Trial Outcomes & Findings for Sedentary Intervention Trial in Cardiac Rehabilitation (NCT NCT02821962)

NCT ID: NCT02821962

Last Updated: 2019-07-17

Results Overview

Primary objective is to assess the feasibility and usability of the activPAL3 and VTAP devices in a CR setting. Assessed by examining acceptability of intervention using evaluation surveys (scores). Reporting on number who reported willingness to wear the monitor again (3+). The scale is a 5-point Likert scale that asks "On a scale from 1 to 5, would you be willing to wear the monitor again?". Response options include: 1(never), 2, 3 (maybe), 4, and 5 (yes, please).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

9 weeks

Results posted on

2019-07-17

Participant Flow

Participant milestones

Participant milestones
Measure
Sedentary Prompts (VTAP)
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Overall Study
STARTED
19
21
Overall Study
COMPLETED
17
21
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sedentary Prompts (VTAP)
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
62.4 years
STANDARD_DEVIATION 10.7 • n=17 Participants
61.5 years
STANDARD_DEVIATION 9.7 • n=21 Participants
61.9 years
STANDARD_DEVIATION 10.0 • n=38 Participants
Sex: Female, Male
Female
7 Participants
n=17 Participants
8 Participants
n=21 Participants
15 Participants
n=38 Participants
Sex: Female, Male
Male
10 Participants
n=17 Participants
13 Participants
n=21 Participants
23 Participants
n=38 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Canada
17 Participants
n=17 Participants
21 Participants
n=21 Participants
38 Participants
n=38 Participants
Number of cardiac rehabilitation classes attended
14 classes
n=17 Participants
15 classes
n=21 Participants
14.5 classes
n=38 Participants

PRIMARY outcome

Timeframe: 9 weeks

Population: Those who completed and returned the satisfaction surveys.

Primary objective is to assess the feasibility and usability of the activPAL3 and VTAP devices in a CR setting. Assessed by examining acceptability of intervention using evaluation surveys (scores). Reporting on number who reported willingness to wear the monitor again (3+). The scale is a 5-point Likert scale that asks "On a scale from 1 to 5, would you be willing to wear the monitor again?". Response options include: 1(never), 2, 3 (maybe), 4, and 5 (yes, please).

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=14 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=19 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Feasibility and Usability of activPAL3 and VTAP Devices
14 Participants
19 Participants

SECONDARY outcome

Timeframe: baseline and 8 weeks

Population: Those with complete baseline and post-intervention sedentary time (sitting + lying) measured via activPAL3

Changes in sedentary time measured by the activPAL3 over 8-week intervention period. Reported as proportion of day spent sedentary.

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Sedentary Time
-0.2 Percentage of day
Standard Deviation 10.6
1.9 Percentage of day
Standard Deviation 14.7

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on moderate-to-vigorous intensity physical activity from baseline and 8 weeks.

Changes in moderate-to-vigorous intensity physical activity (measured by activPAL3)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=18 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Moderate-to-vigorous Intensity Physical Activity
10.62 minutes/day
Standard Deviation 22.11
9.34 minutes/day
Standard Deviation 15.95

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on body weight from baseline and 8 weeks.

Changes in body weight (kg)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Body Weight
-0.24 kilograms
Standard Deviation 2.64
-0.08 kilograms
Standard Deviation 3.07

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on body mass index from baseline and 8 weeks.

Changes in body mass index (kg/m\^2)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Clinical Body Mass Index
-0.07 kilograms per meter squared
Standard Deviation 0.88
-0.11 kilograms per meter squared
Standard Deviation 1.14

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on waist circumference from baseline and 8 weeks.

Changes in waist circumference (cm)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=15 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Waist Circumference
-0.98 centimeters
Standard Deviation 3.98
-4.45 centimeters
Standard Deviation 8.38

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on systolic blood pressure from baseline and 8 weeks.

