Supported Exercise Programme for Adults With Congenital Heart Disease

Heart Diseases Clinical Trial

— SEACHange  

Official title:

Supported Exercise Programme for Adults With Congenital Heart Disease (SEA CHange)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03262168
• Other study ID #: GoldenJNH
• Status: Completed
• Phase: N/A
• Start date: June 2, 2017
• Est. completion date: December 21, 2018

Study information

• Verified date: July 2019
• Source: Golden Jubilee National Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will evaluate if the introduction of a supported exercise programme can improve physical and psychological well-being for adults with congenital heart disease.

Description:

Congenital heart disease (CHD) describes heart defects present from birth. The majority of affected patients will require lifelong care to not only manage their medical condition, but also to offer support and guidance on living with their specific heart condition. Exercise and physical activity is one such area where patients often require support and advice. Recommendations are in place for health care providers to promote physical activity for this patient population. However, many health care providers find it difficult to know what level of exercise is reasonable or how to escalate current exercise programmes.

The benefits of regular exercise are well known and evidence suggests that even a modest increase in physical activity can reduce morbidity, improve psychological wellbeing and protect against cardiovascular disease.

This pilot study will determine the feasibility of introducing a supported exercise programme to clinical practice. The investigators aim to assess if improvements can be made in both physical and psychological well-being for adults with CHD who are living in Scotland. After initial assessment and baseline measurements are obtained, participants will follow a twelve week individualised programme. The investigators will keep in regular contact with the participant throughout and arrange interval and final assessments. The baseline measurements will be repeated during the final assessment at 12 weeks. Investigators anticipate that the study will also help to establish a programme that will help to improve the way adults who were born with a heart condition can be supported with physical activity on a long term basis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: December 21, 2018
• Est. primary completion date: December 21, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 16 Years to 75 Years

Eligibility

Inclusion Criteria:

• Living in Scotland

• Diagnosis of congenital heart disease

• Walks less than 450 metres on a 6 minute walk test (Group 1)

• Walks more than 450 metres on a 6 minute walk test (Group 2)

Exclusion Criteria:

• No access to internet or telephone

• Non English speaking (If the pilot study is successful, we anticipate that materials and programmes could be translated and accessible to non English speakers)

• Vulnerable adults

• Severe aortic stenosis or severe left ventricular outflow tract obstruction (LVOTO)

• Eisenmenger Physiology (ongoing study recruitment with SPVU)

• Currently prescribed Advanced Pulmonary Vasodilator therapy

Related Conditions & MeSH terms

• Congenital Disorder
• Heart Defects, Congenital
• Heart Diseases

Intervention

Other:
• Exercise Programme
Complete background demographics, Sniff Nasal Inspiratory Pressure (study group one only), grip strength, muscle strength, PHQ-9 and GAD-7 questionnaires.

Locations

Country	Name	City	State
United Kingdom	Golden Jubilee National Hospital	Clydebank

Sponsors (1)

Lead Sponsor	Collaborator
Golden Jubilee National Hospital

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Attendance rate	Determine the feasibility of introducing a supported exercise programme in to clinical practice. This will be measured through attendance to the programme and interaction with the online resource.	12 weeks (for each phase)
Primary	Attrition rate	Determine the feasibility of introducing a supported exercise programme by assessing attrition rate throughout the study period.	12 weeks (for each phase)
Secondary	Change in six minute walk test (6MWT)	Change in six minute walk test distance (metres) between 0 and 12 weeks. Offers a simple, readily available and cost effective method for objective evaluation of functional exercise capacity during daily activity.	12 weeks (for each phase)
Secondary	Change in Sniff Nasal Inspiratory Pressure (SNIP)	Change in Sniff Nasal Inspiratory Pressure (SNIP) between 0 and 12 weeks (study group one). Measured in cmH2O and is used to measure inspiratory muscle strength.	12 weeks (for each phase)
Secondary	Change in Grip Strength	Change in grip strength. This is measured in pounds (lbs) using a myometer. It is a recognized method of assessing overall nutritional status and health in subjects with medical conditions.	12 weeks (for each phase)
Secondary	Is there an improvement in level of psychological distress	Change in level of depression (measured using PHQ- 9 questionnaire). It is a reliable and validated self report questionnaire used to help clinicians screen for depression disorder.	12 weeks (for each phase)
Secondary	Is there an improvement in level of psychological distress	Change in level of anxiety (measured using GAD-7 questionnaire). The GAD -7 is a self report questionnaire used to identify probable cases of generalised anxiety disorder. Recognised as a valid and reliable screening tool	12 weeks (for each phase)
Secondary	Body mass Index (BMI)	Change in body mass index (measured in kg/m2). Weight (kgs) and height (metres) will be combined to report BMI in kg/m2	12 weeks (for each phase)
Secondary	Body weight	Change in body weight (measured in kg)	12 weeks (for each phase)
Secondary	Is there an improvement in bicep strength	Change in bicep strength. This is measured in newtons (N) using a non invasive strain guage/myometer	12 weeks (for each phase)
Secondary	Is there an improvement in quadricep strength	Change in quadricep strength. This is measured in newtons (N) using a non invasive strain guage/myometer	12 weeks (for each phase)