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Mobile Intervention Supervised Exercise Therapy Study 1

Not Applicable
Withdrawn
Conditions
Claudication, Intermittent
Peripheral Artery Disease
Interventions
Behavioral: Exercise Therapy
Registration Number
NCT04832308
Lead Sponsor
Palo Alto Veterans Institute for Research
Brief Summary

This is a randomized controlled trial evaluating the impact of the mobile phone delivered SVS SET Program on utilization, functional capacity, symptoms and quality of life.

Detailed Description

This is a national randomized controlled study with approximately 10-15 sites enrolling patients with Rutherford II peripheral artery disease (PAD) in total. Patients will be randomized between the SVS SET Program and "usual care" for each site. The primary outcome will be to study the site-specific effect on utilization of exercise therapy. Secondary outcomes will be the effect on the 6-minute-walk test, passive activity and quality of life.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • 18 years of Age
  • Rutherford Class I-II PAD (claudication)
  • Ambulatory
  • Exercise Therapy Naive (>18 mo)
  • Primary Owner of an Android or iOS device
  • Willingness to participate (text, call, fill out surveys) via a mobile phone
Exclusion Criteria
  • Symptomatic coronary artery disease
  • Oxygen dependent COPD
  • Significant osteoarthritis limiting ambulation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SVS SET ProgramExercise TherapyParticipants enroll in SVS Program which includes 1) educational information on PAD, exercise and nutrition, 2) weekly health coaching, and 3) walking therapy prescription.
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Complete a 12-week Exercise Therapy Program12 weeks.

Completion of a 12-week program in the treatment group will be completion of the remote SVS SET Program while the "usual care" group may have an in-person 12-week exercise therapy program.

Secondary Outcome Measures
NameTimeMethod
Adherence as Measured by Completion of Scheduled Daily Walks12 weeks.

Adherence to the recommended exercise therapy frequency (3 walks per week) and duration (for at least 30 minutes or more) will be measured

Mobile Phone Delivered 6-Minute Walk TestWeeks 0, 6 and 12

Mobile-phone delivered 6-minute walk test result in steps to be reported at three time points.

Freedom From Intervention as Measured by Absence of Surgical Intervention at One Year1 year.

Freedom from any surgical intervention will be reported at one year by performing a chart review.

Quality of Life Survey as measured by the mini-Walking Impairment Questionnaire (mini-WIQ)Weeks 1, 6, and 12

QoL questionnaires will be asked on the mobile phone at three time points.

Passive Activity as Measured on Mobile Device12 weeks.

Daily passive step count activity as measured by sensors in mobile phone.

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