Exploration of Possible Reasons for the Discrepancy Between Expectation and Indication of Subjective Perceived Exertions

NCT ID: NCT04898296

Last Updated: 2022-10-25

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

Total Enrollment

16 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-07-01

Study Completion Date

2022-08-14

Brief Summary

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The 6-minute walk test is a test of physical performance in physiotherapy with lungs and heart patients (Pollentier 2010). However, only 8 and 11% of patients in everyday test situations report a score of 7 or higher on a scale of 0-10 for effort (Jehn 2009). This study is intended to explore, based on grounded theory, why the majority of patients do not assess themselves according to the almost maximum performance.

Detailed Description

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Conditions

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Coronary Disease Exercise Test Physical Exertion Cardiac Rehabilitation Physical Therapy

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients over 55 Years with coronary heart disease

Questionnaire and semistructured Interview 45 -60 minutes

Questionnaire, Interview

Intervention Type OTHER

During the stay, a study visit is arranged with the patient after the 6-minute walk test has been performed. This consists of filling out the questionnaire and an interview, which lasts about 45-60 minutes. This is carried out by the investigator on at least 5 subjects. After each interview, a list of influencing factors is kept. If new aspects continue to appear in the 5th interview, the interviews are continued (up to a maximum of the 10th subject). If no new aspects appear in the interviews from number 6 onwards, the interviews are discontinued and no further patients are recruited. The conversations are recorded with an audio recording.

physical therapists working with patients with coronary heart disease

Focus group 60 -90 minutes

Focus Group

Intervention Type OTHER

The focus group is carried out first in order to identify influencing variables that may be relevant for the interview (duration 60-90 minutes).

Interventions

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Questionnaire, Interview

During the stay, a study visit is arranged with the patient after the 6-minute walk test has been performed. This consists of filling out the questionnaire and an interview, which lasts about 45-60 minutes. This is carried out by the investigator on at least 5 subjects. After each interview, a list of influencing factors is kept. If new aspects continue to appear in the 5th interview, the interviews are continued (up to a maximum of the 10th subject). If no new aspects appear in the interviews from number 6 onwards, the interviews are discontinued and no further patients are recruited. The conversations are recorded with an audio recording.

Intervention Type OTHER

Focus Group

The focus group is carried out first in order to identify influencing variables that may be relevant for the interview (duration 60-90 minutes).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with coronary artery disease undergoing in-patient cardiovascular rehabilitation; over 55 years of age. Patients underwent a 6-minute walk test with assessment of the intensity of the exercise

Exclusion Criteria

* no understanding of the German language
* Patients would not be able to perform a 6-minute walk test, e. g. surgery on the large joints of the lower extremities, unstable heart disease or predominant neurological symptoms.
Minimum Eligible Age

55 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Klinik Barmelweid

OTHER

Sponsor Role lead

Responsible Party

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Gilbert Busching

Physical Therapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gilbert Büsching

Role: PRINCIPAL_INVESTIGATOR

Klinik Barmelweid AG

Locations

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Klinik Barmelweid AG

Barmelweid, Canton of Aargau, Switzerland

Site Status

Countries

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Switzerland

References

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Jehn M, Halle M, Schuster T, Hanssen H, Weis M, Koehler F, Schmidt-Trucksass A. The 6-min walk test in heart failure: is it a max or sub-maximum exercise test? Eur J Appl Physiol. 2009 Oct;107(3):317-23. doi: 10.1007/s00421-009-1128-0. Epub 2009 Jul 18.

Reference Type BACKGROUND
PMID: 19618202 (View on PubMed)

Pollentier B, Irons SL, Benedetto CM, Dibenedetto AM, Loton D, Seyler RD, Tych M, Newton RA. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010 Mar;21(1):13-21.

Reference Type BACKGROUND
PMID: 20467515 (View on PubMed)

Related Links

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http://results.anq.ch/fileadmin/documents/anq/27_31/20200424_ANQreha_Nationaler-Vergleichsbericht_2018_Kardiale-Rehabilitation.pdf

Nationaler Verein für Qualitätsentwicklung in Spitälern und Kliniken. ANQ; Nationaler Vergleichsbericht 2018 - Kardiale Rehabilitation \[Internet\]. Messergebnisse Rehabilitation. 2018 \[zitiert 7. Dezember 2020\].

Other Identifiers

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001

Identifier Type: -

Identifier Source: org_study_id

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