- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05610358
Efficacy of Smartphone Application Based Rehabilitations in Patients With Chronic Respiratory or Cardiovascular Disease
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sei Won Lee, MD PhD
- Phone Number: 82-2-3010-3990
- Email: iseiwon@gmail.com
Study Locations
-
-
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Seoul, Korea, Republic of, 05505
- Recruiting
- Asan Medical Center
-
Contact:
- Sei Won Lee, MD PhD
- Phone Number: 82-2-3010-3990
- Email: iseiwon@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Dyspnea symptom >= mMRC 1 or NYHA II
adults between 20 years and 80 or years
- Chronic respiratory disease
- FEV1/FVC < 0.7 or FEV1< 0.8 of predicted value in pulmonary function test
- bronchiectasis in more than one lobe on chest computed tomography
FVC or DLCO < 0.8 of predicted value in pulmonary function test
- Chronic cardiovascular disease
- Reperfusion Therapy for angina pectoris or myocardial infarction
- Heart failure with reduced ejection fraction (LVEF < 50%)
Exclusion Criteria:
- history of acute exacerbation within 4 weeks
- unable to comply rehabilitation program
- not suitable for study on decision by duty physician
- no consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Participants in the intervention group will be provided the smartphone application and they will practice application based rehabilitation for 12 weeks.
|
In this study, the investigators will provide smartphone application based 12-week pulmonary or cardiac rehabilitation program to patients with chronic respiratory or cardiovascular diseases.
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No Intervention: Control
Participants in the control group will not practice rehabilitation program.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of maximal oxygen consumption (VO2max)
Time Frame: 12 weeks
|
The maximal oxygen consumption (VO2max) is measured during incremental exercise test (cardiopulmonary exercise test).
|
12 weeks
|
Change of Chronic obstructive pulmonary disease (COPD) assessment Test (CAT) (Chronic respiratory disease group)
Time Frame: 12 weeks
|
Self reported Patient-completed questionnaire assessing globally the impact of COPD (cough, sputum, dyspnea, chest tightness) on health status.
Each item is scored 0-5, yielding a total between 0 and 40
|
12 weeks
|
change of Korean Health-related Quality of Life Instrument with 8 Items (HINT-8) score (Chronic cardiovascular disease group)
Time Frame: 12 weeks
|
A questionnaire assessing health related quality of life on 4 health dimensions (physical, mental, social, positive health dimension). Each item is scored 1-4, yielding a total between 8 and 40. The scores range from 8 (best performance) to 40 (worst performance). |
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of dyspnea symptom (Chronic respiratory disease group)
Time Frame: 12 weeks
|
Dyspnea symptom is measured according to the Modified Medical Research Council (mMRC) Dyspnea Scale. The mMRC scale is from 0 to 4: 0: no breathlessness except on strenuous exercise
|
12 weeks
|
change of dyspnea symptom (Chronic cardiovascular disease group)
Time Frame: 12 weeks
|
Dyspnea symptom is measured according to the New York Heart Association Functional Classification (NYHA class). The NYHA class is from I to IV: Class I: No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation (feeling heart beats), or dyspnea (shortness of breath). Class II(Mild): Slight limitation of physical activity. Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea. Class III(Moderate): Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity causes fatigue, palpitation, or dyspnea. Class IV(Severe): Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency at rest. If any physical activity is undertaken, discomfort is increased. |
12 weeks
|
Change of EuroQol 5-dimension 5-level (EQ-5D-5L) score
Time Frame: 12 weeks
|
A questionnaire assessing health related quality of life on 5 health dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each item is scored 1-5, yielding a total between 5 and 25. The scores range from 5 (best performance) to 25 (worst performance). |
12 weeks
|
change of hand grip strength
Time Frame: 12 weeks
|
The muscle strength measures hand grip strength.
The cut-off value for sarcopenia is < 30 kg
|
12 weeks
|
change of limb muscle mass
Time Frame: 12 weeks
|
The muscle mass is measured using the Bioelectrical Impedance Analysis.
The cut off value for sarcopenia is < 7.26 kg/m^2.
|
12 weeks
|
change of forced expiratory volume in one second (FEV1) (Chronic respiratory disease group)
Time Frame: 12 weeks
|
The forced expiratory volume in one second (FEV1) is measured using spirometry.
The value will be presented in % predicted value.
|
12 weeks
|
change of forced vital capacity (FVC) (Chronic respiratory disease group)
Time Frame: 12 weeks
|
The forced vital capacity (FVC) is measured using spirometry.
The value will be presented in % predicted value.
|
12 weeks
|
change of diffusing capacity of the lung for carbon monoxide (DLCO) (Chronic respiratory disease group)
Time Frame: 12 weeks
|
The diffusing capacity of the lung for carbon monoxide (DLCO) is measured using single breath holding method. The value will be presented in % predicted value. |
12 weeks
|
Change of chest pain symptom (Chronic cardiovascular disease group)
Time Frame: 12 weeks
|
Chest pain symptom is measured according to the Canadian Cardiovascular Society grading of angina pectoris (CCS angina grade). The CCS angina grade is from I to IV: Grade I: Angina with strenuous/rapid/prolonged exertion at work or recreation only; no angina with ordinary physical activity, e.g. walking, climbing stairs Grade II: Ordinary activity slightly limited: angina with walking/climbing stairs rapidly, walking uphill, walking or stair climbing after meals, in cold/wind, under emotional stress, during few hours after awakening, walking >2 blocks on level ground, or climbing >1 flight of stairs at normal pace and normal conditions Grade III: Marked limitation of ordinary physical activity: angina with walking 1-2 blocks on level ground or climbing 1 flight of stairs at normal pace and normal conditions Grade IV: Inability to carry on any physical activity without discomfort; anginal syndrome may be present at rest |
12 weeks
|
change of exercise duration in cardiopulmonary exercise test (Chronic cardiovascular disease group)
Time Frame: 12 weeks
|
This test measures total exercise duration.
|
12 weeks
|
change of exercise capacity in cardiopulmonary exercise test (Chronic cardiovascular disease group)
Time Frame: 12 weeks
|
This test measures metabolic equivalents (METs).
|
12 weeks
|
change of Korean Health-related Quality of Life Instrument with 8 Items (HINT-8) score (Chronic respiratory disease group)
Time Frame: 12 weeks
|
A questionnaire assessing health related quality of life on 4 health dimensions (physical, mental, social, positive health dimension). Each item is scored 1-4, yielding a total between 8 and 40. The scores range from 8 (best performance) to 40 (worst performance). |
12 weeks
|
Collaborators and Investigators
Sponsor
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
- 2022-1460
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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