- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07561034
The Benefits of Home Exercise in Pulmonary Hypertension Interstitial Lung Disease
Przegląd badań
Status
Szczegółowy opis
Pulmonary hypertension associated with interstitial lung disease is associated with reduced exercise capacity, decreased quality of life, and increased morbidity. Exercise based interventions may improve functional status in this population; however, access to supervised rehabilitation programs may be limited. Home based exercise programs offer a potentially accessible alternative, but their feasibility and effectiveness in this population are not well established.
In this interventional study, participants with pulmonary hypertension associated with interstitial lung disease will be enrolled and assigned to a structured home exercise program. The intervention will be performed over a 16-week period. Participants will undergo baseline assessments prior to starting the exercise program and follow up assessments at the end of the intervention period.
Assessments will include measures of functional capacity and patient reported outcomes collected using standardized methods. The primary objective is to evaluate changes in functional performance following completion of the home exercise program. Secondary objectives include evaluation of participant reported outcomes and feasibility of the intervention.
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Daniel Lachant, DO
- Numer telefonu: 585 273 4608
- E-mail: Daniel_Lachant@urmc.rochester.edu
Lokalizacje studiów
-
-
New York
-
Rochester, New York, Stany Zjednoczone, 14642
- Rekrutacyjny
- University of Rochester Medical Center
-
Główny śledczy:
- Daniel Lachant, DO
-
Kontakt:
- Daniel Lachant, DO
- Numer telefonu: 5852734608
- E-mail: daniel_lachant@urmc.rochester.edu
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Follows at University of Rochester Medical Center Pulmonary Hypertension Clinic.
- Adult patients (>18 years old) with right heart catheterization confirmed pulmonary hypertension interstitial lung disease on stable therapy dosing for at least 30 days.
- Access to a smart phone or email to receive daily messages.
- Clinically stable by the investigator.
Exclusion Criteria:
- Pregnancy.
- Pulmonary Hypertension Groups 1,2,4,5.
- Resting tachycardia >120 beats/m during screening.
- Inability to walk.
- WHO Functional Class IV
- Lack of access to email or text messaging.
- Participating in a rehabilitation program.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: Aerobic Plus Strength Training
Participants receive 16 weeks of structured daily exercise messages for aerobic and strength training activities with heart rate guidance.
Participants also receive resistance bands and ankle weights.
|
Structured home based exercise program delivered by daily SMS text message or email for 16 weeks, including aerobic and strength training activities with heart rate guidance.
|
|
Aktywny komparator: Aerobic only
Participants receive 16 weeks of structured daily aerobic exercise messages with heart rate guidance.
Participants may perform walking or Cubii-based aerobic exercise.
|
Structured home based exercise program delivered by daily SMS text message or email for 16 weeks, including aerobic activities with heart rate guidance.
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Mean Change in Cardiac Effort From Baseline to 16 Weeks
Ramy czasowe: Baseline to 16 weeks
|
Cardiac Effort is measured as the ratio of the total number of heart beats recorded during the Six Minute Walk Test to the total distance walked in meters.
Heart rate is continuously monitored during the test using a validated heart rate monitoring device.
The value represents the number of heart beats required per unit distance walked (beats per meter).
Individual participant values are calculated at baseline and at 16 weeks.
The outcome is defined as the mean change in Cardiac Effort from baseline to 16 weeks across participants.
Lower values indicate improved cardiac efficiency and better functional performance, while higher values indicate reduced efficiency and worse functional status.
|
Baseline to 16 weeks
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Mean Change in Six Minute Walk Distance From Baseline to 16 Weeks
Ramy czasowe: Baseline to 16 weeks
|
Six Minute Walk Distance is measured using the standardized Six Minute Walk Test according to established clinical guidelines.
The total distance walked in meters during six minutes is recorded for each participant.
Individual participant values are collected at baseline and at 16 weeks.
The outcome is defined as the mean change in distance walked from baseline to 16 weeks across participants.
Higher values indicate improved functional capacity, while lower values indicate reduced exercise tolerance.
|
Baseline to 16 weeks
|
|
Mean Change in emPHasis-10 Score From Baseline to 16 Weeks
Ramy czasowe: Baseline to 16 weeks post intervention
|
Quality of life is measured using the emPHasis-10 questionnaire, a validated patient reported outcome instrument specific to pulmonary hypertension.
The questionnaire consists of 10 items assessing symptoms and impact on daily life.
Scores range from 0 to 50, with higher scores indicating worse health related quality of life.
Individual participant scores are calculated by summing item responses.
The outcome is defined as the mean change in total score from baseline to 16 weeks across participants.
|
Baseline to 16 weeks post intervention
|
|
Mean Change in King's Brief Interstitial Lung Disease Questionnaire Score From Baseline to 16 Weeks
Ramy czasowe: Baseline to 16 weeks
|
Quality of life is measured using the King's Brief Interstitial Lung Disease questionnaire, a validated instrument assessing health status in interstitial lung disease.
Scores range from 0 to 100, with higher scores indicating better health status.
Individual participant scores are calculated according to standard scoring procedures.
The outcome is defined as the mean change in score from baseline to 16 weeks across participants.
|
Baseline to 16 weeks
|
|
Mean Change in Lower Extremity Muscle Strength From Baseline to 16 Weeks
Ramy czasowe: Baseline to 16 weeks
|
Muscle strength is measured using a Lafayette Muscle Dynamometer for quadriceps strength and a Jamar Hand Dynamometer for hand grip strength.
Measurements are recorded in pounds (lbs) for each participant.
Individual participant values are obtained at baseline and at 16 weeks.
The outcome is defined as the mean change in muscle strength from baseline to 16 weeks across participants.
Higher values indicate greater muscle strength, while lower values indicate reduced strength.
|
Baseline to 16 weeks
|
|
Number of Participants With Healthcare Utilization Events During the 16 Week Study Period
Ramy czasowe: From enrollment to 16 weeks
|
Healthcare utilization events include unplanned medical visits such as emergency department visits, hospitalizations, and clinic visits occurring during the study period.
Events are collected through participant self report and study follow up.
The outcome is defined as the number of participants experiencing at least one healthcare utilization event during the study period.
|
From enrollment to 16 weeks
|
|
Number of Participants With Falls During the 16 Week Study Period
Ramy czasowe: From enrollment to 16 weeks
|
Falls are defined as any unintentional event resulting in a participant coming to rest on the ground or a lower level.
Falls are self reported by participants during weekly check-ins throughout the study period.
The outcome is defined as the number of participants experiencing at least one fall during the study period.
|
From enrollment to 16 weeks
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby naczyniowe
- Choroby układu krążenia
- Choroby Układu Oddechowego
- Choroby płuc
- Nadciśnienie
- Choroby płuc, śródmiąższowe
- Nadciśnienie, Płuc
- Aktywność motoryczna
- Ruch
- Physiologiczne zjawiska mięśniowo -szkieletowe
- Zjawiska fizjologiczne mięśniowo -szkieletowe i nerwowe
- Lecznictwo
- Fizjoterapia
- Opieka nad pacjentem
- Terapia ćwiczeń
- Rehabilitacja
- Opieka postpenitencjarna
- Ciągłość opieki nad pacjentem
- Kondycjonowanie fizyczne, człowiek
- Ćwiczenia
- Trening oporu
Inne numery identyfikacyjne badania
- STUDY00011156
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .