NCT02976064

Brief Summary

Background: The growing awareness on the health burden generated by insufficient levels of physical activity has prompted the interest for deploying community-based initiatives aiming at fostering active healthy living. It is of note, however, that, to our knowledge, none of the interventions evaluated so far have reached large scale adoption. The current protocol relies on the general hypothesis that properly tailored self-management programs, fully integrated in the patient's action plan with remote off-line professional support, may induce sustained behavioral changes resulting in exercise health behavior. Accordingly, the current manuscript addresses those unmet requirements, namely: i) Workflow design of the PA services engaging both patients and health professionals; ii) Enhanced information and communication technologies (ICT)-support; iii) Evaluation strategies including structured indicators; and, iv) Implementation of innovative business models. The main outcome of the current protocol will be a roadmap for large scale deployment and assessment of novel collaborative self-management PA services in the region of Catalonia (7.5 million citizens). Methods: The protocol has been designed as part of the regional deployment of integrated care services in Catalonia (2016-2020). It has been conceived has a two-year (2017-2018) test bed period. Aims: The protocol uses a population-health approach to addresses the four aims: i) Prehabilitation for high risk candidates to major surgery; ii) Community-based rehabilitation for clinical stable chronic patients with moderate to severe disease; and, iii) Promotion of physical activity and healthy lifestyles for citizens at risk and patients with mild disease.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2016

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

November 22, 2016

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 29, 2016

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2019

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2020

Completed
Last Updated

January 24, 2019

Status Verified

January 1, 2019

Enrollment Period

2.8 years

First QC Date

November 22, 2016

Last Update Submit

January 22, 2019

Conditions

Keywords

physical activitylifestyleadaptive case managementtelemedicineintegrated carecollaborative self-management

Outcome Measures

Primary Outcomes (3)

  • Postoperative complications during hospitalization

    Primary outcome for arms 1 \& 2 - Percentage of patients suffering postoperative complications during hospitalization

    Postoperative hospitalization period (up to 90 days)

  • Determinants of adoption of the PA service

    Primary outcome for arms 3 \& 4

    Life-span of the project (12 months)

  • Changes in Health-related quality of life

    Primary outcome for arms 5 \& 6 - Short-form 36 survey

    Baseline - Six months - 12 months

Secondary Outcomes (4)

  • Changes in Aerobic capacity

    Baseline - Six months - 12 months

  • Hospital length of stay

    Postoperative hospitalization period (up to 90 days)

  • Intensive care unit length of stay

    Postoperative hospitalization period (up to 90 days)

  • Changes in Physical activity

    Baseline - Six months - 12 months

Study Arms (6)

PreHab_Intervention

EXPERIMENTAL

Experimental group of the prehabilitation trial

Behavioral: PreHabilitation

PreHab_Control

NO INTERVENTION

Control group of the prehabilitation trial

Chronic patients_Intervention

EXPERIMENTAL

Experimental group of the Rehabilitation in chronic stable patients in primary care trial

Behavioral: Rehabilitation in chronic stable patients in primary care

Chronic patients_Control

NO INTERVENTION

Control group of the Rehabilitation in chronic stable patients in primary care trial

Citizens & mild disease_Intervention

EXPERIMENTAL

Experimental group of the Rehabilitation in mild chronic patients and citizens at risk trial

Behavioral: Rehabilitation in mild chronic patients and citizens at risk

Citizens & mild disease_Control

NO INTERVENTION

Control group of the Rehabilitation in mild chronic patients and citizens at risk trial

Interventions

PreHabilitationBEHAVIORAL

1. Case identification: Candidates fulfilling the inclusion criteria will be identified by the anesthesiologist. 2. Case evaluation: Candidates will be assessed to identify the overall needs and perform a baseline evaluation. 3. Personalized Work plan definition: Personalization of the plan involves a calendar and planning of face to face visits and remote contacts; intensity of the supervised exercise training program; threshold of steps per day; nutritional intervention; psychological intervention; and integration of the intervention into the overall work plan. 4. Work plan execution \& 5-Follow-up+event handling: Involve the follow-up tasks, including non-scheduled interactions through the personal health folder (PHF) 6-Discharge: Patient will be discharged from prehabilitation and moved to rehabilitation.

