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

NCT04898296 | Completed DMC

• 1 other identifier: 001
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Coronary Disease; Exercise Test; Physical Exertion; Cardiac Rehabilitation; Physical Therapy

Outcome Measures

Primary Outcomes (2)

• semi-structured interview about reasons, that could influence the rating of patients

  Patients were asked in a semi-structured interview about other reasons, that could influence their rating.

  during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks

• reasons, what might patients influence for ratings of patients given from physical therapist

  physical therapists identify reasons in a focus group, that influence the patients.

  with the beginning of the study within 4 weeks, before the patients' questionnaire and interview

Other Outcomes (7)

• Patients' experience with the conduction of the six-minute-walking test

  during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks

• Patients' honesty of the statement of effort

  during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks

• Patients' exertion and performance limit

  during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks

Study Arms (2)

Patients over 55 Years with coronary heart disease

Questionnaire and semistructured Interview 45 -60 minutes

Other: Questionnaire, Interview

physical therapists working with patients with coronary heart disease

Focus group 60 -90 minutes

Other: Focus Group

Interventions

Questionnaire, Interview 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.

Patients over 55 Years with coronary heart disease

Focus Group 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).

physical therapists working with patients with coronary heart disease

Eligibility Criteria

• Age: 55 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients from the department of cardiology in the rehabilitation centre of Klinik Barmelweid AG,

You may qualify if:

• 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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Klinik Barmelweid: lead

Study Sites (1)

Klinik Barmelweid AG

Barmelweid, Canton of Aargau, 5017, Switzerland

Location

Related Publications (2)

• 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.

  PMID: 19618202 BACKGROUND

• 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.

  PMID: 20467515 BACKGROUND

Related Links

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

MeSH Terms

Conditions

Coronary Disease

Interventions

Surveys and Questionnaires; Interviews as Topic; Focus Groups

Condition Hierarchy (Ancestors)

Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Gilbert Büsching

  Klinik Barmelweid AG

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Therapist

Study Record Dates

• First Submitted: May 5, 2021
• First Posted: May 24, 2021
• Study Start: July 1, 2021
• Primary Completion: August 14, 2022
• Study Completion: August 14, 2022
• Last Updated: October 25, 2022

Record last verified: 2022-10

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)