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Cardiac RehabilitationNCT06127537

Study on the Efficacy of HE and Therapeutic Group Factors on CR and QoL

A study testing Therapeutic Intervention Group in people with Cardiac Rehabilitation, run by Universidad de Extremadura at 1 site in Spain.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This randomised study evaluates the efficacy of health education and therapeutic group factors on cardiac rehabilitation and quality of life in coronary patients attending cardiac rehabilitation programmes in Extremadura. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cardiac Rehabilitation
What is being tested?
Therapeutic Intervention Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteSpain
Study dates
1 Oct 2021to 16 Jun 2024
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of coronary heart disease, referred to the "Cardiac Prevention and Rehabilitation Unit".

Who cannot join

  • Patients with disabling psychiatric disorders.
  • Existence of pacemaker or automatic defibrillator.
  • Presence of pregnancy or breastfeeding.
  • Presence of medical conditions related to oncological conditions requiring chronic treatment with drugs or other substances.
  • Any condition that, in the opinion of the investigators, would disqualify the subject from participation in the study.

Trial locations and contacts

1 site in 1 country.

Francisco J Rodríguez Velasco, PhD contact

+34 924289839 ext. 89839

fcorodriguezv@unex.es

Guadalupe Gil Fernández, PhD contact

+34 924489674 ext. 86674

ggilfer@unex.es

Spain1 site, 1 recruiting
  • Servicio Extremeño de Salud

    Badajoz, 06006

    Francisco J Rodríguez Velasco, PhD, +34 924289839 ext. 89839, fcorodriguezv@unex.es

    María Yuste Domínguez, MD, +34 924218100 ext. 49514, maria.yusted@salud-juntaex.es

    Recruiting

Other trials in Spain

About this study

Official title: Study on the Efficacy of Health Education and Therapeutic Group Factors on Cardiac Rehabilitation and Quality of Life in Coronary Patients

This randomised study evaluates the efficacy of health education and therapeutic group factors on cardiac rehabilitation and quality of life in coronary patients attending cardiac rehabilitation programmes in Extremadura.

Read the detailed description

Cardiac rehabilitation has been shown to be effective in improving the quality of life of patients who have suffered a cardiovascular event, as well as in preventing future cardiovascular events, demonstrating an increase in survival of between 20% and 30%, with a Class IA recommendation. Due to the prevalence of cardiovascular disease, both nationally and globally, it is important to study the benefits of these cardiac rehabilitation programmes in order to encourage their use. However, several studies have shown that for the programme to be effective, 5% to 10% weight loss must be achieved in patients, adequate nutritional education must be implemented, and behavioural and psychological intervention programmes must be incorporated in order to have an impact on adherence, psychological well-being, and coping with exercise intolerance. This project aims to study the effectiveness of health education and therapeutic group factors in cardiac rehabilitation and on quality of life in coronary patients in Cardiac Rehabilitation Units in Extremadura, including in the analysis anthropometric and body composition, nutritional, cognitive, emotional and lifestyle factors, which could act as mediators of cardiac function, reactivity to neuro-cardiovascular stress, anxiety, depression, anger-hostility, rehospitalisation, adherence, and adherence to treatment.

Being tested
Therapeutic Intervention Group
Keywords
Quality of Life, Cardiovascular Disease, Health Education
Medical subject headings
Cardiovascular Diseases, Health Education

What participants receive

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

  • Therapeutic Intervention GroupBehavioural

    The therapeutic group factors that are worked on in the group session with a psychologist are:

    • Altruism.
    • Cohesion: feeling of belonging and acceptance in a group.
    • Universality: identification with the feelings, ideas or problems of the other group members.
    • Interpersonal-internalisation learning: the patient understands himself/herself by sharing his/her experience with the group.
    • Interpersonal-externalisation learning: the group offers the patient the possibility to express his own experience and to change his attitudes towards others.
    • Counselling.
    • Identification: assumption of behavioural patterns of other members as one's own.
    • Reactualisation of the family experience.
    • Understanding of one's own internal motivations.
    • Reciprocal stimulation: the improvement of other members encourages them to solve or approach their problems in a more favourable way.
    • Existential factors: empowerment of the individual.
Study groups in NCT06127537
Study groupRoleWhat they receive
Control GroupNo interventionHealth Education Programme in cardiac rehabilitation without a Therapeutic Intervention Group
Experimental GroupExperimentalHealth Education Programme in cardiac rehabilitation with a Therapeutic Intervention Group
Receives: Behavioral: Therapeutic Intervention Group

What is being measured

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

  1. Changes in basal cardiac function and stress reactivity at 8 weeks

    Changes in heart rate (bpm) are monitored at rest, during treadmill or stationary bicycle exercise and in recovery (by ergometry - PEG).

