- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04306588
Accessing Mobility Using Wearable Sensors
Accessing Mobility Quality Using Wearable Sensors
This study will examine whether wearable sensors can be used to track changes in cognitive-motor performance in response to a disease or an intervention.
The investigators specific aims are twofold, first aim to explore whether and how a clinical condition such as Chronic obstructive pulmonary disease (COPD) or Congestive Heart Failure (CHF) may impact motor-cognitive performance measurable using validated wearable devices (e.g., LEGSys, BalanSENS, and Frailty Meter). Second, the investigators will explore whether an exercise intervention provided via tele-medicine (tele-rehabilitation) can enhance motor-cognitive performance.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators specific research questions: (1) Which motor-cognitive parameters measurable by wearable sensors (e.g. gait, balance, frailty index, etc) are linked to specific diseases (e.g. COPD, CHF) (2) Which motor-cognitive parameters are most responsive to identify changes in patients ambulatory performance related to Tele-rehabilitation
The investigators will recruit a minimum of 15 per clinical condition with a maximum of 150 per clinical condition in subjects suffering from different disorders, which may impact motor-cognitive. Targeted disorders: COPD and CHF. Other chronic illness may also be recruited such as Diabetes, Peripheral Arterial Disease, Morbus Parkinson, Cancer, Neuropathy, Frailty, Mild Cognitive Impairment, Depression, and patients undergoing major surgical intervention. Fifteen or more people with the same disorder would form a group.
The investigators will measure motor-cognitive performance from each subject. For this purpose several sensors will be attached to the body using elastic straps. Each subject will be asked to dedicate approximately 1 hour of their time for each visit. A series of health related questionnaires will be used to evaluate the quality of life, clinical problems, cognition, and pain intensity levels, respectively. Medical history (from the subject's chart) and demographic information will be obtained.
This study consists of Core and Ancillary Measurements. Core Measurements (Motor cognitive test) will be performed during all visits whereas Ancillary Measurements may not be required for anyone.
If the subject is undergoing tele-rehabilitation intervention, which may also benefit functional status (e.g. improvement in balance), the investigators will re-examine motor-cognitive performance using the test described above to evaluate the sensitivity of the proposed test in tracking outcomes in response to the intervention or predict outcomes based on baseline assessments. Specifically, depending on the type of intervention and frequency of standard of care visits for follow-up at the clinic, the investigators may re-assess functional performance at each follow-up standard of care visit, upon the availability of the subject. Please note that the number of follow up visits will not exceed 12 visits over the course of 12 months.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Maria Noun
- Phone Number: 713-798-7537
- Email: maria.noun@bcm.edu
Study Contact Backup
- Name: Ilse Torres
- Phone Number: 713-798-8714
- Email: ilse.torresruiz@bcm.edu
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- Michael E. DeBakey Veterans Affairs Medical Center
-
Contact:
- Maria Noun
- Phone Number: 713-798-7537
- Email: maria.noun@bcm.edu
-
Sub-Investigator:
- Amir Sharafkhaneh, MD PHD
-
Sub-Investigator:
- Charlie Lan, MD
-
Sub-Investigator:
- Monthaporn Bryant, PhD
-
Sub-Investigator:
- Christina Nguyen, RRT
-
Sub-Investigator:
- Venkata Bandi, MD
-
Contact:
- Bijan Najafi, PhD
- Phone Number: 713-798-7536
- Email: bijan.najafi@bcm.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Any individual 18 years old or 65+ older is eligible to participate.
- Must be diagnosed with a chronic illness such as COPD or CHF.
- Should be refereed to one of the tele-rehabilitation program offered at VA-Houston.
The investigators will be enrolling veteran subjects
Exclusion Criteria:
- Non-ambulatory (unable to walk with or without assistance a distance of at least 10 meter).
- Unlikely to fully comply with the protocol (e.g., long-distance travel if multiple follow-up visits are required)
- Unwilling to provide informed consent.
- Severe visual and hearing problems who may not be able to interact with tele-rehabilitation.
- Unstable medical region (those who may change medication over next 12 weeks).
- Severe cognitive impairment and psychiatric problems who may not be able to follow tele-rehabilitation instructions based on judgement of clinical investigators.
- Participating in another active intervention that may affect cognitive-motor performance, and those who do not have capacity to consent.
The investigators will not exclude patients with internal devices such as a deep brain stimulator or electronic devices for pain management, but the investigators will not be placing Bioharness device in people with such conditions.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tele-rehabilitation exercise Group
Participants who are suffering from a chronic illness such as COPD or CHF and are referred for tele-rehabilitation intervention at the VA-Houston will be qualified for the purpose of this study.
|
Participants are undergoing a 12 weeks tele-rehabilitation program.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline gait speed at 12 weeks
Time Frame: Baseline and 3 months
|
Gait change from Baseline to 12 weeks The investigators will quantify gait speed using a validated wearable device, called LEGSys |
Baseline and 3 months
|
Change from baseline balance at 12 weeks
Time Frame: Baseline and 3 months
|
Balance will be quantified by measuring body sway during still upright standing for duration of 30 seconds.
The investigators will use a validated wearable device, called BALANSens to measure body sway.
|
Baseline and 3 months
|
Change from baseline frailty index at 12 weeks
Time Frame: Baseline and 3 months
|
Physical frailty is quantified by frailty index.
Frailty index will be measured using a validated wearable device, called Frailty meter.
scale is 0 to 1, higher value indicates more severity in frailty.
|
Baseline and 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline Fear of Falling at 12 weeks
Time Frame: Baseline and 3 months
|
Fear of falling is assessed using Fall Efficacy Scale International (FES-I) questionnaire.
Scores range from 16 (no concern about falling) to maximum 64 (severe concern about falling).
|
Baseline and 3 months
|
Change from baseline depression at 12 weeks
Time Frame: Baseline and 3 months
|
Depression will be assessed using Center of Epidemiologic Depression Scale (CES-D) questionnaire.
Scores range from 0 to 60, with high scores indicating greater depressive symptoms.
The CES-D also provides cutoff scores (e.g., 16 or greater) that aid in identifying individuals at risk for clinical depression.
|
Baseline and 3 months
|
Change from baseline cognitive performance at 12 weeks
Time Frame: Baseline to 3 months
|
Cognitive performance will be assessed using Montreal Cognitive Assessment (MoCA).
Scores on the MoCA range from zero to 30, with a score of 26 and higher generally considered normal.
|
Baseline to 3 months
|
Change from baseline functional performance at 12 weeks
Time Frame: Baseline to 3 months
|
Functional Performance using 6 minute walk distance (6MWD) test
|
Baseline to 3 months
|
Change from baseline Risk of falling at 12 weeks
Time Frame: Baseline and 3 months
|
Risk of falling will be assessed using timed Up and Go test
|
Baseline and 3 months
|
Change from baseline motor capacity at 12 weeks
Time Frame: Baseline and 3 months
|
Motor capacity will be assessed by 5 times sit to stand test
|
Baseline and 3 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Bijan Najafi, PhD, Baylor College of Medicine
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 40765
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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