- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04797481
Pilot Testing of an Online Rehabilitation Intervention for People With Heart Failure (PORIAS-HF). (PORIAS-HF)
November 23, 2023 updated by: Sheffield Hallam University
Pilot Testing of an Online Rehabilitation Intervention Aiming to Support People With Heart Failure.
The inability of the heart to pump out blood to the rest of the body organs is called heart failure (HF).
HF affects almost 920,000 people in the UK, costing the NHS up to £2.33bn/year.
Physical exercise programmes aiming to improve the heart's ability to pump out blood are used to a) reduce the risk of life-threatening events (e.g., heart attack), b) reduce admissions to hospital and c) improve individual's physical independence (e.g., walking unsupported, being able toperform daily essential activities).
However, these physical exercise programmes have been cut short under the current COVID-19 pandemic, with support in most UK regions being restricted to online videos and advice.
With many people with HF being asked to be "shielded" or "self-isolate" for an unknown duration, it is important to develop a reliable and cost-effective physical exercise service to support this clinical group.
The research team has developed a novel physical exercise programme, fully-delivered online.
Before assessing if it could improve clinical outcomes (e.g., heart's ability to pump out blood) and how cost-effective it could be, a 10-month pilot study is proposed that will assess if the proposed online physical exercise programme could be performed in people with HF.
Thirty participants will be allocated at random into two groups: Group A will receive up to 24 exercise sessions and up-to 3 lifestyle workshops, in addition to usual care over a 2-month period.
Group B will receive a self-care exercise programme (≥3 sessions per week) for a two-month period in addition to usual care.
Prior to the group random allocation, online assessments will be performed including demographics and clinical history, the ability to perform daily activities, sedentary or physical activity habits and quality of life.
The assessments including interviews to assess participant's experiences will be repeated at 2 months
Study Overview
Status
Enrolling by invitation
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
40
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
-
-
Yorkshire
-
Sheffield, Yorkshire, United Kingdom, S10 2BP
- Sheffield Hallam University
-
-
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
18 years to 100 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age > 18 yrs. of either gender
- Confirmed diagnosis (by echocardiography) of HF reduced left ventricular ejection fraction
- Sinus rhythm N-Terminal pro-Brain Natriuretic Peptide (NTproBNP) is >400 ng/L at the time of referral to the diagnostic clinic if in sinus rhythm.
- Ability to exercise
Exclusion Criteria:
- Non-ambulant status
- Current pregnancy
- Scheduled major cardiac surgery
- The presence of an ICD or CRT-D device
- Severe pulmonary hypertension defined as systolic PAP of >60 mmHg
- NYHA function class IV
- Lack of internet connection
- Inability/unwillingness to give informed consent
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Novel Intervention
Novel Intervention Exercise group.
|
Group A participants will be invited to attend up to 24 exercise sessions (2 sessions per week and a 3rd optional) and 2 virtual (online; a 3rd will be optional) HF workshops over 8 weeks.
All sessions will be delivered via online platforms, with 1 facilitator supporting up to 8 participants simultaneously in each session.
|
Active Comparator: Control
Self-managed Exercise group.
|
Group B participants will be provided with a self-care exercise programme.
The exercise programme will be home-based with a mixture of online video calls and telephone support contacts, alternating once every other week.
The video or telephone contacts will be mutually agreed by the patient and the facilitator at a mutually convenient time and will aim to support Group B participants, by offering advice and tracking progress.
Patients will be provided with two exercise programmes: I) a chair-based exercise programme (DVD will be provided), and ii) a progressive walking training programme (a manual will be provided).
Patients will be advised to exercise ≥3 times per week, starting from their own personal level and gradually building up over 8 weeks in session's duration, frequency of sessions per week, and walking pace.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adherence
Time Frame: 2 months
|
Number of sessions completed.
|
2 months
|
Acceptability of procedures.
Time Frame: 2 months
|
Acceptability of procedures will be assessed by examining reasons for drop-out in discontinuing participants and comparing attrition between groups
|
2 months
|
Recruitment rates.
Time Frame: 2 months.
|
Recruitment rates will be measured as rate of invited participants who are eligible and consenting
|
2 months.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
30-second chair-stand test
Time Frame: Baseline.
|
30-second chair-stand test
|
Baseline.
|
30-second chair-stand test
Time Frame: 2 months
|
30-second chair-stand test
|
2 months
|
Step in place test
Time Frame: Baseline
|
Step in place test (2mins)
|
Baseline
|
Step in place test
Time Frame: 2 months
|
Step in place test (2mins)
|
2 months
|
arm curl test
Time Frame: baseline
|
arm curl test
|
baseline
|
arm curl test
Time Frame: 2 months
|
arm curl test
|
2 months
|
EQ5D-5L
Time Frame: baseline
|
The EQ5D-5L questionnaire will be completed, to support assessment of quality of life.
|
baseline
|
EQ5D-5L
Time Frame: 2 months
|
The EQ5D-5L questionnaire will be completed, to support assessment of quality of life.
|
2 months
|
MLHFQ
Time Frame: Baseline.
|
The MLHFQ questionnaire will be completed, to support assessment of quality of life.
|
Baseline.
|
MLHFQ
Time Frame: 2 months
|
The MLHFQ questionnaire will be completed, to support assessment of quality of life.
|
2 months
|
BREQ-2
Time Frame: Baseline.
|
The BREQ-2 questionnaire will be completed, to support assessment of quality of life.
|
Baseline.
|
BREQ-2
Time Frame: 2 months
|
The BREQ-2 questionnaire will be completed, to support assessment of quality of life.
|
2 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Markos Klonizakis, D.Phil, Sheffield Hallam University
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 (Actual)
June 1, 2021
Primary Completion (Estimated)
February 28, 2024
Study Completion (Estimated)
July 30, 2024
Study Registration Dates
First Submitted
March 4, 2021
First Submitted That Met QC Criteria
March 11, 2021
First Posted (Actual)
March 15, 2021
Study Record Updates
Last Update Posted (Actual)
November 27, 2023
Last Update Submitted That Met QC Criteria
November 23, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ER30631161
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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