Sedentary Behavior Intervention for Older Adults With Coronary Heart Disease and Frailty
Development and Application of a Sedentary Behavior Intervention Program Based on the Integrated Theory of Health Behavior Change for Older Adults With Coronary Heart Disease and Frailty
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
This study is designed to develop and evaluate a sedentary behavior intervention for older adults with coronary heart disease and frailty based on the Integrated Theory of Health Behavior Change (ITHBC). The intervention framework incorporates the three major components of ITHBC: knowledge and beliefs, self-regulation skills and abilities, and social facilitation.
The intervention is intended to improve participants' knowledge and beliefs regarding sedentary behavior and its health consequences, strengthen their motivation and confidence for behavior change, enhance self-regulation skills such as goal setting, self-monitoring, action planning, feedback, and behavioral adjustment, and provide appropriate professional, family, and social support. These strategies are integrated to facilitate the initiation and maintenance of sedentary behavior change.
The study consists of a 1-month structured intervention period followed by a 2-month follow-up period, resulting in a total study duration of 3 months for each participant. Participants in the intervention group will receive the ITHBC-based sedentary behavior intervention according to the study protocol, while participants in the control group will receive the comparator specified in the protocol. The effectiveness of the intervention will be evaluated by comparing changes in sedentary behavior and other prespecified health-related outcomes between the groups during the intervention and follow-up periods.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: yajie xie
- Numer telefonu: +8616620323694
- E-mail: 16620323694@163.com
Lokalizacje studiów
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Gansu
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Lanzhou, Gansu, Chiny, 730000
- Affiliated Hospital of Gansu University of Chinese Medicine
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Kontakt:
- yajie xie
- Numer telefonu: +8616620323694
- E-mail: 16620323694@163.com
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Kontakt:
- E-mail: 16620323694@163.com
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Główny śledczy:
- Yajie Xie
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Age 60 years or older.
- Diagnosis of stable coronary artery disease according to the Chinese Primary -Care Guideline for Stable Coronary Artery Disease (2020).
- Canadian Cardiovascular Society (CCS) angina class I or II.
- Fried Frailty Phenotype score of 1 or higher, including participants with pre-frailty (score 1-2) or frailty (score 3-5).
- Total sedentary time of 6 hours or more per day.
- The participant or the participant's primary caregiver is able to use the WeChat application.
- Able and willing to provide informed consent and voluntarily participate in the study.
Exclusion Criteria:
- Currently participating in another research study.
- Presence of a malignant tumor.
- Presence of a severe infectious disease.
- Presence of a physical impairment that substantially limits limb mobility.
- Presence of a language impairment that prevents effective communication or -completion of study assessments.
- Presence of cognitive impairment that prevents understanding of study procedures or completion of study assessments.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie podtrzymujące
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Eksperymentalny: ITHBC-Based Sedentary Behavior Intervention
Participants in this arm will receive a 1-month sedentary behavior intervention based on the Integrated Theory of Health Behavior Change (ITHBC), in addition to usual care.
The intervention incorporates strategies targeting knowledge and beliefs, self-regulation skills and abilities, and social facilitation.
Participants will subsequently be followed for 2 months, resulting in a total study duration of 3 months.
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The intervention is a 1-month nurse-delivered sedentary behavior intervention based on the Integrated Theory of Health Behavior Change (ITHBC).
It addresses three core components of ITHBC: knowledge and beliefs, self-regulation skills and abilities, and social facilitation.
Intervention strategies include health education related to sedentary behavior and coronary heart disease, individualized goal setting, self-monitoring, action planning, feedback, and professional and family/social support to facilitate reduction of sedentary behavior and promote physical activity.
After the 1-month intervention period, participants will receive a 2-month follow-up to support maintenance of behavior change.
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Brak interwencji: Usual Care
Participants in this arm will receive usual care provided by the clinical team and will not receive the ITHBC-based sedentary behavior intervention.
Participants will be followed for the same 3-month study period as the intervention group.
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
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Change in Average Daily Sedentary Time
Ramy czasowe: Baseline, Day 8, Month 1, and Month 3
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Average daily sedentary time will be assessed using the Older Adults Sedentary Behavior Questionnaire.
The questionnaire assesses sedentary behavior during the previous 7 days across seven common sedentary domains, including watching television or videos, using a mobile phone or listening to music or radio, reading, socializing with family or friends, engaging in sedentary hobbies, resting or napping, and other sedentary activities.
Time spent in each domain is reported in 15-minute increments from 0 minutes to 6 hours.
Daily total sedentary time will be derived from the reported sedentary time across the seven domains and expressed as time spent sedentary per day.
Lower values indicate less sedentary time.
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Baseline, Day 8, Month 1, and Month 3
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
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Change From Baseline in Longest Continuous Sedentary Bout Duration
Ramy czasowe: Baseline, Day 8, Month 1, and Month 3
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The longest continuous sedentary bout duration will be assessed using the Older Adults Sedentary Behavior Questionnaire.
Participants will report the longest uninterrupted period of sitting, reclining, or lying during the day.
Responses range from 0 minutes to 6 hours in 15-minute increments.
A shorter duration indicates less prolonged sedentary behavior.
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Baseline, Day 8, Month 1, and Month 3
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Change From Baseline in Frequency of Sedentary Bouts Lasting 30 Minutes or Longer
Ramy czasowe: Baseline, Day 8, Month 1, and Month 3
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The frequency of prolonged sedentary bouts will be assessed using the Older Adults Sedentary Behavior Questionnaire.
Participants will report the number of times per day that they remain sitting, reclining, or lying continuously for 30 minutes or longer.
Response options range from 0 times to 10 or more times per day.
A lower frequency indicates fewer prolonged sedentary bouts.
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Baseline, Day 8, Month 1, and Month 3
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Change From Baseline in Self-Efficacy to Reduce Sedentary Behavior
Ramy czasowe: Baseline, Day 8, Month 1, and Month 3
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Self-efficacy for reducing sedentary behavior will be assessed using the Chinese version of the Self-Efficacy to Reduce Sedentary Behavior (SRSB) Scale.
The scale contains 9 items, each rated on a 5-point scale from 1 ("not at all confident") to 5 ("very confident").
The total score ranges from 9 to 45, with higher scores indicating greater confidence in reducing sedentary behavior.
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Baseline, Day 8, Month 1, and Month 3
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Change From Baseline in Fried Frailty Phenotype Score
Ramy czasowe: Baseline, Month 1,Month 3
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Frailty will be assessed using the Fried Frailty Phenotype, which includes five criteria: unintentional weight loss, reduced grip strength, exhaustion, slow walking speed, and low physical activity.
Each criterion contributes 1 point, resulting in a total score ranging from 0 to 5. A score of 0 indicates robust status, 1-2 indicates pre-frailty, and 3-5 indicates frailty.
Higher scores indicate greater frailty.
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Baseline, Month 1,Month 3
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Change From Baseline in Health-Related Quality of Life Assessed by the SF-36
Ramy czasowe: Baseline, Month 1 and Month 3
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Health-related quality of life will be assessed using the Chinese version of the 36-Item Short Form Health Survey (SF-36).
The instrument contains 36 items covering eight health domains: physical functioning, role limitations due to physical health, bodily pain, general health, vitality, social functioning, role limitations due to emotional problems, and mental health.
Higher scores indicate better health-related quality of life.
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Baseline, Month 1 and Month 3
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Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Yajie Xie, Gansu University of Chinese Medicine
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- ITHBC-SB-2026-061
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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