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FRAILTYNCT03425227

FRED Exergame Including Biofeeback Supervision

A study testing FRED EXERGAME in people with FRAILTY, run by Begoña Garcia Zapirain at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A pilot six-week randomised controlled trial was carried out introducing biofeedback with physiological constants as follows: systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation in the intervention group. Read more about this study

Who is it for?
Ages 65 to 100 yearsHealthy volunteers can take part
Conditions the study is for
FRAILTY
What is being tested?
FRED EXERGAME
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
1 siteSpain
Study dates
30 May 2016to 5 Aug 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • persons over 65 years of age with a Barthel score equal to or above 90 points who carry out no scheduled physical activity.

Who cannot join

  • persons over 65 years of age with a Barthel score less than 90 points or with a Barthel score equal to or above 90 points who carry out scheduled physical activity.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Asociación Emankor

    Bilbao, Vizcaya, 48004

Other trials in Spain

About this study

Official title: Frailty Level Monitoring and Analysis After a Pilot Six-week Randomized Controlled Clinical Trial Using FRED Exergame Including Biofeeback Supervision

A pilot six-week randomised controlled trial was carried out introducing biofeedback with physiological constants as follows: systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation in the intervention group.

Read the detailed description

Objectives:

The main objectives are as follows:

  • Verify that the risk of frailty has decreased upon completion of the ExerGame protocol.
  • Assess the safety and cardiac healthiness of the exercises done using FRED.

Subject Recruitment Methods:

Contact was established with two residential homes for elderly people, and the necessary permits were requested and obtained from the management at the residential homes.

Approval was requested and obtained from the Ethics Committee in Research of the University of Deusto.

Recruitment at both residential homes was undertaken via informative talks that were given. These talks were open to all interested residents and were advertised via informative posters and pamphlets.

Informed Consent Process:

Interested subjects signed the duly-informed consent form.

Research Procedures:

Screening was arranged for 65 subjects in total in accordance with the following criteria:

Inclusion criteria: persons over 65 years of age with a Barthel score equal to or above 90 points who carry out no scheduled physical activity.

Exclusion criteria: persons over 65 years of age with a Barthel score less than 90 points or with a Barthel score equal to or above 90 points who carry out scheduled physical activity.

Of the 65 individuals who showed interest in taking part in the study, 46 met the inclusion criteria, and these subjects were again asked to carry out some specific tests in order to evidence their degree of frailty.

Frailty screening was undertaken using the short physical performance battery (SPPB), validated and normalised within our milieu, which combines balance testing, gait speed and chair stand. This prioritization was based on its successful validation in detecting frailty and great reliability in predicting disability.

Of the 46 subjects, 40 obtained scores below 10, i.e. 40 subjects may be considered frail.

In addition to the Barthel scale, the 40 subjects filled in the following questionnaire: EuroQol 5D-5L™. Medical records related to risk of heart failure were also gathered.

To undertake randomisation, these 40 subjects were classified according to range of age, gender and Barthel score, obtaining a study group and a control group of subjects respectively.

The subjects belonging to the study group carried out three sessions per week over a 6-week period. Each session involved 20 minutes of activity divided into three parts. The first targeted both the upper and lower extremities, while the second and third targeted specifically the upper and lower extremities respectively. On completion of each part, the subject has the chance to rate the exertion made using the simplified Borg scale [21]. Depending on their rating, they will either be able to continue immediately, or after doing some abdominal-diaphragmatic breathing exercises that will be of a duration that depends on the rating of the exertion made. After completing these breathing exercises, they may choose to continue or otherwise abandon the activity.

The physiological constants - blood pressure, heart rate and blood oxygen saturation - were recorded prior to commencing the FRED game, immediately after completing it and after 5 minutes had elapsed, according to the publications reviewed.

After completing the FRED game session each day, each participant from the study group was asked 2 simple questions, with just a YES or NO answer.

The subjects belonging to the control group continued to lead their daily lives in the course of which they had no physical activity scheduled.

After 6 weeks and having taken part in 18 physical activity sessions with the FRED game, the short physical performance battery (SPPB) test was once again carried out to ascertain whether the degree of frailty had been reduced. The Barthel score and the EuroQol 5D-5L ™ questionnaire were in turn run passed again the subjects and lastly, the system usability scale (SUS) was applied exclusively to subjects from the intervention group.

Instrumentation and Statistical analysis:

FRED is a game developed with the Unity 3D engine. It needs a Kinect game controller connected to a computer and a screen or TV. The measurement of vital signs requires a pulsioxymeter and blood pressure monitor.

For the statistical tests and the creation of graphs, the open-source statistical program R, version 3.2.x for Windows is used.

Conditions
FRAILTY
Being tested
FRED EXERGAME
Keywords
Frailty, Elderly People, Exergame, Physical Activity, Kinect, Biofeeback
Medical subject headings
Frailty, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FRED EXERGAMEOther

    Also called blood pressure, heart rate and blood oxygen saturation were recorded.

    biofeedback with physiological constants as follows: systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation

Study groups in NCT03425227
Study groupRoleWhat they receive
study group / control groupExperimentalThe subjects belonging to the study group carried out three sessions per week over a 6-week period. Each session involved 20 minutes of activity divided into three parts. The subjects belonging to the control group continued to lead their daily lives in the course of which they had no physical activity scheduled.
Receives: Other: FRED EXERGAME

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Short Physical Performance Battery (SPPB)

    This Battery includes 3 tests: balance test, gait speed and standing up from/sitting down on a chair 5 times. These tests follow a hierarchical sequence.

