- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06101485
Future Patient - Telerehabilitation of Patients With Atrial Fibrillation ((FP-AF))
October 24, 2023 updated by: Birthe Dinesen, Aalborg University
Future Patient - Telerehabilitering af Patienter Med Atrieflimren (FP-AF)
This project has focus on patients with atrial fibrillation testing a telerehabilitation program for patients with atrial fibrillation.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The overall aim of the FP-AF program is to increase quality of life by giving the patients and relatives more knowledge about atrial fibrillation, its symptoms, and the issues of living with atrial fibrillation in everyday life.
The specific aims are to individualize the rehabilitation process and help the patients and relatives develop their own self-management strategies using their own clinical data and their enhanced knowledge about AF.
Study Type
Interventional
Enrollment (Estimated)
208
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 Contact
- Name: Birthe Dinesen, MSc, Ph.D
- Phone Number: 004520515944
- Email: bid@hst.aau.dk
Study Contact Backup
- Name: Dorthe Svenstrup, MD, Ph.D
- Phone Number: 004578447051
- Email: dorthmoe@rm.dk
Study Locations
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-
-
Viborg And Silkeborg, Denmark
- Recruiting
- Central Jutland Regional Hospital
-
Contact:
- Dorthe Svenstrup, MD, Ph.D
- Phone Number: 004578447051
- Email: dorthmoe@rm.dk
-
Principal Investigator:
- Lars Frost, MD, Ph.D
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patients diagnosed with atrial fibrillation
- Adults over 18 years
- Living in Skive, Viborg or Silkeborg Municipalities
- Living at home and capable of caring for themselves
- Have basic computer skills or having a relative/friend with basic computer skills
Exclusion Criteria:
- Pregnancy
- Refusal or inability to cooperate; or patient not does not speak, read or understand Danish
- Life expectancy less than a year
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Telerehabilitation group
The telerehabilitation group (n=104) will participate in the FP-AF program for 16 weeks.
The program is administered by the AF clinics and the healthcare centers (HC) in Viborg, Skive and Silkeborg Municipalities.
After enrollment, the patients will have an individual meeting with the project nurse.
Here the patient (and relatives, if necessary) will be instructed in the use of the technologies and an individual plan will be formulated for the AF patient's telerehabilitation.
After participation in 16 weeks the patients start a 12 weeks follow-up period, where they will only measure steps and have access to the Heartportal on their own devices.
|
Telerehabilitation platform: Hjerteportalen, blood pressure monitor (iHealth(neo/BP5s), weight scale (iHealth Lina), Activity tracker (FitBit inspire 3), ECG monitor (AliveCor KardiaMobile), sleep sensor (Emfit QS), video consultation (VDX by MedCom)
|
No Intervention: Conventional rehabilitation
The control group (n=104) will follow the conventional care regime in the AF clinic and will not have contact to the project nurse.
When the AF patients are in a stable condition, they will be followed by their general practitioner (GP).
The control group will be in the study for 28 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in AF specific health-related quality of life
Time Frame: For both intervention and control group: QoL will be measured at baseline, end of telerehabilitation (16 weeks) and after 28 weeks
|
The Atrial Fibrillation Effect on quality of life questionnaire (AFEQT) is a 20-item self-administered questionnaire designed to assess the impact of AF on the patients' health-related quality of life (HRQoL) across symptoms, daily activities, treatment concerns, and treatment satisfaction.
Scores range from 0-100, with higher scores indicating better HRQoL
|
For both intervention and control group: QoL will be measured at baseline, end of telerehabilitation (16 weeks) and after 28 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in AF knowledge
Time Frame: For both intervention and control group: To be measured at baseline, end of telerehabilitation (16 weeks) and after 28 weeks
|
Changes in AF knowledge assessed by the Jessa Atrial Fibrillation Knowledge Questionnaire (JAKQ).
JAKQ is a 16-item scale used to assess the knowledge the patients have about their illness.
For every item, false responses or "I do not know" responses is scored as 0 and the correct responses are scored as 1.
The total score of the scale is calculated by adding up the scores from each item.
A score between 0% and 100% will be generated.
