NCT06003023

Brief Summary

The Congenital Heart Disease Physical Activity Lifestyle Intervention Study (CHD-PALS) V.2 seeks to determine the efficacy of a lifestyle intervention program for adolescents and young adults (AYAs) with congenital heart disease (CHD). This trial was adapted from the original CHD-PAL trial to continue improving cardiovascular outcomes for transition-aged CHD survivors.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
144

participants targeted

Target at P75+ for not_applicable

Timeline
14mo left

Started Jul 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress71%
Jul 2023Jun 2027

Study Start

First participant enrolled

July 18, 2023

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

August 2, 2023

Completed
19 days until next milestone

First Posted

Study publicly available on registry

August 21, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Expected
Last Updated

April 4, 2025

Status Verified

April 1, 2025

Enrollment Period

2.7 years

First QC Date

August 2, 2023

Last Update Submit

April 2, 2025

Conditions

Keywords

congenital heart diseasephysical activityadolescentsyoung adults

Outcome Measures

Primary Outcomes (1)

  • Moderate to Vigorous Physical Activity (MVPA)

    Number of minutes spent in moderate to vigorous physical activity as measured by an accelerometer.

    Baseline to Weeks 20, 40, and 80

Secondary Outcomes (6)

  • Physical Activity Enjoyment/Engagement Scale (Attitudes)

    Baseline to Weeks 10, 20, 40, and 80

  • Affective Attitudes for Physical Activity Scale (Attitudes)

    Baseline to Weeks 10, 20, 40, and 80

  • Physical Activity Norms Measure (Social Norms)

    Baseline to Weeks 10, 20, 40, and 80

  • Family and Partner Support for Physical Activity Engagement Measure (Social Norms)

    Baseline to Weeks 10, 20, 40, and 80

  • Perceived Control for Physical Activity Engagement Measure (Perceived Control)

    Baseline to Weeks 10, 20, 40, and 80

  • +1 more secondary outcomes

Other Outcomes (2)

  • Cardiorespiratory Fitness-Volume of Oxygen Consumption (Peak VO2)

    Baseline to Week 20

  • Cardiorespiratory Fitness- Metabolic Equivalents (METs)

    Baseline to Week 20

Study Arms (2)

Living Well with Congenital Heart Disease (LIV-CHD) Intervention

ACTIVE COMPARATOR

In LIV-CHD, participants will receive a Fitbit and a tailored exercise prescription, as devised from their baseline exercise stress test results. They will also meet with a health coach for 9 virtual sessions over a period of 20 weeks. The content will focus on how to use the Fitbit along with health education pertinent to living a healthy lifestyle (e.g., sleep hygiene, stress management). Goal-setting and other cognitive behavioral strategies for health behavior change will not be discussed in this arm. Participants in the attention control arm will also receive text messages reminding them to wear their Fitbit.

Behavioral: Physical Activity MonitoringBehavioral: Tailored Exercise PrescriptionBehavioral: Healthy Lifestyle Education

Congenital Heart Disease Physical Activity Lifestyle (CHD-PAL) Intervention

EXPERIMENTAL

In CHD-PAL, participants will receive a Fitbit and a tailored exercise prescription, as devised from their baseline exercise stress test results. They will also meet with a health coach for 9 virtual sessions over a period of 20 weeks. The content will focus on cognitive behavioral strategies, grounded in the Theory of Planned Behavior, to increase physical activity and healthy living. Participants in the intervention arm will also receive text motivational messages relevant to session content, as well as reminders to wear their Fitbit.

Behavioral: Physical Activity MonitoringBehavioral: Tailored Exercise PrescriptionBehavioral: Healthy Lifestyle EducationBehavioral: Physical Activity Lifestyle Intervention Informed by the Theory of Planned Behavior

Interventions

A physical activity monitor (Fitbit) will be provided to participants in both arms.

Also known as: Fitbit
Congenital Heart Disease Physical Activity Lifestyle (CHD-PAL) InterventionLiving Well with Congenital Heart Disease (LIV-CHD) Intervention

Participants in both arms will receive the results of their exercise stress test, which includes information on the duration, frequency, and intensity of their physical activity.

Congenital Heart Disease Physical Activity Lifestyle (CHD-PAL) InterventionLiving Well with Congenital Heart Disease (LIV-CHD) Intervention

Participants in both arms will receive information on healthy living, including topics such as physical activity, sleep, stress management, and diet.

Congenital Heart Disease Physical Activity Lifestyle (CHD-PAL) InterventionLiving Well with Congenital Heart Disease (LIV-CHD) Intervention

Participants randomized to the CHD-PAL arm will receive coaching to: 1) change attitudes towards physical activity; 2) increase perceptions of other people's approval of physical activity; 3) increase perceptions of control over being physically active. These elements will be delivered using a non-judgmental stance and will be accompanied by goal-setting.

Also known as: CHD-PAL
Congenital Heart Disease Physical Activity Lifestyle (CHD-PAL) Intervention

Eligibility Criteria

Age15 Years - 25 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Between the ages of 15-25 years
  • Diagnosed with moderate or complex structural CHD
  • Actively receiving care from a cardiologist at Nationwide Children's Hospital (NCH) or Ohio State University (OSU)

You may not qualify if:

  • Unable to speak and read proficiently in English
  • Have a diagnosis of a genetic syndrome that impacts multiple organ systems
  • Have cognitive impairments that would interfere with completing study measures
  • Have been engaged in a formal exercise program within the past 6 months,
  • Have participated in the intervention arm of the previous CHD-PAL Study
  • Have undergone open-heart surgery or had a valve replacement in the last 3 months
  • Are unable to complete an exercise stress test using a treadmill
  • Are pregnant
  • Are prohibited to engage in at least moderate levels of physical activity by their cardiologist
  • Engage in \>30 minutes of moderate-to-vigorous physical activity per day, on average per accelerometer
  • Have contraindications for exercise based on an exercise stress test (e.g., exercise-induced arrhythmias or evidence of cardiac ischemia)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

RECRUITING

MeSH Terms

Conditions

Heart Defects, CongenitalMotor Activity

Condition Hierarchy (Ancestors)

Cardiovascular AbnormalitiesCardiovascular DiseasesHeart DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesBehavior

Study Officials

  • Jamie L Jackson, PhD

    Nationwide Children's Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Group assignment will be generated through the data capture system (REDCap) in which the randomization scheme was developed by the study statistician. Investigator, research assistants, coaches (interventionists), and participants do not know which condition a participant is in until after Phase 2 consent.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Study includes 2 possible conditions to which participants are randomized: (1) Control: Fitbit + tailored exercise prescription + information on living well with CHD (2) Fitbit + tailored exercise prescription + theory-driven health coaching sessions.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

August 2, 2023

First Posted

August 21, 2023

Study Start

July 18, 2023

Primary Completion

April 1, 2026

Study Completion (Estimated)

June 30, 2027

Last Updated

April 4, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations