Assessing Visual Feedback of HR Monitoring in Rehabilitation - Pilot
NCT ID: NCT05273801
Last Updated: 2024-12-02
Study Results
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View full resultsBasic Information
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COMPLETED
NA
18 participants
INTERVENTIONAL
2022-01-28
2022-05-01
Brief Summary
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Detailed Description
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The purpose of this investigation is to determine if knowledge of heart rate (HR) and target HR zones (HRzone), with visual feedback vs no feedback of HR or HRzone improves patient exercise intensity during rehabilitation. The central hypothesis for this study is with visual feedback of HR and target HR zones with instruction about exercise intensity and targets will increase patient HR intensity during sessions within a safe range set by their medical team. For purposes of this study, patients will be monitored in inpatient sessions and is inclusive of all individuals with chronic health conditions. Physical activity and exercise guidelines recommend everyone, including those with chronic health conditions, strive for 150 minutes of moderate intensity aerobic exercise per week. This study will contribute to the knowledge of how patients achieve recommended individual HR and moderate-high intensity zones during exercise.
Aim 1: Measure the extent to which monitoring and education regarding intensity is provided (1) when providers know HR monitoring is occurring but without visual feedback for the group, and (2) with visual feedback of HR monitoring in a group setting.
The investigators hypothesize providers will modify their behavior in the number of times they ask about intensity, adjust session intensity or provide education regarding intensity when visual feedback is provided compared to no feedback.
Aim 2: Determine the safety of using Heart Zones technology in rehabilitation settings for increasing participant exercise intensity.
The investigators hypothesize the technology will be safe without an increase in number of adverse events throughout their rehabilitation stay.
Aim 3: Assess patient acceptability, exercise self-efficacy and confidence following use of Heart Zones technology in group settings.
The investigators hypothesize use of Heart Zones technology in rehabilitation with feedback will increase participant self-efficacy and confidence in reaching higher exercise intensities, and will be well accepted.
Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Observational HR monitoring
Participants will receive 2 intervention conditions: HR monitoring with visual feedback, and HR monitoring without visual feedback. Observed condition will alternate by session. The investigators will monitor overall HR response, mean time HR and time in target zone, Rate of perceived exertion (RPE), and provider behavior to HR monitoring prior to HR monitoring, with visual feedback and without visual feedback.
Visual Feedback of Multiple Participant Heart Rates: Visual feedback of HR is provided through a television (TV) monitor. Multiple heart rates can be displayed and recorded simultaneously allowing for group encouragement, continuous monitoring and adjustment of all participants to ensure reaching appropriate target intensity.
Heart Rate Recording from Multiple Participants, No Visual Feedback
Heart rates are recorded from multiple participants during the group sessions. However during this intervention, it will not be cast to a TV for feedback to the participant or clinician.
Visual Feedback of Multiple Participant Heart Rates
Visual feedback of HR is provided through a TV monitor. Multiple heart rates can be displayed and recorded simultaneously allowing for group encouragement, continuous monitoring and adjustment of all participants to ensure reaching appropriate target intensity.
Interventions
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Heart Rate Recording from Multiple Participants, No Visual Feedback
Heart rates are recorded from multiple participants during the group sessions. However during this intervention, it will not be cast to a TV for feedback to the participant or clinician.
Visual Feedback of Multiple Participant Heart Rates
Visual feedback of HR is provided through a TV monitor. Multiple heart rates can be displayed and recorded simultaneously allowing for group encouragement, continuous monitoring and adjustment of all participants to ensure reaching appropriate target intensity.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Qualifies for group therapy based on diagnosis and insurance reimbursement
* Physician clearance for participation
Exclusion Criteria
* Inability to communicate with investigators
* Sternal Precautions
* Individuals with Left Ventricular assist devices
* Pregnant women
* Uncontrolled Hypertension
* Serious and unstable cardiac arrhythmias
* Loss of bilateral upper extremity sensation
* At high risk for skin breakdown due to poor skin integrity (open wound, fragile skin, etc)
* Previous participation in this study while in another level of care in the last 6 months
18 Years
90 Years
ALL
No
Sponsors
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Shirley Ryan AbilityLab
OTHER
Responsible Party
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Miriam Rafferty
Principal Investigator
Principal Investigators
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Miriam Rafferty, DPT, PhD
Role: PRINCIPAL_INVESTIGATOR
Shirley Ryan AbilityLab
Locations
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Shirley Ryan AbilityLab
Chicago, Illinois, United States
Countries
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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STU00216223
Identifier Type: -
Identifier Source: org_study_id