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
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Ian Thistlewood
- Telefonnummer: +447939953194
- E-post: i.thistlewood@shu.ac.uk
Studer Kontakt Backup
- Navn: Markos Klonizakis
- E-post: m.klonizakis@shu.ac.uk
Studiesteder
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South Yorkshire
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Sheffield, South Yorkshire, Storbritannia, S10 2BP
- Sheffield Hallam University
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Ta kontakt med:
- Markos Klonizakis
- E-post: m.klonizakis@shu.ac.uk
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Ta kontakt med:
- Ian Thistlewood
- Telefonnummer: 07939953194
- E-post: i.thistlewood@shu.ac.uk
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-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske 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- Pregnancy at enrolment (participants who become pregnant during the intervention are withdrawn from the exercise component but may continue follow-up data collection if they wish)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 studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
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Eksperimentell: 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 inngripen: Usual Care
Participants continue standard NHS medical care and any lifestyle advice from their treating clinicians, with no study intervention.
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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 |
Tiltaksbeskrivelse |
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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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Markos Klonizakis, Sheffield Hallam University
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Disseksjon, Blodkar
- Vaskulære sykdommer
- Kardiovaskulære sykdommer
- Patologiske prosesser
- Sykdomsattributter
- Genetiske sykdommer, medfødte
- Hematologiske sykdommer
- Hudsykdommer
- Medfødte abnormiteter
- Hemostatiske lidelser
- Hemoragiske lidelser
- Hudsykdommer, genetisk
- Hudavvik
- Aneurisme
- Kollagen sykdommer
- Aortadisseksjon
- Medfødte, arvelige og neonatale sykdommer og abnormiteter
- Patologiske tilstander, tegn og symptomer
- Oppførsel
- Hud- og bindevevssykdommer
- Hemic og lymfatiske sykdommer
- Ehlers-Danlos syndrom
- Ehlers-Danlos syndrom, type IV
- Sjeldne sykdommer
- Bindevevssykdommer
- Motorisk aktivitet
Andre studie-ID-numre
Andre studie-ID-numre
- IRAS361077
- 26/NE/0025 (Annen identifikator: REC)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
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