- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05159076
Behavioral Intervention to Increase Physical Activity in Patients With Asthma: Identifying Responders
Behavioral Intervention to Increase Physical Activity in Patients With Asthma: Identifying the Profile of Responders
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Celso RF Carvalho, PhD
- Phone Number: 55 11 98415-3234
- Email: cscarval@usp.br
Study Locations
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São Paulo, Brazil, 05360-160
- Recruiting
- Clinical Hospital of São Paulo University medical school (HCFMUSP)
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Contact:
- Celso RF Carvalho, PhD
- Email: cscarval@usp.br
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants not physically active;
- Partially/uncontrolled asthma;
- Diagnosis of asthma based on the recommendations of the Global Initiative for Asthma (GINA 2020);
- Be under outpatient follow-up at the Pulmonology or Immunology service of the University of Sao Paulo General Hospital;
- Be under outpatient medical treatment for at least six months, with a stable clinical condition for at least , 30 days;
- Being using optimized drug therapy for asthma.
Exclusion Criteria:
- Participation in another research protocol;
- Difficulty in understanding any of the questionnaires used;
- Practitioners of regular physical activity;
- Pregnancy and psychiatric problems that make it difficult to understand the questionnaires and the study protocol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Behavioral Intervention
Participants will undergo an eight-week behavioral intervention protocol (once a week) aimed at increasing the level of physical activity, consisting of a brief educational program: brief education for asthma and benefits of physical activity and behavioral intervention based on Social Cognitive Theory and the Theory of Stages of Behavior Change.
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The educational program will consist of 2 classes held once a week, each lasting 90 minutes. The classes will be based on an education videotape, presentations and group discussions. The first class will address the asthma education. The second class will be about the current international physical activity recommendations and the importance and benefits of being physically active. The behavioural intervention will be performed in 8 weekly goal-setting consultation, face-to-face, each lasting until 90 minutes. Patients will be offered a commercially-available activity tracker to wear during 3 days prior to each consultation. According to their own physical activity (PA) data and the behavioural change stage, an individual action plan will be established to increase physical activity. Each participant will receive individual counselling with the goal of increasing participation in PA and reducing their sedentary time. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in physical activity levels
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Physical activity will be objectively quantified using a movement sensor (ActiGraph, Pensacola, USA) for 7 consecutive days on the hip using an elastic belt.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Health Factors Related to Quality of Life in Asthma
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Health related quality of life will be assessed by Asthma Quality Life Questionnaire (AQLQ).
The AQLQ consists of 32 items rated on a 7-point scale (1 = great deal, 7 = not at all) divided into the following 4 domains: activity limitations, symptoms, emotional function and environmental stimuli.
Higher AQLQ scores indicate a better quality of life, and treatments resulting in a 0.5-point increase in scores following an intervention are considered to be clinically effective.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in psychosocial symptoms
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Symptoms of anxiety and depression symptoms will be assessed by the Hospital Anxiety and Depression scale (HADs), which consists of 14 items divided into 2 subscales (7 for anxiety and 7 for depression).
Each item is scored from 0 to 3, with a maximum score of 21 points for each subscale.
A score greater than 8/9 in each subscale suggests a diagnosis of either anxiety and/or depression.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in body composition - Weight
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Bioimpedance (Octopolar InBody 720).
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in body composition - Fat mass
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Bioimpedance (Octopolar InBody 720).
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in sedentary behaviour
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Sedentary behaviour will be objectively quantified using a movement sensor (ActiGraph, Pensacola, USA) for 7 consecutive days on the hip using an elastic belt.
Sedentary behaviour will be quantify by the time spent sedentary (< 100 counts/min).
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in asthma clinical control
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Clinical control will be evaluated by the Asthma Control Questionnaire (ACQ).
The ACQ contains 7 items rated on a 7-point scale (0 = without limitation, 6 = maximum limitation), with a higher score indicating worse control.
Scores lower than 0.75 are associated with good asthma control, whereas scores greater than 1.5 are indicative of poorly controlled asthma, and a change of at least 0.5 points in the ACQ score is regarded as clinically significant.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in body composition - Visceral adiposity area
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Bioimpedance (Octopolar InBody 720).
, Fat-free mass, and skeletal muscle mass will be calculated.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in body composition - Fat-free mass
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Bioimpedance (Octopolar InBody 720).
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in body composition - Skeletal muscle mass
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Bioimpedance (Octopolar InBody 720).
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in asthma exacerbation
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Asthma exacerbation will be assessed by the following criteria: the use of ≥4 puffs of rescue medication per 24 hours during a 48-hour period, a need for systemic corticosteroids, an unscheduled medical appointment, and either a visit to an emergency room or hospitalization
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Pulmonary function
Time Frame: Baseline
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Lung volumes will be assessed by spirometry
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Baseline
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Changes in Barriers to the practice of Physical Activities of Daily Living
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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The possible answers to the questionnaire Barriers to the practice of Physical Activities of Daily Living are never, rarely, sometimes, almost always or always and the score for each item varies from 0 to 4. It will be considered as limiting domain for physical activities those in which individuals report a value equal to or greater than 3 in at least half of the barriers.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in Behavioral Stage for physical activity practice
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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The Behavioral Stage Assessment Questionnaire for the Practice of Physical Activity qualitatively assesses thinking in relation to the practice of physical activity, and may present the following stages of behavior: 1. Pre-contemplation; 2. Contemplation; 3. Preparation; 4. Action; 5- Maintenance.
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Change in anthropometric indexes
Time Frame: Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Waist circumference (cm) and hip circumference (cm) will be combined to report wait to hip ratio (WHR)
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Change from baseline at 8 weeks of intervention and at 16 weeks post intervention
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Collaborators and Investigators
Collaborators
Investigators
- Study Director: Celso RF Carvalho, PhD, University of Sao Paulo General Hospital
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- BIPAPA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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