An Exercise and Lifestyle Programme for Adults With Vascular Ehlers-Danlos Syndrome: A Feasibility Study
Co-Producing and Piloting an Exercise-Based Lifestyle Intervention for Individuals With Vascular Ehlers-Danlos Syndrome (vEDS): A Mixed-Methods Feasibility Study
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ian Thistlewood
- Telefonnummer: +447939953194
- E-mail: i.thistlewood@shu.ac.uk
Undersøgelse Kontakt Backup
- Navn: Markos Klonizakis
- E-mail: m.klonizakis@shu.ac.uk
Studiesteder
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South Yorkshire
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Sheffield, South Yorkshire, Det Forenede Kongerige, S10 2BP
- Sheffield Hallam University
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Kontakt:
- Markos Klonizakis
- E-mail: m.klonizakis@shu.ac.uk
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Kontakt:
- Ian Thistlewood
- Telefonnummer: 07939953194
- E-mail: i.thistlewood@shu.ac.uk
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Adults aged 18 years or older
- Confirmed diagnosis of vascular Ehlers-Danlos syndrome (vEDS)
- Living in the UK
- Able to provide informed consent
- Medically stable, defined as: no arterial dissection, rupture, or other major vEDS-related vascular event within the preceding 6 months; no recent hospitalisation for vEDS complications; and blood pressure considered controlled by their treating clinician
- Medical clearance from their treating clinician
- Not pregnant at the time of enrolment
Exclusion Criteria:
- Major vEDS-related vascular event (arterial dissection or rupture) within the previous 6 months
- Recent hospitalisation for vEDS complications
- Blood pressure not controlled by treating clinician
- Pregnancy at enrolment (participants who become pregnant during the intervention are withdrawn from the exercise component but may continue follow-up data collection if they wish)
- Unable to provide informed consent
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Intervention
Participants receive a 12-week co-produced, remotely supervised, low-intensity and low-impact exercise-based lifestyle intervention, tailored to individual capacity, with weekly remote monitoring.
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A 12-week individually tailored exercise-based lifestyle programme, co-produced with people with vEDS, delivered remotely with supervision and weekly monitoring.
Comprises low-intensity, low-impact aerobic and functional activity progressed to individual capacity, with behavioural support to encourage sustained physical activity.
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Ingen indgriben: Usual Care
Participants continue standard NHS medical care and any lifestyle advice from their treating clinicians, with no study intervention.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Recruitment rate
Tidsramme: From study start through completion of recruitment, up to 12 months
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Proportion of eligible participants who consent to take part, expressed as a monthly recruitment rate.
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From study start through completion of recruitment, up to 12 months
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Retention rate
Tidsramme: 12 weeks
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Proportion of randomised participants completing the 12-week intervention (progression target ≥80%)
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12 weeks
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Adherence
Tidsramme: Over the 12-week intervention period
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Proportion of prescribed exercise sessions completed (target ≥60%), assessed by session completion records and device-based monitoring (step count and heart rate via ActiGraph accelerometer
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Over the 12-week intervention period
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Data completeness
Tidsramme: Baseline and 12 weeks
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Proportion of participants completing outcome measures at baseline and 12 weeks (target ≥75%)
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Baseline and 12 weeks
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Acceptability
Tidsramme: 12 weeks
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Acceptability assessed via a questionnaire informed by the Theoretical Framework of Acceptability (seven constructs, 5-point Likert scale), supplemented by post-intervention interviews
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12 weeks
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Adverse events and serious adverse events
Tidsramme: Throughout the 12-week intervention period
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Number, type and severity of adverse events and serious adverse events, reviewed by the independent Data Safety Committee.
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Throughout the 12-week intervention period
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Fatigue
Tidsramme: Baseline and 12 weeks
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FACIT-Fatigue Scale (Functional Assessment of Chronic Illness Therapy - Fatigue); score range 0-52; higher scores indicate less fatigue (better outcome)
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Baseline and 12 weeks
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Anxiety and depression
Tidsramme: Baseline and 12 weeks
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Hospital Anxiety and Depression Scale (HADS); two subscales (anxiety and depression), each scored 0-21; higher scores indicate greater symptom severity (worse outcome)
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Baseline and 12 weeks
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Health-related quality of life
Tidsramme: Baseline and 12 weeks
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EQ-5D-5L; index value ranging from below 0 to 1, where 1 = full health and higher = better; includes a 0-100 visual analogue scale (higher = better health)
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Baseline and 12 weeks
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Physical activity
Tidsramme: Baseline and 12 weeks
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International Physical Activity Questionnaire - Short Form; reported as MET-minutes per week; higher values indicate greater physical activity
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Baseline and 12 weeks
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Lower-limb strength and endurance
Tidsramme: Baseline and 12 weeks
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30-Second Sit-to-Stand Test; number of full sit-to-stand repetitions completed in 30 seconds; higher counts indicate better lower-limb strength and endurance (better outcome)
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Baseline and 12 weeks
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Sub-maximal aerobic capacity
Tidsramme: Baseline and 12 weeks
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2-Minute Step Test; total number of steps completed in 2 minutes; higher counts indicate better aerobic capacity (better outcome).
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Baseline and 12 weeks
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Muscle strength
Tidsramme: Baseline and 12 weeks
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Hand grip strength via Jamar handheld dynamometer, recorded in kilograms (best of three attempts per hand); higher values indicate greater muscle strength (better outcome)
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Baseline and 12 weeks
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Functional mobility
Tidsramme: Baseline and 12 weeks
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Short Physical Performance Battery (SPPB); composite score 0-12 from balance, 4-metre gait speed, and 5-repetition sit-to-stand; higher scores indicate better lower-extremity function (better outcome)
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Baseline and 12 weeks
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Orthostatic heart rate response
Tidsramme: Baseline and 12 weeks
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Heart rate measured supine and on standing (1, 3, 5 min) to screen for orthostatic intolerance
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Baseline and 12 weeks
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Orthostatic blood pressure response
Tidsramme: Baseline and 12 weeks
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Blood pressure measured supine and on standing (1, 3, 5 min) to screen for orthostatic hypotension.
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Baseline and 12 weeks
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Microvascular function
Tidsramme: Baseline and 12 weeks
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Cutaneous vascular conductance via Laser Speckle Contrast Imaging during local thermal hyperaemia.
Expressed as cutaneous vascular conductance (perfusion units/mmHg); higher values indicate greater microvascular reactivity
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Baseline and 12 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Markos Klonizakis, Sheffield Hallam University
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Dissektion, Blodkar
- Karsygdomme
- Hjerte-kar-sygdomme
- Patologiske processer
- Sygdomsegenskaber
- Genetiske sygdomme, medfødte
- Hæmatologiske sygdomme
- Hudsygdomme
- Medfødte abnormiteter
- Hæmostatiske lidelser
- Hæmoragiske lidelser
- Hudsygdomme, genetisk
- Hudabnormiteter
- Aneurisme
- Kollagensygdomme
- Aortadissektion
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Patologiske tilstande, tegn og symptomer
- Opførsel
- Hud- og bindevævssygdomme
- Hemiske og lymfatiske sygdomme
- Ehlers-Danlos syndrom
- Ehlers-Danlos syndrom, type IV
- Sjældne sygdomme
- Bindevævssygdomme
- Motorisk aktivitet
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRAS361077
- 26/NE/0025 (Anden identifikator: REC)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
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