    A total score is obtained for the whole battery, which is the sum of that obtained from the 3 tests and ranges between 0 and 12, with scores below 10 evidencing frailty.

    Measured: 10min

  2. Barthel Index

    A scale with which a quantitative estimate is obtained of the degree of independence a subject has to pursue activities of daily living.

    The score ranges 0-100.

    Measured: 10min

  3. EuroQol 5D-5L

    A standardised measure for state of health developed by the EuroQol Group in order to provide a single, general measurement applicable to a wide range of health conditions and treatments, which in turn provides a single descriptive profile and a unique state of health rate that may be used in clinical assessment

    . The individual themselves assesses their state of health - first in terms of seriousness via dimensions (descriptive system) and then via a visual analogue scale (VAS) for more general assessment purposes.

    Measured: 10 min

  4. The System Usability Scale (SUS)

    A questionnaire based on the Likert scale to rate the capacity for using systems.

    The score may be between 0 and 100, in which 100 represents the best usability and a score of ≥68 is considered positive.

    Measured: 10 min

  5. Systolic blood pressure

    Systolic blood pressure was recorded. Reference value: <150mmHg.

    Measured: 5 min

  6. Diastolic blood pressure

    Diastolic blood pressure was recorded. Reference value: <90mmHg.

    Measured: 5 min

  7. Heart Rate

    Heart rate was recorded. Reference value: <76% Maximum heart rate.

    Measured: 2 min

  8. Blood Oxygen Saturation

    Blood oxygen saturation was recorded. Reference value: Variations <5%SpO2.

    Measured: 2 min

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2018
  2. Study start30 May 2016
  3. Primary completion27 Jun 2016
  4. Study completion5 Aug 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Screening was arranged for 65 subjects in total in accordance with the following criteria. Of the 65 individuals who showed interest in taking part in the study, 46 met the inclusion criteria, and these subjects were again asked to carry out some specific tests in order to evidence their degree of frailty. Frailty screening was undertaken using the short physical performance battery (SPPB). Of the 46 subjects, 40 obtained scores below 10, i.e. 40 subjects may be considered frail. In addition to the Barthel scale, the 40 subjects filled in the following questionnaire: EuroQol 5D-5L™. Medical records related to risk of heart failure were also gathered. To undertake randomisation, these 40 subjects were classified according to range of age, gender and Barthel score, obtaining a study group and a control group of subjects respectively.
Masking
None (open label)
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03425227
Sponsor's protocol ID
FRED Exergame
Status last verified
Feb 2018
First submitted
1 Feb 2018
Last updated
13 Feb 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The database will be available at Zenodo. Iranzu Mugueta-Aguinaga, \& Begonya Garcia-Zapirain. (2018). FRED\_DATABASE \[Data set\]. Zenodo. http://doi.org/10.5281/zenodo.1163736

Publications

  • Bouillon K, Kivimaki M, Hamer M, Sabia S, Fransson EI, Singh-Manoux A, Gale CR, Batty GD. Measures of frailty in population-based studies: an overview. BMC Geriatr. 2013 Jun 21;13:64. doi: 10.1186/1471-2318-13-64.

    PubMed 23786540
  • Cabanero-Martinez MJ, Cabrero-Garcia J, Richart-Martinez M, Munoz-Mendoza CL. The Spanish versions of the Barthel index (BI) and the Katz index (KI) of activities of daily living (ADL): a structured review. Arch Gerontol Geriatr. 2009 Jul-Aug;49(1):e77-84. doi: 10.1016/j.archger.2008.09.006. Epub 2008 Nov 5.

    PubMed 18990459
  • EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990 Dec;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9.

    PubMed 10109801
  • Cabrero-Garcia J, Munoz-Mendoza CL, Cabanero-Martinez MJ, Gonzalez-Llopis L, Ramos-Pichardo JD, Reig-Ferrer A. [Short physical performance battery reference values for patients 70 years-old and over in primary health care]. Aten Primaria. 2012 Sep;44(9):540-8. doi: 10.1016/j.aprim.2012.02.007. Epub 2012 May 16. Spanish.

    PubMed 22608368
  • Freiberger E, de Vreede P, Schoene D, Rydwik E, Mueller V, Frandin K, Hopman-Rock M. Performance-based physical function in older community-dwelling persons: a systematic review of instruments. Age Ageing. 2012 Nov;41(6):712-21. doi: 10.1093/ageing/afs099. Epub 2012 Aug 10.

    PubMed 22885845
  • Wilson RC, Jones PW. A comparison of the visual analogue scale and modified Borg scale for the measurement of dyspnoea during exercise. Clin Sci (Lond). 1989 Mar;76(3):277-82. doi: 10.1042/cs0760277.

    PubMed 2924519
  • O'Brien E, Atkins N, Stergiou G, Karpettas N, Parati G, Asmar R, Imai Y, Wang J, Mengden T, Shennan A; Working Group on Blood Pressure Monitoring of the European Society of Hypertension. European Society of Hypertension International Protocol revision 2010 for the validation of blood pressure measuring devices in adults. Blood Press Monit. 2010 Feb;15(1):23-38. doi: 10.1097/MBP.0b013e3283360e98. No abstract available.

    PubMed 20110786

Questions about this trial

What is this clinical trial studying?

A study testing FRED EXERGAME in people with FRAILTY, run by Begoña Garcia Zapirain at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Short Physical Performance Battery (SPPB) (time frame: 10min). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03425227, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Feb 2018.

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