Physical Activity in Children at Risk of Post-thrombotic Sequelae: A Pilot Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 111
- 试验地点
- 2
- 主要终点
- Feasibility as Measured by Number of Participants Who Meet Study Eligibility Criteria at Baseline
研究概览
简要总结
'The PACT trial' is randomized pilot trial to demonstrate the feasibility and potential effectiveness of a personal "fitness tracker" to improve adherence to an activity regimen following an initial acute DVT in children.
详细描述
The feasibility of an innovative intervention of a validated fitness tracker, the Fitbit, to improve adherence to a 12-week activity regimen in a pilot randomized controlled trial (RCT) will be tested in 44 subjects with first, acute, proximal lower extremity deep vein thrombosis (DVT).
The primary outcomes will consist of a) feasibility indicators determined a priori (eligibility, consent, adherence, retention) and b) estimates of effect size associated with the prescribed activity regimen, by describing within-subject change in QoL and potential biomarkers of postthrombotic syndrome (PTS) pre and post intervention in each group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 7 Years 至 21 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A radiologically confirmed, acute, proximal first lower extremity DVT
- •4 to 8 weeks after starting anticoagulation
- •Out-patient ambulatory status
排除标准
- •Contraindication to increasing activity such as patients with juvenile arthritis, poor balance, congestive heart failure, etc.
结局指标
主要结局
Feasibility as Measured by Number of Participants Who Meet Study Eligibility Criteria at Baseline
时间窗: Baseline
Feasibility criteria for rate of study eligibility met when assessed to be ≥ 30% INCLUSION CRITERIA: 1.) Age 7-21 years 2.)2. A radiologically confirmed, acute, proximal (iliofemoral and femoropopliteal) first lower extremity DVT and/or confirmed, acute pulmonary embolism (unilateral or bilateral) 3.) 12 weeks (±2 weeks) after starting anticoagulation 4.) Out-patient ambulatory status
Mean Physical Activity Questionnaire Score at 6 Months (Standard of Care Arm Only)
时间窗: 6 months
The Godin-Shephard Leisure-Time Physical Activity Questionnaire was used to quantify physical activity levels. Individuals reporting moderate-to-strenuous activity levels ≥24 were classified as active (better outcome), whereas individuals reporting moderate-to-strenuous activity levels ≤23 were classified were insufficiently active (worse outcome).
Number of Screened Subjects Who Provided Consent at Baseline
时间窗: Baseline
Feasibility criteria for rate of consent was assessed to be ≥ 30% at baseline INCLUSION CRITERIA: 1.) Age 7-21 years 2.)2. A radiologically confirmed, acute, proximal (iliofemoral and femoropopliteal) first lower extremity DVT and/or confirmed, acute pulmonary embolism (unilateral or bilateral) 3.) 12 weeks (±2 weeks) after starting anticoagulation 4.) Out-patient ambulatory status
Mean Physical Activity Questionnaire Score at 3 Months (Standard of Care Arm Only)
时间窗: 3 months
The Godin-Shephard Leisure-Time Physical Activity Questionnaire was used to quantify physical activity levels. Individuals reporting moderate-to-strenuous activity levels ≥24 were classified as active (better outcome), whereas individuals reporting moderate-to-strenuous activity levels ≤23 were classified were insufficiently active (worse outcome).
Mean Number of Participants Who Adhered to the Assigned Physical Activity During 8-week Period (Intervention Arm -FitBit Arm )
时间窗: 8 weeks
Adherence in the physical activity group is calculated based on the number of participants who complied with the target weekly goal or activity prescription during the "active" 8-week period.
Proportion of Subjects Who Complete Post-randomization
时间窗: Within 24 months of trial initiation
Feasibility criteria is met when assessed to be ≥ 80%. This includes the number of subjects who successfully completed the trial.
Mean Physical Activity Questionnaire Score at 9 Months (Standard of Care Arm Only)
时间窗: 9 months
The Godin-Shephard Leisure-Time Physical Activity Questionnaire was used to quantify physical activity levels. Individuals reporting moderate-to-strenuous activity levels ≥24 were classified as active (better outcome), whereas individuals reporting moderate-to-strenuous activity levels ≤23 were classified were insufficiently active (worse outcome).
次要结局
- Percentage Change From Baseline in FVIII PTS Biomarker(From baseline to 6 month)
- Change in PTS Biomarkers (D-dimer)(From baseline to 6 months)
- Change in PTS Biomarkers (Fibrinolysis - Endogenous Thrombin Potential)(From baseline to 6 month)
- Change in PTS Biomarkers (C-reactive Protein)(From baseline to 6 month)
- Change in Quality of Life(From baseline to 6 months)
- Percent Change in Fibrinolysis Biomarker(From baseline to 6 month)
- Change in PTS Biomarkers (Fibrinolysis - Thrombin Generation)(From baseline to 6 month)
研究者
Ayesha Zia
Assistant Professor of Pediatrics
University of Texas Southwestern Medical Center
