Digital Support for Supervised Exercise Therapy in Peripheral Arterial Disease

NCT04947228 | Completed

• 1 other identifier: 18-8355-BO
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The individual restrictions of daily life for patients with PAD are more important than statistical facts for mortality and morbidity. Intermittent claudication causes a progressive reduction of the pain-free walking distance (PWD) as an expression of a worsening PAD. This decrease in physical capability results in a decline of mental health and relevantly reduces the patients' quality of life (QoL). Supervised exercise therapy (SET) is a cornerstone in the conservative management of intermittent claudication and extends the PWD. Even though SET is easy to practice and highly cost effective, the adherence to perform SET on a regular base is rather low. The underuse of exercise can be partly explained by the lack of institutional resources, but also by both patients' and physicians' lack of interest in exercise. Mobile health (mHealth) technologies increase the incentives and provide digital support for patients with PAD on several treatment levels. They might lead to a higher adherence to exercise training and offer new scopes in patient-centered healthcare, but so far studies show opposite results. Because app stores are flooded with health and fitness apps, specific support tools are highly desired by patients with PAD and PAD-specific solutions are missing so far. Based on this background, the investigators developed a smartphone app named TrackPAD to provide PAD-specific support for SET. The TrackPAD pilot study was designed as a 2-armed randomized controlled trial and included patients with diagnosed and symptomatic PAD. Patients were randomized by the Center for Clinical Studies in Essen using the TENALEA software into 2 groups. The control group included participants with standard care and no further mobile intervention. The intervention group included participants with standard care and additional mHealth-based self-tracking of their physical activity using trackPAD.

Conditions

Peripheral Arterial Disease

Outcome Measures

Primary Outcomes (1)

• change in 6-minutes walking distance

  measured via GPS with the trackPAD app

  baseline, 3 months follow-up

Secondary Outcomes (3)

• change in physical activity, measured in patients' self-report on how many days a week on average they engage in a physical activity that causes them to sweat or get out of breath, and how many minutes on average they spend doing it.

  baseline, 3 months follow-up

• peripheral arterial disease-related quality of life

  baseline, 3 months follow-up

• Usability of the TrackPAD app

  baseline, 3 months follow-up

Study Arms (2)

intervention group

EXPERIMENTAL

in addition to the usual therapy, the patients were given access to the trackPAD app

Device: trackPAD

control group

NO INTERVENTION

patients in this group were treated as usual in the clinic without additional interventions.

Interventions

trackPAD DEVICE

TrackPAD is a smartphone app to provide PAD-specific support for SET

intervention group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of lower extremity PAD based on (and/or):
• ABI ≤ 0.9 in at least one legs
• Invasive or non-invasive imaging of stenotic lower extremity artery disease
• Endovascular or surgical revascularization of lower extremity artery
• PAD Fontaine Stage IIa/b
• Smartphone with possibility to use TrackPAD: Android ≥ 5.0 or IOS ≥ 11.0
• Written informed consent prior to any study procedures, including a specified follow-up evaluation
• Best-medical treatment in the last 2 months in accordance with standard guidelines

You may not qualify if:

• Wheelchair bound, use of walking aid or walking impairment due to another cause than PAD
• Below or above knee amputation
• Acute or critical limb ischemia
• PAD Fontaine Stage I or III / IV
• No German knowledge
• Severe cognitive dysfunction
• Congestive heart failure with NYHA III-IV symptoms
• Active congestive heart failure requiring the initiation or uptitration of diuretic therapy
• Angina pectoris with CCS class 3-4 symptoms or myocardial infarction or stroke in the last 3 months
• Active arrhythmia requiring the initiation or uptitration of anti-arrhythmic therapy
• Severe valve disease

Sponsors & Collaborators

• University Hospital, Essen: lead

Study Sites (1)

Department of Cardiology and Vascular Medicine

Essen, 45147, Germany

Location

Related Publications (2)

• Paldan K, Simanovski J, Ullrich G, Steinmetz M, Rammos C, Janosi RA, Moebus S, Rassaf T, Lortz J. Feasibility and Clinical Relevance of a Mobile Intervention Using TrackPAD to Support Supervised Exercise Therapy in Patients With Peripheral Arterial Disease: Study Protocol for a Randomized Controlled Pilot Trial. JMIR Res Protoc. 2019 Jun 26;8(6):e13651. doi: 10.2196/13651.

  PMID: 31244477 BACKGROUND

• Paldan K, Steinmetz M, Simanovski J, Rammos C, Ullrich G, Janosi RA, Moebus S, Rassaf T, Lortz J. Supervised Exercise Therapy Using Mobile Health Technology in Patients With Peripheral Arterial Disease: Pilot Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021 Aug 16;9(8):e24214. doi: 10.2196/24214.

  PMID: 34398800 DERIVED

MeSH Terms

Conditions

Peripheral Arterial Disease

Condition Hierarchy (Ancestors)

Atherosclerosis; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases; Cardiovascular Diseases; Peripheral Vascular Diseases

Study Officials

• Julia Lortz

  University Hospital, Essen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: June 9, 2021
• First Posted: July 1, 2021
• Study Start: December 6, 2018
• Primary Completion: March 28, 2019
• Study Completion: April 30, 2019
• Last Updated: July 1, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

DE (1)