Effectiveness of a Physical Activity Intervention for Pre-frail Older Adults With Chronic Pain.

Chronic Pain Clinical Trial

Official title:

Effectiveness of a Physical Activity Intervention in the Quality of Life of Pre-frail Older Adults Aged 65 Years or Over With Chronic Pain. Randomized Controlled, Multicenter and Pragmatic Trial in Primary Care.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04045535
• Other study ID #: CT180719
• Status: Completed
• Phase: N/A
• Start date: June 6, 2018
• Est. completion date: July 2, 2019

Study information

• Verified date: August 2019
• Source: Gerencia de Atención Primaria, Madrid
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this investigation is to evaluate the effectiveness of a multicomponent structured physical exercise program for adults aged 65 years or more, classified as pre-frail and with chronic pain to improve the Perceived Health Related Quality of Life, compared with usual care.

Description:

Design: Randomized controlled, pragmatic clinical trial with two groups and 3 months follow-up.

Unit of randomization: Patient. Unit of analysis: Patient. Setting: A Primary Health Care Center in the Spanish Autonomous Community of Madrid.

Population: Pre-frail patients aged 65 years or more with chronic pain. Intervention:

Multicomponent structured physical exercise program. Control group: Usual care. Variables:

Perceived Health Related Quality of Life (EuroQol 5D-5L), Pain Intensity (Visual Analogue Scale), Frailty (SHARE-Frailty Index), Physical Performance (Short Physical Performance Battery, SPPB), Depression (Yesavage).

Analysis: Mean change differences after 3 months in EQ5D dimensions between groups with CI 95%. Mean differences or proportion differences will be calculated according to variable characteristics between groups with appropriate statistical test.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: July 2, 2019
• Est. primary completion date: July 2, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Clinical record of Chronic Pain by International Classification of Primary Care (ICPC) Code A01.

• Being classified as pre-frail by SHARE-FI questionnaire.

• Informed consent

Exclusion Criteria:

• Housebound patients

• Institutionalized patients

• Not living in the area of the investigation

• Dependence for bADL

• Not being fluent in Spanish

• Severe mental illness or cognitive disorder

Related Conditions & MeSH terms

• Chronic Pain
• Frailty
• Old Age; Debility

Intervention

Other:
• Physical Activity Program
Usual Care and a nurse-led physical activity program once a week for 8 weeks. Each session last for 60 minutes, 15 for warming-up and 45 for different exercises.
• Usual care
Usual clinical care based on current clinical practice guidelines.

Locations

Country	Name	City	State
Spain	Gerencia de Atención Primaria, Madrid	Madrid	Comunidad De Madrid

Sponsors (1)

Lead Sponsor	Collaborator
Gerencia de Atención Primaria, Madrid

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Perceived Health Related Quality of Life	Quality of life assessed by EuroQol 5 Dimen (EQ5D-5L) Scale. It consist on a Quality Index (Range 0-1) calculated from scores of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) with value for Spain set and a Visual Analog Scale (Range 0: Worst possible health-100: Best possible health).	Change from baseline at 2 and 5 months
Secondary	Pain Intensity	Pain Intensity was assessed by McGill Pain Questionnaire's Visual Analog Scale (VAS). It consists on a 100mm horizontal line in which patient points the intensity of his pain. It is measured from left to right. Left side of the line (0 millimeters, mm) means "no pain" and it is the minimum score and right side of the line (100mm) means "pain as worst as you can imagine" and it is maximum score. Lower punctuation meana better outcomes.	Change from baseline at 2 and 5 months
Secondary	Frailty Status	Frailty Status assessed by SHARE-FI (Survey of Health, Ageing and Retirement Frailty Index). It consists on summarizing the response to 5 criteria (exhaustion, weight loss, weakness, slowness and low active) in a discreet factor (DFS). Scores are different for men and women.; Women: If predicted DFS < 0.31, NON-FRAIL; If predicted DFS < 2.13, PRE-FRAIL; If predicted DFS < 6, FRAIL Men: If predicted DFS < 1.21, NON-FRAIL; If predicted DFS < 3.00, PRE-FRAIL; If predicted DFS < 7, FRAIL	Change from baseline at 2 and 5 months
Secondary	Physical Performance	Assessed by Short Physical Performance Battery (SPPB). It evaluates balance, walk speed and sitting and standing in a chair. Each Item is scored 0-4 points. Yielding a total between 0 (worst physical performance ) and 12 (best physical performance).	Change from baseline at 2 and 5 months
Secondary	Falls	Number of falls during the follow-up process	At 2 months and at 5 months
Secondary	Depression	Assessed by ultra-short Yesavage Scale (Geriatric Depression Scale, GDS-5). It consist on 5 questions of the GDS-15 questionnaire (Range:0-5. Cutpoint for depression: 2).	Change from baseline at 2 and 5 months
Secondary	Basic Activities of Daily Living (bADL)	Assessed by Barthel Scale. It assesses the help needed with ten variables: feeding, bathing, grooming, dressing, urinary incontinence, faecal incontinence, toilet use, transfers bed to chair, mobility and climbing stairs. (Range: 0: Full Dependence - 100: Independence for bADL).	Change from baseline at 2 and 5 months
Secondary	Number of meetings attended	Number of meetings attended by the participants from intervention group.	At 2 months
Secondary	Satisfaction with the intervention	Assessed with Client Satisfaction Questionnaire (CSQ-8). It consist on 8 questions (four ranged 4: most satisfaction-1: least satisfaction and four ranged 1: most satisfaction -4 least satisfaction)	At 2 months