Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance in Leg Ulcer Patients

NCT ID: NCT00184873

Last Updated: 2010-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2008-12-31

Brief Summary

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Leg ulcers are often chronic or recurring complications of peripheral circulation disorders. Patients' lifestyles are known to influence leg ulcer occurrence and circulation disorders in general. Especially exercise and compliance with compression therapy are key elements in the course of leg ulcer healing and recurrence. Yet many patients demonstrate sedentary lifestyles and non-compliance and current practice offers no systematic approach in the promotion of compliance and physical activity in these patients.

The purpose of the study is testing 'Lively Legs' a compliance promotion program for patients with leg ulcers. The study tests the program on effects regarding:

* compliance with compression therapy and exercise levels
* time to leg ulcer recurrence
* cost effectiveness from a social perspective.

Detailed Description

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The project is a multi centre study, using a randomized controlled design. Patients in the study (n=380) are equally randomized to either the experimental or the control group. Patients in the intervention group receive counseling during a period of six months, in line with the Lively Legs program. Patients in the control group receive regular care. Recruitment takes place within a period of nine months. Data are collected at baseline, directly after the intervention period at 6 months, and at follow-ups at 12 and 18 months. Quality of life is additionally assessed at 3, 9 and 15 months.

The population for this study consists of leg ulcer patients, suffering from peripheral circulation disorders of venous or mixed (venous and arterial) origin. The population is restricted to patients treated at outpatient clinics for dermatology.

Individual counseling is performed by nurses, based on the Lively Legs lifestyle-program for leg ulcer patients. This evidence-based program was systematically developed using the Intervention Mapping framework, thus integrating scientific evidence, relevant theories and patient and care provider expertise. The program aims at improved compliance with compression therapy and prescribed exercise level in all patients.

Social Cognitive Theory provides the theoretical framework and the core methods for the Lively Legs program. Nurses will perform the central role as health counselor. In a maximum of six consultations, they will offer tailored counseling, including compliance and physical activity assessment, identification of relevant determinants of behavior, goal setting, and the application of methods and strategies from the Lively Legs program

Conditions

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Leg Ulcers Varicose Ulcers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Lifestyle counseling

Patients receiving lifestyle counseling

Group Type ACTIVE_COMPARATOR

Health Counseling

Intervention Type BEHAVIORAL

Regular care

Patients receiving regular care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Health Counseling

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Venous insufficiency
* Venous and arterial insufficiency
* Receiving treatment on outpatient clinics for dermatology at the moment of inclusion or in the past three months before inclusion

Exclusion Criteria

* Total immobility
* Insufficient mental capacity
* Insufficient comprehension of the dutch language
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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IQ healthcare, Scientific Institute for Quality of Healthcare

Principal Investigators

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Theo van Achterberg, RN, PhD

Role: STUDY_DIRECTOR

IQ healthcare, Scientific Institute for Quality of healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands

Locations

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Slingeland ziekenhuis

Doetinchem, Gelderland, Netherlands

Site Status

Radboud University Nijmegen Medical Center

Nijmegen, Gelderland, Netherlands

Site Status

Ziekenhuis Rivierenland

Tiel, Gelderland, Netherlands

Site Status

Vie Curi

Venlo / Venray, Limburg, Netherlands

Site Status

Jeroen Bosch ziekenhuis

's-Hertogenbosch, North Brabant, Netherlands

Site Status

Elkerliek ziekenhuis

Deurne, North Brabant, Netherlands

Site Status

St Anna ziekenhuis

Geldrop, North Brabant, Netherlands

Site Status

Bernhoven ziekenhuis

Veghel, North Brabant, Netherlands

Site Status

IJssellandziekenhuis

Capelle aan den IJssel, South Holland, Netherlands

Site Status

University Medical Center Utrecht

Utrecht, Utrecht, Netherlands

Site Status

ErasmusMC

Rotterdam, Zuide Holland, Netherlands

Site Status

Countries

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Netherlands

References

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Heinen MM, van Achterberg T, op Reimer WS, van de Kerkhof PC, de Laat E. Venous leg ulcer patients: a review of the literature on lifestyle and pain-related interventions. J Clin Nurs. 2004 Mar;13(3):355-66. doi: 10.1046/j.1365-2702.2003.00887.x.

Reference Type BACKGROUND
PMID: 15009338 (View on PubMed)

Persoon A, Heinen MM, van der Vleuten CJ, de Rooij MJ, van de Kerkhof PC, van Achterberg T. Leg ulcers: a review of their impact on daily life. J Clin Nurs. 2004 Mar;13(3):341-54. doi: 10.1046/j.1365-2702.2003.00859.x.

Reference Type BACKGROUND
PMID: 15009337 (View on PubMed)

Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998 Oct;25(5):545-63. doi: 10.1177/109019819802500502.

Reference Type BACKGROUND
PMID: 9768376 (View on PubMed)

Harper PL, Watson L, Bannon R. Compression ultrasonography for diagnosing deep vein thrombosis. Protocol is safe. BMJ. 1998 May 16;316(7143):1534; author reply 1535. No abstract available.

Reference Type BACKGROUND
PMID: 9616028 (View on PubMed)

Kan YM, Delis KT. Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: a prospective controlled study. Arch Surg. 2001 Dec;136(12):1364-9. doi: 10.1001/archsurg.136.12.1364.

Reference Type BACKGROUND
PMID: 11735861 (View on PubMed)

Nelson EA, Bell-Syer SE, Cullum NA. Compression for preventing recurrence of venous ulcers. Cochrane Database Syst Rev. 2000;(4):CD002303. doi: 10.1002/14651858.CD002303.

Reference Type BACKGROUND
PMID: 11034749 (View on PubMed)

Yang D, Vandongen YK, Stacey MC. Effect of exercise on calf muscle pump function in patients with chronic venous disease. Br J Surg. 1999 Mar;86(3):338-41. doi: 10.1046/j.1365-2168.1999.00993.x.

Reference Type BACKGROUND
PMID: 10201775 (View on PubMed)

Other Identifiers

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ZonMw 945-04-058

Identifier Type: -

Identifier Source: secondary_id

13091966

Identifier Type: -

Identifier Source: org_study_id

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