- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06104774
The Effects of a Family-Centered Tai Chi Exercise on Lung Function and Mental Health of Patients After Thoracoscopic Surgery
October 26, 2023 updated by: Hsin-Yuan Fang, China Medical University Hospital
Vice Superintendent
To explore the effect of a family-centered, eight-week, progressive sit-to-stand Tai Chi exercise on lung function and mental health in patients after thoracoscopic surgery_
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Lung cancer is the top death among cancers in Taiwan.
The surgical excision of lung tissue is unable to regenerate new tissue after thoracoscopic lobectomy, resulting in decreased lung function and affecting health-related quality of life.
29% of female patients who received thoracic surgery tended to be anxious and depressed, and more than 60% of the family caregivers experienced mild to moderate caregiving burden and anxiety.
Tai Chi exercise is a gentle exercise that can effectively enhance lung function.
However, there is a lack of literature on the effects of Tai Chi exercise on lung function and mental health after thoracoscopic surgery.Methods: Exploratory sequential mixed methods study design will be used.
The first phase will be a quasi-experimental study that will use purposive sampling to recruit thoracoscopic surgical patients and their family caregivers.
It is estimated to enroll 60 pairs of patients and their family caregivers.
The participants will be divided into experimental and control groups according to the sequential time of admission.
The experimental group will receive Tai Chi exercise and routine treatment after the operation, and after discharge from the hospital, they will perform Tai Chi exercise three times a week, 50 minutes each time, for a total of eight weeks after discharge; the control group will receive conventional treatment.
Repeated measures analysis of variance (repeated ANOVA) will be used for comparison between the experimental group and the control group and within the group; for other confounding factors, generalized estimating equations (GEE) will be used for analysis.
In the second stage, after eight weeks of Tai Chi exercise, semi-structured interviews with about 10 patients and their caregivers will be conducted to collect their experiences and feelings related to the Tai Chi exercise.
Qualitative data will be used to comprehend the quantitative data.
Study Type
Interventional
Enrollment (Estimated)
200
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: Hsin-Yuan Fang, Ph.D
- Phone Number: 12939 04-22052121
- Email: fanghy@cmuh.org.tw
Study Locations
-
-
North Dist.
-
Taichung, North Dist., Taiwan, 404327
- China Medical University
-
Contact:
- Hsin-Yuan Fang, Ph.D
- Phone Number: 12939 04-22052121
- Email: fanghy@cmuh.org.tw
-
-
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
Yes
Description
Inclusion Criteria:
- Hospitalized to receive thoracoscopic lobectomy, wedge/partial resection, lobectomy, or sleeve resection.
- American Society of Anesthesiologists (ASA) physiological status classification I-II (ASA, 2019).ASA Physical Status Class I: A healthy person who is healthy and does not smoke or drink.ASA physical status class II: People with mild chronic diseases but no substantial functional limitations.
- Those who can walk on their own without any impairment in limb movement.
- Able to communicate in Chinese or Taiwanese.
Exclusion Criteria:
- Individuals requiring chemotherapy and radiation therapy for malignant tumors.
- Those who have practiced Tai Chi, Qigong, external elixir exercises, or pulmonary exercises within the past year.
- Anticipating hospitalization or surgical treatment within the next three months.
- Individuals with musculoskeletal or peripheral vascular diseases.
- Individuals with visual impairment, intellectual disabilities, or memory loss.
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: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control group
conventional treatment
|
|
Experimental: Tai Chi group
After recruitment, participants will receive Tai Chi Exercise teaching.
In the acupressure group, participants will receive acupressure treatment.
|
The experimental group will receive Tai Chi exercise and routine treatment after the operation, and after discharge from the hospital, they will perform Tai Chi exercise three times a week, 50 minutes each time, for a total of eight weeks after discharge.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
vital capacity (VC)
Time Frame: admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
data will be collected through lung function test
|
admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
forced vital capacity (FVC)
Time Frame: admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
data will be collected through lung function test
|
admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
forced expiratory volume in one second (FEV1)
Time Frame: admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
data will be collected through lung function test
|
admission day, discharge 1 day, 7 day after discharge, one month after discharge, two months after discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hospital anxiety and depression scale composite
Time Frame: Baseline (Before operation), immediately post-operation, discharged 1 day, one week after discharge, one month after discharge, two months after discharge
|
This scale measures the feelings of anxiety and stress that one has experienced in the past week.
It has a total of 14 questions, including 7 questions each for the Anxiety Scale (HADS-A) and the Depression Scale (HADS-D).
It is measured on a 4-point Likert scale.
Score method (0-3), the total score of each item is 0-21 points, the higher the score measured by the scale, the higher the degree of anxiety and depression.
The Cronbach's α coefficients of the internal consistency reliability of HADS-A and HADS-D are respectively 0.82-0.74,
with high internal consistency.
|
Baseline (Before operation), immediately post-operation, discharged 1 day, one week after discharge, one month after discharge, two months after discharge
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Hsing-Chi Hsu, Ph.D, HungKuang University, Taiwan
- Principal Investigator: Kai-yu Tseng, Ph.D, Central Taiwan University of Science and Technology
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 (Estimated)
October 20, 2023
Primary Completion (Estimated)
July 31, 2025
Study Completion (Estimated)
July 31, 2025
Study Registration Dates
First Submitted
October 18, 2023
First Submitted That Met QC Criteria
October 26, 2023
First Posted (Actual)
October 27, 2023
Study Record Updates
Last Update Posted (Actual)
October 27, 2023
Last Update Submitted That Met QC Criteria
October 26, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- d17573
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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