AzTrials
AzTrials

FrailtyFORTO 2NCT05368337

Feasibility and Usability of Intrinsic Capacity Monitoring With Eforto and Its Predictive Value for Health Outcomes in Older Community-dwelling Persons

An observational study of Frailty, run by Vrije Universiteit Brussel.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this study, 160 community-dwelling older adults (65 years and older) will be provided with an eforto® system to self-monitor their muscle fatigability and self-perceived fatigue for 2 consecutive days per week during 12 months (if needed with assistance by an informal caregiver). Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Frailty
How many people
160 participants
Where
No sites listed yet
Study dates
30 May 2022to 31 Dec 2023
Phase
Observational
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Study population: Community-dwelling older people aged 65 years and over.

Who may be able to join

  • Aged 65 years and over
  • Living in the community (independently at home or at home assisted by an informal caregiver or in assistive housing)
  • Being able to operate the basic functions of a smartphone (if needed with assistance by an informal caregiver): using a smartphone at least for calls and minimum 1 other application
  • Understanding Dutch or French
  • Simple Frail Scale score <3

Who cannot join

  • Being unable to participate in the assessments due to:
  • Physical impairments (e.g. unable to stand up or walk)
  • Cognitive impairments (unable to understand the test instructions and/or Mini Mental State Examination (MMSE) score <23/30)
  • Functional disability of the dominant upper extremity (pare-sis/paralysis, tremor or recent surgery)

Trial locations and contacts

No sites are listed yet.

Ivan Bautmans, Prof Dr contact

+32 (0)2 477 42 07

ivan.bautmans@vub.be

About this study

In this study, 160 community-dwelling older adults (65 years and older) will be provided with an eforto® system to self-monitor their muscle fatigability and self-perceived fatigue for 2 consecutive days per week during 12 months (if needed with assistance by an informal caregiver). Preferably, the participants will use their own smartphone because mitigating smartphone-use-related issues.

The aims of the study are:

  1. to evaluate the usability and feasibility of self-monitoring intrinsic capacity by using the eforto® system in the home setting.
  2. to investigate if changes and variability in intrinsic capacity as measured with eforto® (muscle fatigability and self-perceived fatigue), are related to changes in frailty status, functional independency and quality of life.
  3. to explore whether intrinsic capacity as measured with eforto® (muscle fatigability and self-perceived fatigue) is related to circulating inflammatory biomarkers.
Read the detailed description

Investigational device:

The eforto® system was developed based on approximatively 20 years of scientific research on handgrip muscle fatigability performed by the Frailty in Ageing research department (see https://fria.research.vub.be/) and in collaboration with top-level international partners.

The eforto® system allows self-assessment of muscle fatigability and self-perceived fatigue in older adults and functions as a monitoring tool for intrinsic capacity. It is a small device, easy to use, and suitable for home measurements as well as hospital settings. When used correctly, the measurements cause no discomfort and can be performed repeatedly. The rubber bulb connects to a smartphone application that provides verbal test instructions to the participant. The app will guide the participant during the test and automatically provide motivational cues via audio. The test results are aggregated and stored in a cloud platform where the researcher can manage subjects, access the test data and export it for further analysis. The mobile app supports Dutch, French and English.

In a previous study, eforto® was clinically validated against a gold-standard pressure gauge in n=61 community-dwelling older adults, n=26 hospitalized geriatric patients and n=25 older hip fracture patients. Moreover, the usability and acceptance of eforto® self-monitoring (1 week) was demonstrated in a sample of n=30 community dwelling older persons aged between 83 and 95 years old. (paper submitted for publication in international peer-reviewed journal)

Procedures:

After the recruitment, a researcher will estimate whether the participant is eligible for the study during a eligibility check by a telephone call and legally capable to provide consent. After informed consent is given, baseline measurements will take place. These measurements will be reassessed after 6 months and 12 months. After an individual information session explaining how to use eforto®, the participant will be instructed to perform the eforto® measurements for 2 consecutive days per week for 12 months at home (if needed with assistance by an informal caregiver). Preferentially, the researcher will install the eforto® application on the smartphone of the participant. The home measurements will be continued for 12 months or until withdrawal of the participant. During the study, there will be a monthly telephone contact between participants and researchers in order to register technical problems, and self-reported changes in health situation.

Conditions
Frailty
Keywords
muscle fatigability, self-monitoring, prevention, self-perceived fatigue
Medical subject headings
Frailty

What is being measured

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

  1. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 1

  2. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 2

  3. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 3

  4. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 4

  5. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 5

  6. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 6

  7. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 7

  8. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 8

  9. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 9

  10. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 10

  11. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 11

  12. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 12

  13. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 13

  14. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 14

  15. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 15

  16. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 16

  17. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 17

  18. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 18

  19. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 19

  20. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 20

  21. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 21

  22. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 22

  23. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 23

  24. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 24

  25. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 25

  26. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 26

  27. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 27

  28. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 28

  29. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 29

  30. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 30

  31. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 31

  32. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 32

  33. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 33

  34. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 34

  35. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 35

  36. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 36

  37. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 37

  38. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 38

  39. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 39

  40. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 40

  41. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 41

  42. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 42

  43. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 43

  44. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 44

  45. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 45

  46. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 46

  47. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 47

  48. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 48

  49. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 49

  50. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 50

  51. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 51

  52. Usability of the eforto® system

    A checklist of potential technical problems (11 questions) related to the eforto® system that can occur during the study. Options for answer: yes or no; if 'yes' => clarify the technical problem.

