Severe Heart Failure and Homebased Rehabilitation - An Intersectoral Randomized Controlled Trial
Early Homebased Rehabilitation for Patients With Severe Heart Failure - An Intersectoral Randomized Controlled Trial
연구 개요
상태
상세 설명
Approximately 400,000 Danes live today with heart disease. Disease severity is crucial for patients quality of life. Patients with severe heart disease often struggle with everyday life, characterized by reduced physical capacity, tendency to depression and anxiety to perform everyday activities that may provoke symptoms.
A large proportion of patients who are offered cardiac rehabilitation deselect that offer. Of the patients who do participate, more than 50% stop the rehabilitation ahead of time. A large group of patients with severe heart failure and classified in NYHA Class III and IV, deselect the offer because of lack of energy to participate in cardiac rehabilitation or is when specified by a medical assessment discharged from the hospital without the offer of training or any other form of rehabilitation.
The offer of rehabilitation for patients with severe heart failure is lacking as it is today. This study assesses the effectiveness of an early home based rehabilitation program that complements the general psycho-social support, symptom-oriented and preventive medical treatment that these patients always have the option to get.
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Gentofte
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Copenhagen, Gentofte, 덴마크, 2900
- Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital Gentofte,
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Patients admitted to the Gentofte Hospital due to heart failure.
- Patients with a functional equivalent to NYHA grade III or IV
- Patients with ejection fraction <40%
- Patients who score between10-15 in the total score for question 3 dealing with physical functioning in SF-36 questionnaire on health status
- Patients who lives in Gentofte Municipality or Lyngby Tårbæk Municipality.
- Patients who can speak and understand Danish
Exclusion Criteria:
- Patients with cognitive and psychological problems that prevents cooperation (aphasia, dementia, severe depression).
- Patients with terminal illness with expected death within a year.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Early homebased rehabilitation
After discharge from the hospital patients are offered a homebased rehabilitation program lasting 6 weeks.
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Training begins 3-5 days after discharge from hospital, performed by an occupational therapist and a physiotherapist from Gentofte Hospital in the first two weeks.
From week three to six the training will be carried out by an occupational therapist and a physiotherapist from the local municipality (Gentofte municipality and Lyngby Taarbæk municipality).
Training will take place at home twice a week for 6 weeks, each session lasting 45 minutes.
The intervention is individualized and focuses on functional physical and compensatory training to help the patient to manage everyday life at home.
A training program will be provided and the patient will be instructed to do the exercises every day
다른 이름들:
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실험적: control group: Ususal care
After discharge from the hospital the patients are offered the usual symptom-oriented and preventive medical care and psychosocial support
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After discharge from the hospital the patients are offered the usual symptom-oriented and preventive medical care and psychosocial support
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
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Readmission due to heart failure
기간: assessed one year after inclusion
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assessed one year after inclusion
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Physical capacity
기간: Assessed at baseline, after 6 weeks, after 6 month and after one year
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measured by the Morton Mobility Index, Timed Up & Go and Modified Sit to Stand Test
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Assessed at baseline, after 6 weeks, after 6 month and after one year
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Activity of Daily Living
기간: Assessed at baseline, after 6 weeks, after 6 month and after one year
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Recorded at an ADL interview to assess the performance of everyday activities
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Assessed at baseline, after 6 weeks, after 6 month and after one year
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Number of total hospital admissions
기간: at baseline, after 6 weeks, after 6 month and after one year
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at baseline, after 6 weeks, after 6 month and after one year
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Exercise Compliance
기간: at baseline, after 6 weeks, after 6 month and after one year
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registration of exercise
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at baseline, after 6 weeks, after 6 month and after one year
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Anxiety and depression
기간: at baseline, after 6 weeks, after 6 month and after one year
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measured by Hospital Anxiety and Depression Scale (HAD)
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at baseline, after 6 weeks, after 6 month and after one year
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Quality of life
기간: at baseline, after 6 weeks, after 6 month and after one year
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measured by The Minnesota Living with Heart Failure Questionnaire
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at baseline, after 6 weeks, after 6 month and after one year
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Number of patients who starts outpatient cardiac rehabilitation after intervention (municipality or hospital)
기간: at 6 weeks, after 6 month and after one year
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at 6 weeks, after 6 month and after one year
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- H-2-2012-021
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