Trial Outcomes & Findings for Home Exercise to Enhance Mobility for Older Diabetics (NCT NCT01308008)

NCT ID: NCT01308008

Last Updated: 2018-11-08

Results Overview

Gait velocity over 6 meters

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

144 participants

Primary outcome timeframe

1 year

Results posted on

2018-11-08

Participant Flow

Participants were recruited in Ann Arbor, Michigan and surrounding communities. Recruitment relied primarily on media advertisement, community outreach and mailings to patients with diabetes treated at the Veterans Affairs Ann Arbor Healthcare System (VAAAHS) and the University of Michigan (UM), both of which provided IRB approval.

Withdrawal after Screening, prior to Baseline: N=5

Participant milestones

Participant milestones
Measure
Functional Exercise- Home Physical Activity
Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
Initial on-site flex and toning program continued on follow-up along with health education
4 Weeks
STARTED
71
73
4 Weeks
COMPLETED
62
71
4 Weeks
NOT COMPLETED
9
2
6 Months
STARTED
62
71
6 Months
COMPLETED
54
62
6 Months
NOT COMPLETED
8
9
12 Months
STARTED
54
62
12 Months
COMPLETED
46
58
12 Months
NOT COMPLETED
8
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Functional Exercise- Home Physical Activity
Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
Initial on-site flex and toning program continued on follow-up along with health education
4 Weeks
Illness, disinterest, time
9
2

Baseline Characteristics

Home Exercise to Enhance Mobility for Older Diabetics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Functional Exercise- Home Physical Activity
n=71 Participants
On-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
n=73 Participants
Initial on-site flex and toning program continued on follow-up along with health education flex and toning health education program: Initial flex and toning program continued on follow-up along with health education
Total
n=144 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
>=65 years
71 Participants
n=93 Participants
73 Participants
n=4 Participants
144 Participants
n=27 Participants
Age, Continuous
69 Years
STANDARD_DEVIATION 6 • n=93 Participants
70 Years
STANDARD_DEVIATION 6 • n=4 Participants
70 Years
STANDARD_DEVIATION 6 • n=27 Participants
Sex: Female, Male
Female
22 Participants
n=93 Participants
26 Participants
n=4 Participants
48 Participants
n=27 Participants
Sex: Female, Male
Male
49 Participants
n=93 Participants
47 Participants
n=4 Participants
96 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
3 Participants
n=93 Participants
2 Participants
n=4 Participants
5 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=93 Participants
11 Participants
n=4 Participants
21 Participants
n=27 Participants
Race (NIH/OMB)
White
54 Participants
n=93 Participants
58 Participants
n=4 Participants
112 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
Comfortable gait speed
1.1 meters per second
STANDARD_DEVIATION 0.2 • n=93 Participants
1.1 meters per second
STANDARD_DEVIATION 0.2 • n=4 Participants
1.1 meters per second
STANDARD_DEVIATION 0.2 • n=27 Participants

PRIMARY outcome

Timeframe: 1 year

Gait velocity over 6 meters

Outcome measures

Outcome measures
Measure
Functional Exercise- Home Physical Activity
n=71 Participants
Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
n=73 Participants
Initial on-site flex and toning program continued on follow-up along with health education
Comfortable Gait Speed
1.2 meters per second
Standard Deviation 0.2
1.2 meters per second
Standard Deviation 0.2

PRIMARY outcome

Timeframe: one year

Walk distance covered in feet over 6 minutes

Outcome measures

Outcome measures
Measure
Functional Exercise- Home Physical Activity
n=71 Participants
Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
n=73 Participants
Initial on-site flex and toning program continued on follow-up along with health education
Six Minute Walk Distance
1307 feet
Standard Deviation 234
1271 feet
Standard Deviation 275

SECONDARY outcome

Timeframe: one year

Average physical activity counts per waking minute

Outcome measures

Outcome measures
Measure
Functional Exercise- Home Physical Activity
n=71 Participants
Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support home exercise/physical activity (PA) enhancement program with behavioral support: Initial on-site personal trainer-based functional aerobic program followed by home intervention consisting of functional exercise training and enhanced physical activity with nurse telephonic behavioral support
Flex and Tone- Home Health Education
n=73 Participants
Initial on-site flex and toning program continued on follow-up along with health education
Physical Activity
170 counts per minute
Standard Deviation 89
141 counts per minute
Standard Deviation 66

Adverse Events

Functional Exercise- Home Physical Activity

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Flex and Tone- Home Health Education

Serious events: 3 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Functional Exercise- Home Physical Activity
n=71 participants at risk
Functional exercise- home physical activity
Flex and Tone- Home Health Education
n=73 participants at risk
Flex and tone- health education
Infections and infestations
Sepsis
1.4%
1/71 • Number of events 1
0.00%
0/73
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/71
1.4%
1/73 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
lung cancer
0.00%
0/71
1.4%
1/73 • Number of events 1
Metabolism and nutrition disorders
hyperkalemia
1.4%
1/71 • Number of events 1
0.00%
0/73
Musculoskeletal and connective tissue disorders
Partial achilles tendon tear
1.4%
1/71 • Number of events 1
0.00%
0/73
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colonic polyp
0.00%
0/71
1.4%
1/73 • Number of events 1

Other adverse events

Other adverse events
Measure
Functional Exercise- Home Physical Activity
n=71 participants at risk
Functional exercise- home physical activity
Flex and Tone- Home Health Education
n=73 participants at risk
Flex and tone- health education
Musculoskeletal and connective tissue disorders
Baker's cyst drainage
0.00%
0/71
1.4%
1/73 • Number of events 1
Musculoskeletal and connective tissue disorders
hand pain
0.00%
0/71
1.4%
1/73 • Number of events 1

Additional Information

Neil Alexander MD

VA GRECC

Phone: 734-845-3048

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place