Severe Heart Failure and Homebased Rehabilitation - An Intersectoral Randomized Controlled Trial
NCT ID: NCT01669395
Last Updated: 2012-08-21
Study Results
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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UNKNOWN
NA
80 participants
INTERVENTIONAL
2012-09-30
2016-07-31
Brief Summary
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Detailed Description
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A large proportion of patients who are offered cardiac rehabilitation deselect that offer. Of the patients who do participate, more than 50% stop the rehabilitation ahead of time. A large group of patients with severe heart failure and classified in NYHA Class III and IV, deselect the offer because of lack of energy to participate in cardiac rehabilitation or is when specified by a medical assessment discharged from the hospital without the offer of training or any other form of rehabilitation.
The offer of rehabilitation for patients with severe heart failure is lacking as it is today. This study assesses the effectiveness of an early home based rehabilitation program that complements the general psycho-social support, symptom-oriented and preventive medical treatment that these patients always have the option to get.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Early homebased rehabilitation
After discharge from the hospital patients are offered a homebased rehabilitation program lasting 6 weeks.
Early homebased rehabilitation after hospital admission
Training begins 3-5 days after discharge from hospital, performed by an occupational therapist and a physiotherapist from Gentofte Hospital in the first two weeks. From week three to six the training will be carried out by an occupational therapist and a physiotherapist from the local municipality (Gentofte municipality and Lyngby Taarbæk municipality). Training will take place at home twice a week for 6 weeks, each session lasting 45 minutes. The intervention is individualized and focuses on functional physical and compensatory training to help the patient to manage everyday life at home. A training program will be provided and the patient will be instructed to do the exercises every day
control group: Ususal care
After discharge from the hospital the patients are offered the usual symptom-oriented and preventive medical care and psychosocial support
Usual care
After discharge from the hospital the patients are offered the usual symptom-oriented and preventive medical care and psychosocial support
Interventions
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Early homebased rehabilitation after hospital admission
Training begins 3-5 days after discharge from hospital, performed by an occupational therapist and a physiotherapist from Gentofte Hospital in the first two weeks. From week three to six the training will be carried out by an occupational therapist and a physiotherapist from the local municipality (Gentofte municipality and Lyngby Taarbæk municipality). Training will take place at home twice a week for 6 weeks, each session lasting 45 minutes. The intervention is individualized and focuses on functional physical and compensatory training to help the patient to manage everyday life at home. A training program will be provided and the patient will be instructed to do the exercises every day
Usual care
After discharge from the hospital the patients are offered the usual symptom-oriented and preventive medical care and psychosocial support
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients with a functional equivalent to NYHA grade III or IV
* Patients with ejection fraction \<40%
* Patients who score between10-15 in the total score for question 3 dealing with physical functioning in SF-36 questionnaire on health status
* Patients who lives in Gentofte Municipality or Lyngby Tårbæk Municipality.
* Patients who can speak and understand Danish
Exclusion Criteria
* Patients with terminal illness with expected death within a year.
18 Years
ALL
No
Sponsors
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University Hospital, Gentofte, Copenhagen
OTHER
Responsible Party
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Laura Staun Valentiner
Research and Development Physiotherapist
Locations
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Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital Gentofte,
Copenhagen, Gentofte, Denmark
Countries
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Central Contacts
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Laura Staun Valentiner, Master in health scien
Role: CONTACT
Phone: + 45 39 77 39 51
Email: [email protected]
Facility Contacts
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Laura Staun Valentiner, masters in health sciences
Role: primary
Carsten Juhl, Ph.D stud.
Role: backup
Other Identifiers
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H-2-2012-021
Identifier Type: -
Identifier Source: org_study_id