100% is the best possible score, meaning all questions was answered correctly.
|
For both intervention and control group: To be measured at baseline, end of telerehabilitation (16 weeks) and after 28 weeks
|
Measurement of weight
Time Frame: Intervention group: Weight will be measured at baseline, twice a week, and as needed up to 16 weeks
|
Intervention group: Weight (Kilograms)
|
Intervention group: Weight will be measured at baseline, twice a week, and as needed up to 16 weeks
|
Measurement of bloodpressure
Time Frame: Intervention group: Bloodpressure will be measured at baseline, twice a week, and as needed up to 16 weeks
|
Intervention group: Bloodpressure (mmHG) (systolic and diastolic)
|
Intervention group: Bloodpressure will be measured at baseline, twice a week, and as needed up to 16 weeks
|
Measurement of pulse
Time Frame: Intervention group: Pulse will be measured at baseline, everyday, and as needed up to 16 weeks
|
Intervention group: Pulse (numbers per minute)
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Intervention group: Pulse will be measured at baseline, everyday, and as needed up to 16 weeks
|
Measurement of steps
Time Frame: Intervention group: Steps will be measured from the date of randomization, everyday to end follow up (28 weeks)
|
Intervention group: numbers of steps taken
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Intervention group: Steps will be measured from the date of randomization, everyday to end follow up (28 weeks)
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Measurement of sleep
Time Frame: Intervention group: Sleep will be measured every day up to 16 weeks
|
Intervention group: Sleep (numbers of hours per night)
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Intervention group: Sleep will be measured every day up to 16 weeks
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Measurement of heart rhythm
Time Frame: Intervention group: ECG wil be measured at baseline, twice a week, and as needed up to 16 weeks
|
Intervention group: Electrocardiogram (ECG)
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Intervention group: ECG wil be measured at baseline, twice a week, and as needed up to 16 weeks
|
Changes in anxiety and depression
Time Frame: Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
|
The patients degree of anxiety and depression measured by the Hospital Anxiety and Depression Scale (HADS).
The patient will get a score between 0 and 21 for both depression and anxiety ( 0-7 points: low level of symptoms for depression or anxiety, 8-10 points: moderate level of symptoms for depression or anxiety, 11-21 points: high level of symptoms for depression or anxiety)
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Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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Changes in motivation
Time Frame: Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
|
Changes in motivation measured by Healthcare, Self-Determination Theory Questionnaire Packet (HC-SDTQ) comprised of Treatment Self-Regulation Questionnaire (TSRQ); Perceived Competence Scale (PCS); and Health Care Climate Questionnaire (HCCQ).
TSRQ is used to assess different forms of motivation within the self determination theory (STD).
The patients are asked to answer 15 questions regarding why they either follow or do not follow their treatment by marking to which degree each reason is true on a scale form 1 to 7, with 7 being very true.
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Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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Changes in motivation
Time Frame: Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
|
Changes in motivation measured by Healthcare, Self-Determination Theory Questionnaire Packet (HC-SDTQ) comprised of Treatment Self-Regulation Questionnaire (TSRQ); Perceived Competence Scale (PCS); and Health Care Climate Questionnaire (HCCQ).
The PCS is used to assess the patients feeling of competence about engaging in, or maintaining, a healthier behavior.
It is a short 4-item questionnaire where the patients have to indicate the extent to which each reason is true on a scale from 1 to 7, with 7 indicating 'very true'.
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Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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Changes in motivation
Time Frame: Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
|
Changes in motivation measured by Healthcare, Self-Determination Theory Questionnaire Packet (HC-SDTQ) comprised of Treatment Self-Regulation Questionnaire (TSRQ); Perceived Competence Scale (PCS); and Health Care Climate Questionnaire (HCCQ).
The HCCQC is used to assess the degree to which a patient perceives their health care providers are supportive of their autonomy.
It is a 6-item questionnaire where the patients have to indicate the extent to which each reason is true on a scale from 1 to 7, with 7 indicating 'very true'.
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Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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Burden of AF
Time Frame: Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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AF burden measured by the arrhythmia-specific questionnaire in Tachycardia and Arrhythmia (ASTA questionnaire).
ASTA is used to assess symptoms and health-related quality of life(HRQoL) in patients with different forms of arrythmias, including AF.
It is structured into three sections:Part I assesses demographic data such as the last episode of arrhythmia, current medication, and the presence of arrhythmia at the time of follow-up; Part II measures the arrhythmia-specific symptom burden; and part III assesses HRQoL.
The ASTA 9-item symptom scale and the 13-item HRQoL scale utilize a four-point Likert-type scale, ranging from 'No' to 'Yes, a lot.'
The total score ranges from 0 to 100, with a higher score indicating a greater symptom burden or a more negative impact on HRQoL.
