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Effectiveness of the Aktivplan Digital Intervention (ACTIVE-CaRe Pilot)

Not Applicable
Completed
Conditions
Cardiac Rehabilitation
Cardiovascular Diseases
Secondary Prevention
Interventions
Other: aktivplan
Other: Usual care
Registration Number
NCT06025526
Lead Sponsor
Ludwig Boltzmann Institute for Digital Health and Prevention
Brief Summary

The goal of this clinical pilot / feasibility study is to determine the feasibility of conducting a large-scale clinical effectiveness trial of the aktivplan digital intervention in cardiac rehabilitation patients.

The main questions this study aims to answer are:

* Is it feasible to conduct a large-scale (fully powered) effectiveness trial of the aktivplan digital intervention?

* What is the usability, user experience and user acceptance of the aktivplan digital intervention?

Patients enrolled in a phase II cardiac rehabilitation programme will be randomly allocated to either the intervention group (aktivplan digital intervention) ot the usual care control group and followed-up for 10 weeks after discharge from cardiac rehabilitation.

Patients in the intervention group will be given the aktivplan application (app) on their smartphone. A rehabilitation professional will plan a personalised heart-healthy physical activity plan together with the patient and enter it to the aktivplan app. The patient will be asked to follow their personal physical activity plan for 10 weeks, using the aktivplan app to document completed physical activity sessions.

Patients in the control group will receive the usual standard of care without the aktivplan digital intervention.

Researchers will analyse information such as the rate of recruitment, participant attrition, data completeness and technical stability of the app to determine the feasibility of conducting a large-scale clinical effectiveness trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
34
Inclusion Criteria
  • Enrollment to a cardiac rehabilitation programme phase II, or a rehabilitation programme phase II due to non-cardiac indication but displaying cardiovascular risk factors
  • Ownership and use of a smartphone compatible with the aktivplan digital intervention and with internet connection
  • Agreement to attend the study follow-up visit
  • Written informed consent to take part in the study
Exclusion Criteria
  • Existing use of a digital intervention for regular heart-healthy physical activity
  • Medical contraindications for incremental cycle ergometry test
  • Medical contraindications for regular heart-healthy physical activity and sports
  • Medical contraindications for use of a smartphone
  • Inability to carry out cardiovascular training (e.g., due to significant musculoskeletal restrictions)
  • Participation in another clinical study within the past 6 months
  • Addiction or other medical conditions causing reduced decisional capacity
  • Pregnant women in the third trimester
  • Pregnant women in the first and second trimester with medical contraindication for physical activity and sports
  • Breastfeeding women with medical contraindication for physical activity and sports
  • Indication that patient is unlikely to follow study procedures (limited cooperation)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Interventionaktivplan-
ControlUsual care-
Primary Outcome Measures
NameTimeMethod
Recruitment rate10 weeks

Number of recruits per week

Usability of the aktivplan digital intervention10 weeks

mHealth App Usability Questionnaire (MAUQ)

Technical stability of the aktivplan digital intervention10 weeks

Number and types of technical problems (qualitative data)

Use of alternative and additional strategies for supporting physical activity10 weeks

Number and types of additional strategies (qualitative data)

Experiences and perspectives of rehabilitation professionals regarding the intervention and study procedures10 weeks

Qualitative data from focus groups

Drop-out rate10 weeks

Number of drop-outs in at the 10-week follow-up visit

Adherence to the aktivplan digital intervention10 weeks

Automated usage logging of the aktivplan mobile application (Matomo platform)

Data completeness10 weeks

Percentage of missing data fields in the study database

User experience of the aktivplan digital intervention10 weeks

AttrakDiff Short Questionnaire

User acceptance of the aktivplan digital intervention10 weeks

Mobile Application Rating Scale (MARS)

Experiences and perspectives of patients regarding their study participation10 weeks

Qualitative data from semi-structured interviews

Secondary Outcome Measures
NameTimeMethod
Physical activity behaviour10 weeks

Moderate to vigorous physical activity (MVPA)

Weight10 weeks

Weight in kg

Blood pressure10 weeks

Blood pressure in mmHg

Exercise capacity10 weeks

Incremental cycle ergometry test

Health-related quality of life10 weeks

EQ-5D-5L Questionnaire

Exercise self-efficacy10 weeks

Exercise Self-Efficacy Scale (ESES)

Blood cholesterol10 weeks

Total cholesterol, HDL-cholesterol, non-HDL-cholesterol, total cholesterol / HDL-cholesterol ratio

Smoking10 weeks

Number and type of smoking products per week (qualitative data)

Patient safety10 weeks

Adverse events reporting (number and severity of adverse events) assessed by the Medical Device Coordination Group (MDCG) form

HbA1c10 weeks

HbA1c level

Trial Locations

Locations (2)

REHA Zentrum Salzburg

🇦🇹

Salzburg, Austria

Reha-Klinik Montafon

🇦🇹

Schruns, Vorarlberg, Austria

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