    Measured: Week 52

  53. Feasibility of the eforto® system

    An self-reported questionnaire (12 questions) based on the technology acceptance model (the Unified Theory of Acceptance Use of Technology (UTAUT)). Options for answer: 1-5. 1 is 'Strongly disagree', 5 is 'Strongly agree'.

    Measured: End of the study (week 52)

Secondary outcomes (24)
  1. The correlation between muscle fatigability and frailty status.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The frailty status will be assessed by the frailty assessments: a) Fried Criteria: consists of five components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests like grip strength using eforto® and timed 4-meter walking. Frailty is defined as having ≥3 of the 5 components, pre-frail participants have 1 or 2 components and robust participants have none of the components. b) Groningen Frailty Indicator: this is a 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: Baseline

  2. The correlation between self-perceived fatigue and frailty status.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The Multidimensional Fatigue Inventory will be assessed in the context of self-perceived fatigue. The frailty status will be assessed by a) Fried Criteria: consists of 5 components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests. Frailty = having ≥3 of the 5 components, pre-frail = having 1 or 2 components and robust = having none of the components. b) Groningen Frailty Indicator: = 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: Baseline

  3. The correlation between muscle fatigability and frailty status.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The frailty status will be assessed by the frailty assessments: a) Fried Criteria: consists of five components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests like grip strength using eforto® and timed 4-meter walking. Frailty is defined as having ≥3 of the 5 components, pre-frail participants have 1 or 2 components and robust participants have none of the components. b) Groningen Frailty Indicator: this is a 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: 6 months

  4. The correlation between self-perceived fatigue and frailty status.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The Multidimensional Fatigue Inventory will be assessed in the context of self-perceived fatigue. The frailty status will be assessed by a) Fried Criteria: consists of 5 components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests. Frailty = having ≥3 of the 5 components, pre-frail = having 1 or 2 components and robust = having none of the components. b) Groningen Frailty Indicator: = 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: 6 months

  5. The correlation between muscle fatigability and frailty status.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The frailty status will be assessed by the frailty assessments: a) Fried Criteria: consists of five components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests like grip strength using eforto® and timed 4-meter walking. Frailty is defined as having ≥3 of the 5 components, pre-frail participants have 1 or 2 components and robust participants have none of the components. b) Groningen Frailty Indicator: this is a 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: 12 months

  6. The correlation between self-perceived fatigue and frailty status.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The Multidimensional Fatigue Inventory will be assessed in the context of self-perceived fatigue. The frailty status will be assessed by a) Fried Criteria: consists of 5 components: unintentional weight loss, weakness, exhaustion (low energy level), slowness (slow gait) and low physical activity. This is operationalised through self-reported questions and non-invasive tests. Frailty = having ≥3 of the 5 components, pre-frail = having 1 or 2 components and robust = having none of the components. b) Groningen Frailty Indicator: = 15-item self-reported questionnaire. Each positive answer is given a score of 1. A score of ≥4 indicates moderate to severe frailty.

    Measured: 12 months

  7. The correlation between muscle fatigability and functional independency.

    Muscle fatigability will be measured with the eforto® system (grip work, expressed in kPa*s). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: At baseline

  8. The correlation between self-perceived fatigue and functional independency.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: At baseline

  9. The correlation between muscle fatigability and functional independency.

    Muscle fatigability will be measured with the eforto® system (grip work, expressed in kPa*s). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: 6 months

  10. The correlation between self-perceived fatigue and functional independency.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: 6 months

  11. The correlation between muscle fatigability and functional independency.

    Muscle fatigability will be measured with the eforto® system (grip work, expressed in kPa*s). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: 12 months

  12. The correlation between self-perceived fatigue and functional independency.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The functional independency will be assessed by the Katz Basic Activities of Daily Living (range of score: 6-24; a low score = high function, independent and a high score = low function, dependent) and the Lawton Instrumental Activities of Daily Living Scale (range of score: 9-27; a low score = low function, dependent and a high score = high function, independent).

    Measured: 12 months

  13. The correlation between muscle fatigability and quality of life.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: At baseline

  14. The correlation between self-perceived fatigue and quality of life.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: At baseline

  15. The correlation between muscle fatigability and quality of life.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: 6 months

  16. The correlation between self-perceived fatigue and quality of life.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: 6 months

  17. The correlation between muscle fatigability and quality of life.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: 12 months

  18. The correlation between self-perceived fatigue and quality of life.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The quality of life will be assessed by the self-reported questionnaires SarQol (short form), Eq-5D-5L, and Brief Resilience Scale.