Changes in systolic blood pressure (mmHg)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Systolic Blood Pressure
1.65 mmHg
Standard Deviation 12.9
1.3 mmHg
Standard Deviation 14.7

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes those with complete data on resting heart rate at baseline and 8 weeks

Changes in resting heart rate (bpm)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Resting Heart Rate
-1.3 beats per minute
Standard Deviation 7.6
-0.7 beats per minute
Standard Deviation 8.2

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes those with complete data on total cholesterol at baseline and 8 weeks

Changes in total cholesterol (mmol/L)

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=15 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Total Cholesterol
0.05 mmol/L
Standard Deviation 0.30
0.02 mmol/L
Standard Deviation 0.69

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on HbA1c % from baseline and 8 weeks.

Changes in HbA1c percentage

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=14 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in HbA1c Percentage
-0.01 percentage
Standard Deviation 0.27
0.26 percentage
Standard Deviation 0.73

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on anxiety from the HADS from baseline and 8 weeks.

Changes in measures of anxiety as assessed using the Hospital Anxiety and Depression Scale. Lower scores mean a better outcome. Score ranges from 0 to 21.

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=13 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Anxiety
-1.7 score on a scale
Standard Deviation 2.5
-3.1 score on a scale
Standard Deviation 3.7

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on quality of life from baseline and 8 weeks.

Changes in health-related quality of life (Physical Component Scale) as measured by the Short Form-36. Higher scores represent better physical health. Range 0 -100

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=16 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Health-related Quality of Life (Physical Component Scale)
6.9 score on a scale
Standard Deviation 3.8
3.2 score on a scale
Standard Deviation 4.7

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on pulse wave velocity from baseline and 8 weeks.

Changes in pulse wave velocity

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=16 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Pulse Wave Velocity
0.01 m/s
Standard Deviation 0.34
0.10 m/s
Standard Deviation 0.42

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on VO2 peak from baseline and 8 weeks.

Changes in maximal aerobic power as assessed using a Modified Bruce Ramp Treadmill Test

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=17 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Maximal Aerobic Power (VO2peak)
1.62 mL/kg/min
Standard Deviation 6.09
1.70 mL/kg/min
Standard Deviation 4.50

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on health-related quality of life from baseline and 8 weeks.

Change in health-related quality of life (Mental Component Scale) from the SF-36. Higher scores represent better mental health. Range 0 to 100.

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=16 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Change in Health-related Quality of Life (Mental Component Scale)
1.8 score on a scale
Standard Deviation 10.7
2.7 score on a scale
Standard Deviation 7.1

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on HDL from baseline and 8 weeks.

Changes in HDL

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=15 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=21 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in HDL
0.12 mmol/L
Standard Deviation 0.15
0.09 mmol/L
Standard Deviation 0.12

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline and 8 weeks

Population: Includes participants with complete data on depression scores from baseline and 8 weeks.

Changes in depression symptom score. Lower scores mean a better outcome. Score ranges from 0 to 21.

Outcome measures

Outcome measures
Measure
Sedentary Prompts (VTAP)
n=11 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks. Participants will also be provided with a VTAP (activPAL3 VT) monitor to wear during waking hours for weeks 1 through 7 of cardiac rehabilitation. The VTAP will alert participants when they have been sedentary for 30 consecutive minutes. Sedentary prompts from a VTAP device
Usual Care
n=19 Participants
Participants will complete supervised exercise sessions as part of cardiac rehabilitation programming on-site twice weekly for a total of 8 weeks.
Changes in Depression Symptoms as Measured by the Hospital Anxiety and Depression Scale.
-0.7 score on a scale
Standard Deviation 2.6
-1.8 score on a scale
Standard Deviation 4.2

Adverse Events

Sedentary Prompts (VTAP)

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

Usual Care

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Reid

University of Ottawa Heart Institute

Phone: 613-696-7393

Results disclosure agreements

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