axial Bluetooth® enabled highly sensitive motion-sensing accelerometer and tracking device (BEAT) worn on the foot during CALF to capture frequency and intensity of foot movements; and 3) a Smartphone that receives foot movement data, provides automated educational/motivational messages, and reports.
There is not regular communication with the wound care provider on progress.
|
Individuals with venous leg ulcers will be instructed on physical activity movements for their lower legs to be performed over six weeks while wearing a foot based activity monitor (accelerometer) that will send them motivational messages and progress reports.
For those in the FOOTFIT Plus group, individuals will have the option to communicate with their wound care provider via text messages, emails or phone calls.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
FOOTFIT feasibility
Time Frame: 6 weeks
|
Measure adherence by recording frequency and intensity of foot/toe movements reported in minutes.
|
6 weeks
|
FOOTFIT reach
Time Frame: 6 weeks
|
Measure reach, recorded as qualitative documents on a log of how patients learned about the study.
|
6 weeks
|
FOOTFIT technology implementation procedures
Time Frame: 6 weeks
|
Record on study log the number and types of problems encountered with the study nurses teaching participants to use the foot accelerometer technology, the number and types problems reported by patient, the number and types of recommendations made by the participant regarding the use of the accelerometer, and nurse or provider recommendations for changes to refine the foot accelerometer technology, and the number and types of refinements to the technology that were made.
|
6 weeks
|
FOOTFIT acceptability
Time Frame: 6 weeks
|
Record on study logs the the number (frequency) and types of interactions such as phone calls, emails or texts, between the patient and provider regarding FOOTFIT+ including reasons (i.e., exercises, adverse events that are related to, and not related to the use of the accelerometer).
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6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy on pain
Time Frame: 6 weeks
|
Obtain estimates of variability for short-term functional impacts on pain using the numerical rating scale (NRS) as a single score.
|
6 weeks
|
Efficacy on foot strength
Time Frame: 6 weeks
|
Obtain estimates of variability for short-term functional impacts on foot strength using the dynamometer and reported as pounds per square inch.
|
6 weeks
|
Efficacy on foot range of motion.
Time Frame: 6 weeks
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Obtain estimates of variability for short-term functional impacts on foot range of motion using the goniometer and reported in degrees.
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6 weeks
|
Efficacy on walking function.
Time Frame: 6 weeks
|
Obtain estimates of variability for short-term functional impacts on walking function using the Foot and Ankle Ability Measure and reported as a sum score.
|
6 weeks
|
Efficacy on walking performance
Time Frame: 6 weeks
|
The Six Minute Walk Test reported as distance in feet over six minutes time.
|
6 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Moby Madisetti, MS, Medical University of South Carolina
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2015
Primary Completion (Actual)
August 31, 2018
Study Completion (Actual)
August 31, 2018
Study Registration Dates
First Submitted
December 1, 2015
First Submitted That Met QC Criteria
December 14, 2015
First Posted (Estimate)
December 17, 2015
Study Record Updates
Last Update Posted (Actual)
September 7, 2018
Last Update Submitted That Met QC Criteria
September 5, 2018
Last Verified
May 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00043451
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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