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Improving Physical Fitness Prior to Colorectal Surgery: A Pilot Study

21. oktober 2020 opdateret af: York Teaching Hospitals NHS Foundation Trust
It is generally accepted that physically fit patients cope much better with the stress of surgery and recover faster. Consequently several research studies have tried to increase people's level of fitness before they have surgery. These previous research studies have usually required patients to carry out intense, structured exercise programmes that involve going to a gym. However such programmes are not 'user friendly' especially if people are not used to taking a lot of exercise. In this pilot study we want to test the feasibility of a home based programme that tries to increase patients' level of fitness by gradually increasing the number of steps they walk every day.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Participants will be randomised into one of two groups. One group of participants will be asked to increase their level of activity by gradually walking further (the exercise group) and the other group will carry on with their usual level of activity (the usual activity group) .

Assessments People in both groups will have an assessment on 3 occasions: when they join the study, just before surgery and 3 months after surgery.

This assessment involves:

Walking for 6 minutes up and down a corridor to see how far they can walk. Asking them for some information about their medical history Completing three questionnaires about how they are feeling and their quality of life.

People who are randomised to the exercise group will be advised about how many steps to take based on how they did in the initial walking assessment. The number of days or weeks they will be asked to take a daily walk will depend on how much time there is between them joining the study and the date of their surgery. We think this will be about 2 weeks.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Det Forenede Kongerige
    • Yorkshire
      • Scarborough, Yorkshire, Det Forenede Kongerige
        • Scarborough General Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Aged 18 years or older
  • Requiring elective resectional bowel surgery
  • Gives consent to participate in the study

Exclusion Criteria:

  • Younger than 18 years of age.
  • A history of unstable angina/unstable coronary artery disease or a heart attack in the previous month.
  • Any heart related disease including but not limited to aortic stenosis, pericarditis or any thromboembolic disease.
  • Severe Infections and fever.
  • Uncontrolled metabolic diseases.
  • Resting heart rate of more than 120 BPM.
  • Systolic blood pressure of more than 180 mm Hg or diastolic blood pressure of more than 110 mm Hg.
  • Recent cerebrovascular accident.
  • Pregnancy
  • Pre-existing severe physical disability.
  • Unwilling to allow their GP to be informed of their participation in the study.
  • Not able or unwilling to consent to take part in the study

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Styring
Ingen indgriben
Eksperimentel: Monitored walking based exercise
Participants will be given a personalised daily exercise target. Participants will be given an activity tracker (a Fitbit ZipTM). The participants will be asked to wear the device all day to monitor their activity. Once a day the participants will be asked to complete the walking target they have been given at completion of their baseline assessment. This target should be completed in one go. The walking programme will last a minimum of 2 weeks and a maximum duration of 4 weeks. The length of time will depend on the length of time between recruitment and when the participant is scheduled to have their surgery.
Andet: Monitored walking based exercise
Monitored walking based exercise

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in fitness as assessed by Six Minute Walk Test
Tidsramme: Will be done at recruitment, prior to surgery and 3 months post operatively
Fitness assessment
Will be done at recruitment, prior to surgery and 3 months post operatively

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The EQ-5D
Tidsramme: Will be done at recruitment, prior to surgery and 3 months post operatively
Quality of life assessment
Will be done at recruitment, prior to surgery and 3 months post operatively
EORTC QLC-C30
Tidsramme: Will be done at recruitment, prior to surgery and 3 months post operatively
Quality of life assessment
Will be done at recruitment, prior to surgery and 3 months post operatively

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

York Teaching Hospitals NHS Foundation Trust

Efterforskere

  • Studieleder: John Macfie, MBChB, MD, York Teaching Hospitals NHS Foundation Trust

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2016

Primær færdiggørelse (Faktiske)

21. november 2018

Studieafslutning (Faktiske)

21. november 2019

Datoer for studieregistrering

Først indsendt

7. januar 2016

Først indsendt, der opfyldte QC-kriterier

26. januar 2016

Først opslået (Skøn)

29. januar 2016

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

23. oktober 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. oktober 2020

Sidst verificeret

1. oktober 2020

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • SNE 2447

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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