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).
COMPLETED
NA
40 participants
9 weeks
2019-07-17
Participant Flow
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
| 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: Includes participants with complete data on body weight from baseline and 8 weeks.
Changes in body weight (kg)
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 weeksPopulation: Includes participants with complete data on body mass index from baseline and 8 weeks.
Changes in body mass index (kg/m\^2)
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 weeksPopulation: Includes participants with complete data on waist circumference from baseline and 8 weeks.
Changes in waist circumference (cm)
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 weeksPopulation: Includes participants with complete data on systolic blood pressure from baseline and 8 weeks.
Changes in systolic blood pressure (mmHg)
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 weeksPopulation: Includes those with complete data on resting heart rate at baseline and 8 weeks
Changes in resting heart rate (bpm)
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 weeksPopulation: Includes those with complete data on total cholesterol at baseline and 8 weeks
Changes in total cholesterol (mmol/L)
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 weeksPopulation: Includes participants with complete data on HbA1c % from baseline and 8 weeks.
Changes in HbA1c percentage
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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: Includes participants with complete data on pulse wave velocity from baseline and 8 weeks.
Changes in pulse wave velocity
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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: Includes participants with complete data on HDL from baseline and 8 weeks.
Changes in HDL
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 weeksPopulation: 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
| 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)
Usual Care
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place