Cardiovascular Diseases Clinical Trial
— ACTIVE-CROfficial title:
Wearable Technology for Personalised Physical Activity Feedback in Cardiac Patients: A Feasibility
NCT number | NCT05605015 |
Other study ID # | ACTIVE-CR-V1 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | May 5, 2023 |
Est. completion date | December 2023 |
Cardiac rehabilitation (CR) is a comprehensive, long-term secondary care programme offered to individuals after a heart attack to aid recovery and prevent further illness. If properly implemented, CR is highly effective at reducing cardiac mortality, re-event, and re-admissions. Despite the well-established benefits, less than 50% of eligible UK patients enrol on a CR program. Among those who do begin CR in the UK, drop-out rates of 12-55% have been reported. If the take up of CR were increased to 65% it would reduce readmissions by a third and save approximately £100 million per year. Physical activity (PA) is the cornerstone of CR. With recent advances in wearable activity monitors, accurate and objective assessment of free-living PA is now possible. It is increasingly apparent that the health benefits of PA can be achieved in many ways, and multiple dimensions (or aspects) of PA are independently important. The most sophisticated wearable devices can be used to capture these different dimensions and provide a more comprehensive evaluation of free-living PA - enabling patients to understand their individual PA in the context of guidelines - and offering more behavioural options and personalised advice. In prior work, the investigators have developed a digital system for patients to self-manage their PA. This system comprises a wearable wrist-mounted accelerometer, bespoke digital platform, plus remote virtual support. The digital system has been customised for CR based on qualitative research in cardiac patients and practitioners - who found PA feedback to be understandable and motivating - and a route to address barrier to taking part in CR. This study aims to examine the feasibility of delivering a 6-week trial of a remote, technology-enabled physical activity intervention to patients who were unable to take up or dropped out of CR in the last 12 months.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | December 2023 |
Est. primary completion date | August 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: Patients will be recruited in line with British Association for Cardiovascular Prevention and Rehabilitation (BACPR) guidelines, which states that the following priority patient groups shall be offered CR irrespective of age, sex, ethnic group, and clinical condition: - Acute coronary syndrome - Coronary revascularisation - Heart failure Other patient groups known to benefit: - Stable angina - Peripheral arterial disease - Post-cerebrovascular event - Post-implantation of cardiac defibrillators and resynchronisation devices - Post-heart valve repair/replacement - Post-heart transplantation and ventricular assist devices - Adult congenital heart disease Participants must also: - Have access to a smart phone or tablet and the internet - Have declined or dropped out of CR in the last 12 months Exclusion Criteria: Patients who were not referred/deemed eligible for CR (assessed by clinical care team) - No access to the internet and/or a smart phone - Individuals who have completed CR in the last 12 months - Unable to read English - Unable to understand written or verbal information |
Country | Name | City | State |
---|---|---|---|
United Kingdom | University of Bath | Bath |
Lead Sponsor | Collaborator |
---|---|
University of Bath | Royal United Hospitals Bath NHS Foundation Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility: study recruitment | Assess recruitment rates, defined as the proportion of eligible patients who accept the invitation to participate in the study. | 6-weeks | |
Primary | Feasibility: retention | Examine retention and adherence: defined as the proportion of participants who complete the study | 6-weeks | |
Primary | Feasibility: adherence | Examine adherence: defined as the proportion of online trainer sessions completed and platform usage | 6-weeks | |
Primary | Feasibility: acceptability | Explore the acceptability of the ACTIVE-CR intervention (in terms of affective attitude, burden, perceived effectiveness, ethicality, intervention coherence, opportunity costs, and self-efficacy) using The Theoretical Framework of Acceptability (TFA) Questionnaire | 6-weeks | |
Secondary | Seven day physical activity measurement using a research grade device | A wrist worn physical activity monitor will be used to quantify the following physical activity measures derived from energy expenditure: sedentary time, and light, moderate, vigorous and very vigorous intensities of activity | 6-weeks | |
Secondary | Weight | Kilograms | 6-weeks | |
Secondary | Height | Centimetres | 6-weeks | |
Secondary | Waist circumference | Centimetres | 6-weeks | |
Secondary | Systolic and diastolic blood pressure | Measured in millimetres of mercury (mmHg) | 6-weeks | |
Secondary | Cholesterol levels (Low-density lipoproteins, high-density lipoproteins, total cholesterol) | Measured in millimoles per litre of blood | 6-weeks | |
Secondary | Triglyceride levels | Measured in millimoles per litre of blood | 6-weeks | |
Secondary | Functional capacity | Measured by the 6-minute walk test (metres) | 6-weeks | |
Secondary | Hospital Anxiety and Depression Scale | Score 0-7 represents "normal," 8-10 "mild," 11-14 "moderate," and 15-21 "severe." | 6-weeks | |
Secondary | Dartmouth COOP Functional Assessment Charts | Overall quality of life, physical function, social function, pain. 9 questions, each with answers ranging from 1-5. Possible scores 9-45. The higher the score, the worse the outcome | 6-weeks | |
Secondary | Behavioural Regulation in Exercise Questionnaire-3 | 6-weeks | ||
Secondary | The Exercise Self-Efficacy Scale | Rating of participant's degree of confidence to 18 statements by recording a number from 0 to 100% for each one. The higher the score, the higher the degree of confidence. | 6-weeks | |
Secondary | International Physical Activity Questionnaire | Self-report measure for physical activity | 6-weeks | |
Secondary | Health Care Climate Questionnaire (short-form) | 6 items, used to assess participant's perceptions of the degree to which their trainer was autonomy supportive. The scale ranges from 1-7 (scores therefore range from 6-42). The higher the score, the better the participant's perception of support from the trainer | 6-weeks |
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