    Measured: 0 and 8 weeks

  2. Changes in blood pressure over 8 weeks

    Changes in blood pressure (mmHg) are monitored at rest, during exercise on a treadmill or stationary bike and in recovery. (by ergometry - PEG).

    Measured: 0 and 8 weeks

  3. Change in cardiovascular health indicators over 8 weeks

    Change in the Fuster-BEWAT score (FBS): this index is derived from cardiovascular health indicators blood pressure (mmHg), physical activity (METs), body mass index (kg/m2), fruit and vegetable consumption, and smoking status; 0-1 indicates poor cardiovascular health; 2-3, intermediate; and 4-5, ideal.

    Measured: 0 and 8 weeks

  4. Changes in physical activity at 8 weeks

    Changes in physical activity using the International Physical Activity Questionnaire (IPAQ): Weekly activity is recorded in Mets (Metabolic Task Equivalent or Metabolic Rate Units) per minute per week (Cat 1 - Low: <25 Mets / Cat 2 - Moderate: 25-600 Mets / Cat 3 - High: >1500 Mets).

    Measured: 0 and 8 weeks

  5. Changes in maximum prehensile strength over 8 weeks

    Changes in maximal upper limb prehensile strength by dynamometry (kg).

    Measured: 0 and 8 weeks

  6. Changes in quality of life indicators over 8 weeks

    Changes in the Spanish Quality of Life Questionnaire scores in post-infarction patients will be studied. The score per item ranges from 1 (never) to 5 (always). The minimum score is 40 (best health status) and the maximum 200 points (worst health status).

    Measured: 0 and 8 weeks

  7. Changes in Physical Function quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  8. Changes in Physical Role quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  9. Changes in Bodily Pain quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  10. Changes in General Health quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  11. Changes in Vitality quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  12. Changes in Social Function quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  13. Changes in Emotional Role and Mental Health quality score over 8 weeks

    Items from the SF36 (Short Form 36) survey. The analysis of the responses is based on the calculation for domain with a scale between 0 (worst health status) and 100 (best health status), after coding, aggregation and transformation of the items that make up each domain.

    Measured: 0 and 8 weeks

  14. Changes in Health perception over 8 weeks

    Changes in health perception will be calculated from the score of the Spanish Quality of Life Questionnaire in post-infarction patients. The score per item ranges from 1 (never) to 5 (always). The minimum score is 40 (best health status) and the maximum 200 points (worst health status).

    Measured: 0 and 8 weeks

Secondary outcomes (25)
  1. Changes in body weight composition over 8 weeks

    Total patient weight are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  2. Changes in body fat mass composition over 8 weeks

    Total patient body fat mass are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  3. Changes in body fat-free mass composition over 8 weeks

    Total patient body fat-free mass are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  4. Changes in estimated total body water composition over 8 weeks

    Total patient estimated total body water are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  5. Changes in protein composition over 8 weeks

    Total patient protein are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  6. Changes in bone mineral composition over 8 weeks

    Total patient bone mineral are measured as a kilogram (kg).

    Measured: 0 and 8 weeks

  7. Changes in Body Mass Index over 8 weeks

    Weight (kg) and Height (m) will be combined to report BMI in kg/m^2.

    Measured: 0 and 8 weeks

  8. Changes in CUN-BAE index over 8 weeks

    CUN-BAE are calculated as -44.988+(0.503×age) +(10.689 ×sex) +(3.172×BMI) -(0.026×BMI2) +(0.181×BMI×sex) -(0.02×BMI×age) -(0.005×BMI2 ×sex) +(0.00021×BMI2×age), where male=0 and female=1 for sex, measuring age in years.

    Measured: 0 and 8 weeks

  9. Changes in phase angle bioimpedance over 8 weeks

    Phase angle is measured in degrees (º).

    Measured: 0 and 8 weeks

  10. Changes in the percentage of carbohydrates ingested over 8 weeks

    A standardised food consumption questionnaire will be used to assess dietary habits, which collects food intake over 7 days. The weekly nutrient intake will be transformed into "Food Composition Tables". The value obtained will be the percentage of carbohydrates (%).

