- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00184873
Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance in Leg Ulcer Patients
Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance With Compression Therapy and Prescribed Exercise in Leg Ulcer Patients
Leg ulcers are often chronic or recurring complications of peripheral circulation disorders. Patients' lifestyles are known to influence leg ulcer occurrence and circulation disorders in general. Especially exercise and compliance with compression therapy are key elements in the course of leg ulcer healing and recurrence. Yet many patients demonstrate sedentary lifestyles and non-compliance and current practice offers no systematic approach in the promotion of compliance and physical activity in these patients.
The purpose of the study is testing 'Lively Legs' a compliance promotion program for patients with leg ulcers. The study tests the program on effects regarding:
- compliance with compression therapy and exercise levels
- time to leg ulcer recurrence
- cost effectiveness from a social perspective.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
The project is a multi centre study, using a randomized controlled design. Patients in the study (n=380) are equally randomized to either the experimental or the control group. Patients in the intervention group receive counseling during a period of six months, in line with the Lively Legs program. Patients in the control group receive regular care. Recruitment takes place within a period of nine months. Data are collected at baseline, directly after the intervention period at 6 months, and at follow-ups at 12 and 18 months. Quality of life is additionally assessed at 3, 9 and 15 months.
The population for this study consists of leg ulcer patients, suffering from peripheral circulation disorders of venous or mixed (venous and arterial) origin. The population is restricted to patients treated at outpatient clinics for dermatology.
Individual counseling is performed by nurses, based on the Lively Legs lifestyle-program for leg ulcer patients. This evidence-based program was systematically developed using the Intervention Mapping framework, thus integrating scientific evidence, relevant theories and patient and care provider expertise. The program aims at improved compliance with compression therapy and prescribed exercise level in all patients.
Social Cognitive Theory provides the theoretical framework and the core methods for the Lively Legs program. Nurses will perform the central role as health counselor. In a maximum of six consultations, they will offer tailored counseling, including compliance and physical activity assessment, identification of relevant determinants of behavior, goal setting, and the application of methods and strategies from the Lively Legs program
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
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Utrecht, Pays-Bas, 3584 CX
- University Medical Center Utrecht
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Gelderland
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Doetinchem, Gelderland, Pays-Bas, 7009BL
- Slingeland Ziekenhuis
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Nijmegen, Gelderland, Pays-Bas, 6500 HB
- Radboud University Nijmegen Medical Center
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Tiel, Gelderland, Pays-Bas, 4002 WP
- Ziekenhuis Rivierenland
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Limburg
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Venlo / Venray, Limburg, Pays-Bas, 5900 BX
- Vie Curi
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Noord Brabant
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Den Bosch, Noord Brabant, Pays-Bas, 5323 GV
- Jeroen Bosch Ziekenhuis
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Deurne, Noord Brabant, Pays-Bas, 5751 CB
- Elkerliek Ziekenhuis
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Geldrop, Noord Brabant, Pays-Bas, 5664EH
- St Anna ziekenhuis
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Veghel, Noord Brabant, Pays-Bas, 5461 AA
- Bernhoven Ziekenhuis
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Zuid Holland
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Capelle A/d IJssel, Zuid Holland, Pays-Bas, 2906 ZC
- IJssellandziekenhuis
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Zuide Holland
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Rotterdam, Zuide Holland, Pays-Bas, 3015 GJ
- ErasmusMC
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Venous insufficiency
- Venous and arterial insufficiency
- Receiving treatment on outpatient clinics for dermatology at the moment of inclusion or in the past three months before inclusion
Exclusion Criteria:
- Total immobility
- Insufficient mental capacity
- Insufficient comprehension of the dutch language
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Tripler
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Comparateur actif: Lifestyle counseling
Patients receiving lifestyle counseling
|
|
Aucune intervention: Regular care
Patients receiving regular care
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
---|---|
* Compliance with compression therapy
Délai: 18 months
|
18 months
|
* Compliance with exercise prescriptions
Délai: 18 months
|
18 months
|
* Leg ulcer recurrence
Délai: 18 months
|
18 months
|
Mesures de résultats secondaires
Mesure des résultats |
Délai |
---|---|
* time to next ulcer / ulcer size and time to heal in case of recurrence /duration of ulcer free periods
Délai: 18 months
|
18 months
|
* evaluation of the cost effectiveness of the program
Délai: 18 months
|
18 months
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Theo van Achterberg, RN, PhD, IQ healthcare, Scientific Institute for Quality of healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands
Publications et liens utiles
Publications générales
- Persoon A, Heinen MM, van der Vleuten CJ, de Rooij MJ, van de Kerkhof PC, van Achterberg T. Leg ulcers: a review of their impact on daily life. J Clin Nurs. 2004 Mar;13(3):341-54. doi: 10.1046/j.1365-2702.2003.00859.x.
- Heinen MM, van Achterberg T, op Reimer WS, van de Kerkhof PC, de Laat E. Venous leg ulcer patients: a review of the literature on lifestyle and pain-related interventions. J Clin Nurs. 2004 Mar;13(3):355-66. doi: 10.1046/j.1365-2702.2003.00887.x.
- Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998 Oct;25(5):545-63. doi: 10.1177/109019819802500502.
- Harper PL, Watson L, Bannon R. Compression ultrasonography for diagnosing deep vein thrombosis. Protocol is safe. BMJ. 1998 May 16;316(7143):1534; author reply 1535. No abstract available.
- Kan YM, Delis KT. Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: a prospective controlled study. Arch Surg. 2001 Dec;136(12):1364-9. doi: 10.1001/archsurg.136.12.1364.
- Nelson EA, Bell-Syer SE, Cullum NA. Compression for preventing recurrence of venous ulcers. Cochrane Database Syst Rev. 2000;(4):CD002303. doi: 10.1002/14651858.CD002303.
- Yang D, Vandongen YK, Stacey MC. Effect of exercise on calf muscle pump function in patients with chronic venous disease. Br J Surg. 1999 Mar;86(3):338-41. doi: 10.1046/j.1365-2168.1999.00993.x.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 13091966
- ZonMw 945-04-058
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