Rehabilitation and Exercise Training After Hospitalization (REHAB-HF)
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Purpose
Rehabilitation and Exercise Training after Hospitalization: Assessing Benefit in Acute Heart Failure (REHAB-HF) pilot is a multi-site, randomized clinical pilot study designed to establish the feasibility of conducting a larger clinical trial to address the hypothesis that, in addition to standard care, a novel, progressive, multi-domain 3-month rehabilitation intervention administered to elderly patients with acute decompensated heart failure (ADHF) will improve key clinical outcomes, including the rate of rehospitalization and death, physical function, and quality of life.
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Failure |
Behavioral: Usual care Behavioral: Rehabilitation intervention |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Rehabilitation and Exercise Training After Hospitalization: Assessing Benefit in Acute Heart Failure (REHAB-HF) Pilot Study |
- 6 minute walk test [ Time Frame: At baseline, and 3 month visits. ] [ Designated as safety issue: No ]
- SPPB [ Time Frame: At baseline, and 3 month visits. ] [ Designated as safety issue: No ](short physical performance battery)4 meter walk, chair rise, and standing balance.
| Estimated Enrollment: | 60 |
| Study Start Date: | October 2011 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: No intervention
Usual care control group
|
Behavioral: Usual care
Usual care control group
|
|
Active Comparator: Active Comparator
Multi domain rehabilitation intervention
|
Behavioral: Rehabilitation intervention
Multi-domain rehabilitation intervention
|
Detailed Description:
Three centers,Wake Forest Baptist Health along with Thomas Jefferson University Hospital-Co-Investigator Dr. David Whellan, and Duke Medical Center- Co-Investigator Dr. Christopher O'Connor, will recruit a total of 60 consenting patients ≥ 60 years old hospitalized with ADHF. Once identified and screened, the participants will be randomized in a 1:1 fashion to receive a 3 month novel rehabilitation and exercise training intervention or usual care. This multi-domain intervention will include endurance, mobility, strength, and balance training and be tailored based on participant performance in each of these domains. It will begin during the hospitalization and continue three times per week in an outpatient facility.
Eligibility| Ages Eligible for Study: | 60 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age ≥ 60 years old
- Hospitalized for the management of ADHF or diagnosed with ADHF after being hospitalized for another reason. ADHF will be defined as a combination of symptoms, signs, and HF-specific medical treatments.
Exclusion Criteria:
- Planned discharge other than to home or a facility where the participant will live independently.
- Acute myocardial infarction
- Already participating in cardiac rehabilitation
Contacts and Locations| Contact: Joel Eggebeen, MS | 336-716-6967 | jeggebee@wakehealth.edu |
| Contact: Dalane W Kitzman, MD | 336-716-3274 | dkitzman@wakehealth.edu |
| United States, North Carolina | |
| Duke Medical Center | Recruiting |
| Durham, North Carolina, United States, 27710 | |
| Contact: Christopher O'Connor, MD 919-681-6195 christophe.oconnor@duke.edu | |
| Contact: Patti Adams, RN 919 668 8222 patricia.adams@duke.edu | |
| Principal Investigator: Christopher O'Connor, MD | |
| Wake Forest Baptist Hospital | Recruiting |
| Winston Salem, North Carolina, United States, 27157 | |
| Principal Investigator: Dalane W Kitzman, MD | |
| United States, Pennsylvania | |
| Thomas Jefferson University Hospital | Recruiting |
| Philadelphia, Pennsylvania, United States, 19107 | |
| Contact: David J Whellan, MD 215-955-2050 djw150@jefferson.edu | |
| Contact: Suzanne Adams, RN 215 955 8848 suzanne.adams@jefferson.edu | |
| Principal Investigator: David J Whellan, MD | |
| Principal Investigator: | Dalane W Kitzman, MD | Wake Forest Baptist Hospital |
More Information
No publications provided
| Responsible Party: | Dalane W. Kitzman, Professor Internal Medicine Cardiology/Gerontology, Wake Forest University |
| ClinicalTrials.gov Identifier: | NCT01508650 History of Changes |
| Other Study ID Numbers: | IRB00016973 |
| Study First Received: | December 21, 2011 |
| Last Updated: | January 12, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Wake Forest University:
|
heart failure |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013