    Measured: 0 and 8 weeks

  11. Changes in the percentage of fat ingested over 8 weeks

    A standardised food consumption questionnaire will be used to assess dietary habits, which collects food intake over 7 days. The weekly nutrient intake will be transformed into "Food Composition Tables". The value obtained will be the percentage of fat ingested (%).

    Measured: 0 and 8 weeks

  12. Changes in the percentage of protein ingested over 8 weeks

    A standardised food consumption questionnaire will be used to assess dietary habits, which collects food intake over 7 days. The weekly nutrient intake will be transformed into "Food Composition Tables". The value obtained will be the percentage of protein ingested (%).

    Measured: 0 and 8 weeks

  13. Changes in the percentage of vitamins ingested over 8 weeks

    A standardised food consumption questionnaire will be used to assess dietary habits, which collects food intake over 7 days. The weekly nutrient intake will be transformed into "Food Composition Tables". The value obtained will be the percentage of vitamins ingested (%).

    Measured: 0 and 8 weeks

  14. Changes in kilocalorie intake over 8 weeks

    A standardised food consumption questionnaire will be used to assess dietary habits, which collects food intake over 7 days. The weekly nutrient intake shall be transformed into "Food composition tables". The value obtained will be the number of kilocalories ingested (kcal).

    Measured: 0 and 8 weeks

  15. Changes in adherence to the Mediterranean diet over 8 weeks

    Changes in adherence to the Mediterranean diet. This will be studied using the Mediterranean Diet Adherence Questionnaire, which consists of 15 items with values ranging from <9 (low adherence) to >=9 (good adherence).

    Measured: 0 and 8 weeks

  16. Changes in erythrocyte parameters over 8 weeks

    Erythrocyte parameters are measured as a percentage [%]

    Measured: 0 and 8 weeks

  17. Changes in glucose level over 8 weeks

    Glucose is measured as a milligrams per decilitre [mg/dl]

    Measured: 0 and 8 weeks

  18. Changes in plasma albumin parameters over 8 weeks

    Plasma albumin are measured as a [g/dl]

    Measured: 0 and 8 weeks

  19. Changes in total lymphocyte over 8 weeks

    Total lymphocyte count are measured as a percentage [%]

    Measured: 0 and 8 weeks

  20. Changes in total triglycerides levels over 8 weeks

    Total lymphocyte count are measured as a milligrams per decilitre [mg/dl]

    Measured: 0 and 8 weeks

  21. Changes in total cholesterol level over 8 weeks

    Total cholesterol are measured as a milligrams per decilitre [mg/dl]

    Measured: 0 and 8 weeks

  22. Changes in high-density lipoproteins levels over 8 weeks

    High-density lipoproteins are measured as a milligrams per decilitre [mg/dl]

    Measured: 0 and 8 weeks

  23. Changes in low-density lipoproteins levels over 8 weeks

    Low-density lipoproteins are measured as a milligrams per decilitre [mg/dl]

    Measured: 0 and 8 weeks

  24. Changes in psychological parameters over 8 weeks

    Changes in STATE-TRAIT ANXIETY scores measured by the State-Trait Anxiety Questionnaire (STAI). It consists of 40 items divided into 2 subscales: trait and state, with Likert-type responses from 0 to 3. The score can range from 0 to 60. There are no cut-off points, but the direct scores are transformed into centiles according to sex and age.

    Measured: 0 and 8 weeks

  25. Changes in adherence over 8 weeks

    Change in Morisky Green Test scores. It consists of 4 items. The patient is considered to be compliant if he/she answers correctly to all 4 items. Parameter will be measured as compliant / not compliant-

    Measured: 0 and 8 weeks

Timeline

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

  1. First posted13 Nov 2023
  2. Study start1 Oct 2021
  3. Primary completion31 Jan 2024 (estimated)
  4. Study completion16 Jun 2024 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06127537
Sponsor's protocol ID
134/2020
Other IDs
IB20186, 134/2020, 19/10/2020
Status last verified
Nov 2023
First submitted
27 Sep 2023
Last updated
13 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Therapeutic Intervention Group in people with Cardiac Rehabilitation, run by Universidad de Extremadura 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 5 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 13 Nov 2023. 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?

Results are not available in the source record.

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

Contact Francisco J Rodríguez Velasco, PhD (+34 924289839 ext. 89839, fcorodriguezv@unex.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in basal cardiac function and stress reactivity at 8 weeks (time frame: 0 and 8 weeks). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Nov 2023.

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