    Measured: 12 months

  19. The correlation between muscle fatigability and circulating inflammatory biomarkers.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: At baseline

  20. The correlation between muscle fatigability and circulating inflammatory biomarkers.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: 6 months

  21. The correlation between muscle fatigability and circulating inflammatory biomarkers.

    Muscle fatigability will be measured with the eforto® system (grip work, kPa*s). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: 12 months

  22. The correlation between self-perceived fatigue and circulating inflammatory biomarkers.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: At baseline

  23. The correlation between self-perceived fatigue and circulating inflammatory biomarkers.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: 6 months

  24. The correlation between self-perceived fatigue and circulating inflammatory biomarkers.

    Self-perceived fatigue will be measured with the eforto® system (2 self-perceived fatigue questions: Question 1: How fatigued are you feeling at this moment? Options for answer: 1-7. 1 is 'not tired', 7 is 'extremely tired'. Question 2: I fatigue quickly. Options for answer: 1-7. 1 is 'No, I don't agree', 7 is 'Yes, I agree'). The participants will also complete the Multidimensional Fatigue Inventory in the context of self-perceived fatigue (also embedded in the eforto® system). The circulating inflammatory biomarkers will be measured by blood sampling:

    • 1x 3mL serum for determination of hsCRP.
    • Additional 1x 9mL EDTA and 1x 9mL serum tube will be obtained for determination of inflammation-related cyto/chemokines including IL1RA, IL6, IL10, TNFα, MCP1, suPAR and sRAGE.

    Measured: 12 months

Timeline

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

  1. First posted10 May 2022
  2. Study start30 May 2022 (estimated)
  3. Primary completion31 Dec 2023 (estimated)
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05368337
Sponsor's protocol ID
FORTO 2.0
Acronym
FORTO 2
Status last verified
May 2022
First submitted
22 Feb 2022
Last updated
10 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Rasmussen LJH, Caspi A, Ambler A, Danese A, Elliott M, Eugen-Olsen J, Hariri AR, Harrington H, Houts R, Poulton R, Ramrakha S, Sugden K, Williams B, Moffitt TE. Association Between Elevated suPAR, a New Biomarker of Inflammation, and Accelerated Aging. J Gerontol A Biol Sci Med Sci. 2021 Jan 18;76(2):318-327. doi: 10.1093/gerona/glaa178.

    PubMed 32766674
  • Frimat M, Teissier T, Boulanger E. Is RAGE the receptor for inflammaging? Aging (Albany NY). 2019 Sep 8;11(17):6620-6621. doi: 10.18632/aging.102256. Epub 2019 Sep 8. No abstract available.

    PubMed 31494645
  • Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146.

    PubMed 11253156
  • Bautmans I, Mets T. A fatigue resistance test for elderly persons based on grip strength: reliability and comparison with healthy young subjects. Aging Clin Exp Res. 2005 Jun;17(3):217-22. doi: 10.1007/BF03324600.

    PubMed 16110735
  • KATZ S, FORD AB, MOSKOWITZ RW, JACKSON BA, JAFFE MW. STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963 Sep 21;185:914-9. doi: 10.1001/jama.1963.03060120024016. No abstract available.

    PubMed 14044222
  • Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 Autumn;9(3):179-86. No abstract available.

    PubMed 5349366
  • Beaudart C, Biver E, Reginster JY, Rizzoli R, Rolland Y, Bautmans I, Petermans J, Gillain S, Buckinx F, Dardenne N, Bruyere O. Validation of the SarQoL(R), a specific health-related quality of life questionnaire for Sarcopenia. J Cachexia Sarcopenia Muscle. 2017 Apr;8(2):238-244. doi: 10.1002/jcsm.12149. Epub 2016 Oct 22.

    PubMed 27897430
  • Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, Bonsel G, Badia X. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011 Dec;20(10):1727-36. doi: 10.1007/s11136-011-9903-x. Epub 2011 Apr 9.

    PubMed 21479777
  • Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.

    PubMed 18696313
  • van Hooff ML, Geurts SA, Kompier MA, Taris TW. "How fatigued do you currently feel?" Convergent and discriminant validity of a single-item fatigue measure. J Occup Health. 2007 May;49(3):224-34. doi: 10.1539/joh.49.224.

    PubMed 17575403
  • Alberts M, Smets EM, Vercoulen JH, Garssen B, Bleijenberg G. ['Abbreviated fatigue questionnaire': a practical tool in the classification of fatigue]. Ned Tijdschr Geneeskd. 1997 Aug 2;141(31):1526-30. Dutch.

    PubMed 9543741

Questions about this trial

What is this clinical trial studying?

An observational study of Frailty, run by Vrije Universiteit Brussel.

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 5 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 10 May 2022. Status can change between updates, so confirm with the study contact before making plans.

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?

Results are not available in the source record.

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

Contact Ivan Bautmans, Prof Dr (+32 (0)2 477 42 07, ivan.bautmans@vub.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Usability of the eforto® system (time frame: Week 1). The study lists 53 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 NCT05368337, which also lists 11 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 10 May 2022.

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