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Both intervention and control group: At baseline, end of telerehabilitation (16 weeks) and after 28 weeks.
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Patients' and relatives' expectations for and experiences with participation in the tele-rehabilitation program (including the Heartportal)
Time Frame: Intervention group: Interviews at end of telerehabilitation (16 weeks) and logfiles and observation at end follow up (28 weeks)
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Perspectives and experiences of patients and relatives participating in the FP-AF program (including the Heartportal) measured by interviews with patients and relatives.
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Intervention group: Interviews at end of telerehabilitation (16 weeks) and logfiles and observation at end follow up (28 weeks)
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Patients' and relatives' expectations for and experiences with participation in the tele-rehabilitation program (including the Heartportal)
Time Frame: Intervention group: Interviews at end of telerehabilitation (16 weeks) and logfiles and observation at end follow up (28 weeks)
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Patients and relatives use of HeartPortal measured in logfiles on use & via observation in everyday life
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Intervention group: Interviews at end of telerehabilitation (16 weeks) and logfiles and observation at end follow up (28 weeks)
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Healthcare professionals' experiences with workflows and collaboration with each other in the telerehabilitation program.
Time Frame: Intervention group: End of telerehabilitation (16 weeks)
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Perspectives and experiences of healthcare professionals participating in the FP-AF program through interviews.
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Intervention group: End of telerehabilitation (16 weeks)
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Healthcare professionals' experiences with workflows and collaboration with each other in the telerehabilitation program.
Time Frame: Intervention group: End of telerehabilitation (16 weeks)
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Perspectives and experiences of healthcare professionals participating in the FP-AF program by observation of use of Heartportal
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Intervention group: End of telerehabilitation (16 weeks)
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Cost-effectiveness analysis of the FP-AF telerehabilitation program compared to conventional care
Time Frame: Both intervention and control group: at the end of telerehabilitation (16 weeks)
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Cost-effectiveness analysis of the FP-AF telerehabilitation program compared to conventional care assessed by data from EPR and databases at Region Midt & Viborg, Skive and Silkeborg Municipalities.
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Both intervention and control group: at the end of telerehabilitation (16 weeks)
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Cost-effectiveness analysis of the FP-AF telerehabilitation program compared to conventional care
Time Frame: Both intervention and control group: At the end of telerehabilitation (16 weeks) and at end follow up (28 weeks)
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Measured by European Quality og life - 5 Dimensions (EQ-5D) questionnaire.
The questionaire is used to assess HRQoL and is comprised of 5 questions ranging from 1-5, with a lower score indicating a better outcome, and a higher score indicating a worse outcome.
The questionnaire also has a question ranging from 0-100, with a lower score indicating a worse outcome and a higher score indicating a better outcome.
The maximum score a patient can achieve in the questionnaire is 1, which indicates the best health state.
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Both intervention and control group: At the end of telerehabilitation (16 weeks) and at end follow up (28 weeks)
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring blood pressure (mmHG) (systolic and diastolic) to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring steps to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring Electrocardiogram (ECG) to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring weight (kilograms) to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring pulse (numbers per minute) to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Patterns in multiparametric clinical monitoring
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks).
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Data from devices for measuring sleep (numbers of hours per night) to analyze and identify correlations in multiparametric data.
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Intervention group: At the end of telerehabilitation (16 weeks).
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Future governance and infrastructure for telerehabilitation of AF patients
Time Frame: Intervention group: At the end of telerehabilitation (16 weeks)
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Interviews with patients and stakeholders
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Intervention group: At the end of telerehabilitation (16 weeks)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Birthe Dinesen, MSc, Ph.D, Aalborg University
- Study Director: Dorthe Svenstrup, MD, Ph.D, Central Jutland Regional Hospital, Viborg
- Study Director: Lars Frost, MD, Ph.D, DMSc, Central Jutland Regional Hospital, Silkeborg
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 (Actual)
January 1, 2023
Primary Completion (Estimated)
February 1, 2025
Study Completion (Estimated)
June 30, 2025
Study Registration Dates
First Submitted
June 26, 2023
First Submitted That Met QC Criteria
October 24, 2023
First Posted (Actual)
October 26, 2023
Study Record Updates
Last Update Posted (Actual)
October 26, 2023
Last Update Submitted That Met QC Criteria
October 24, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- N-20220056
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
No plan for sharing protocol as we are applying for patent.
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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