PreHab_Intervention

1. Case identification: Candidates fulfilling the inclusion criteria will be identified by the general practitioner. 2. Case evaluation: The primary care team will characterize the candidates, covering: i) patient requirements defining the work plan; ii) aerobic capacity and physical activity; iii) identification of factors modulating adherence. 3. Personalized work plan definition: The community-based intervention will include reassessment of the patient's work plan aiming at optimization of both pharmacological and non-pharmacological therapies. Consist of a motivational interview and a physical activity (PA) intervention (6-month duration) based on supervised endurance training, promotion of PA and empowerment for self-management using the PHF. 4. Work plan execution \& 5-Follow-up+event handling: The ICT-support will facilitate the program follow up. 6-Discharge: The patient will be discharged or moved to the PA service addressed to citizens at risk \& patients with mild disease.

Chronic patients_Intervention

1. Case identification: Candidates fulfilling the inclusion criteria will be identified by the GP. 2. Case evaluation: i) patient requirements defining the work plan; ii) aerobic capacity and PA; iii) identification of factors modulating adherence. 3. Personalized work plan definition: i) motivational interview; ii) training for the use of the PHF for self-management; and iii) assign one case manager for off-line remote surveillance. The following optional modules are envisaged: i) basic service (above); ii) endurance training programs; iii) community physical activity group sessions; and/or, iv) upgraded PA program including sensors and close off-line supervision. 4. Work plan execution \& 5-Follow-up+event handling: The ICT-support will facilitate the program follow up. 6-Discharge: The basic version of the promotion of PA program is conceived for a timeless duration. However, the different modules included in the service portfolio will have specific agendas and associated costs.

Citizens & mild disease_Intervention

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Arms 1 \& 2:
  • Candidates to major elective surgical procedures in the following specialties: abdominal, gynecology, cardiovascular, urology and thoracic
  • Patients presenting high surgical risk because they are they are aged \> 70 years and/or show an American Society of Anesthesiologist (ASA) score of III/IV
  • A tentative surgical schedule allowing for at least 4 weeks for the pre-habilitation intervention.
  • Arms 3 \& 4:
  • Patients suffering one or more targeted chronic conditions (cardiovascular diseases, chronic obstructive pulmonary disease and type 2 diabetes mellitus)
  • Moderate-to-severe disease (main disorder)
  • High user of healthcare resources assessed by history of past hospital-related events (admissions and/or emergency room visits).
  • Arms 5 \& 6:
  • Citizens at risk for chronic conditions and patients showing mild target disease(s) recruited through advertisements, primary care centers or pharmacy offices.

You may not qualify if:

  • Arms 1 \& 2:
  • Emergency surgery
  • Unstable cardiac or respiratory disease
  • Locomotor limitations precluding the practice of exercise
  • Cognitive deterioration impeding the adherence to the program.
  • Arms 3-6:
  • Unstable cardiovascular or respiratory disorders
  • Locomotor limitations precluding the practice of exercise
  • Cognitive deterioration impeding the adherence to the program.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Clínic de Barcelona

Barcelona, 08036, Spain

RECRUITING

Related Publications (1)

  • Barberan-Garcia A, Gimeno-Santos E, Blanco I, Cano I, Martinez-Palli G, Burgos F, Miralles F, Coca M, Murillo S, Sanz M, Steblin A, Ubre M, Benavent J, Vidal J, Sitges M, Roca J. Protocol for regional implementation of collaborative self-management services to promote physical activity. BMC Health Serv Res. 2018 Jul 17;18(1):560. doi: 10.1186/s12913-018-3363-8.

MeSH Terms

Conditions

Chronic DiseaseMotor Activity

Interventions

Preoperative ExerciseRehabilitationPrimary Health Care

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsBehavior

Intervention Hierarchy (Ancestors)

Perioperative CarePatient CareTherapeuticsSurgical Procedures, OperativeExerciseMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaHealth ServicesHealth Care Facilities Workforce and ServicesAftercareContinuity of Patient CareComprehensive Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • Josep Roca, Prof

    Hospital Clinic de Barcelona - IDIBAPS - University of Barcelona

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Consultor senior

Study Record Dates

First Submitted

November 22, 2016

First Posted

November 29, 2016

Study Start

April 1, 2016

Primary Completion

January 1, 2019

Study Completion

June 1, 2020

Last Updated

January 24, 2019

Record last verified: 2019-01

Locations