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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Ian Thistlewood
- Telefonnummer: +447939953194
- E-Mail: i.thistlewood@shu.ac.uk
Studieren Sie die Kontaktsicherung
- Name: Markos Klonizakis
- E-Mail: m.klonizakis@shu.ac.uk
Studienorte
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South Yorkshire
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Sheffield, South Yorkshire, Vereinigtes Königreich, 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
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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- Pregnancy at enrolment (participants who become pregnant during the intervention are withdrawn from the exercise component but may continue follow-up data collection if they wish)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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Sonstiges
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: 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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Kein Eingriff: Usual Care
Participants continue standard NHS medical care and any lifestyle advice from their treating clinicians, with no study intervention.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Recruitment rate
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Fatigue
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Markos Klonizakis, Sheffield Hallam University
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Dissektion, Blutgefäß
- Gefäßerkrankungen
- Herz-Kreislauf-Erkrankungen
- Pathologische Prozesse
- Krankheitsattribute
- Genetische Krankheiten, angeboren
- Hämatologische Erkrankungen
- Hautkrankheiten
- Angeborene Anomalien
- Hämostasestörungen
- Hämorrhagische Störungen
- Hautkrankheiten, genetisch
- Hautanomalien
- Aneurysma
- Kollagenerkrankungen
- Aortendissektion
- Angeborene, erbliche und neonatale Krankheiten und Anomalien
- Pathologische Zustände, Anzeichen und Symptome
- Verhalten
- Haut- und Bindegewebserkrankungen
- Hämische und lymphatische Krankheiten
- Ehlers-Danlos-Syndrom
- Ehlers-Danlos-Syndrom, Typ IV
- Seltene Krankheiten
- Bindegewebserkrankungen
- Motorik
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- IRAS361077
- 26/NE/0025 (Andere Kennung: REC)
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Beschreibung des IPD-Plans
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