Effects of an exercise programme for chronically ill and mobility restricted elderly with structured support given by the general practitioner's practice (HOMEfit) - a randomized controlled trial [Effekte eines Bewegungsprogramms für chronisch kranke und mobilitätseingeschränkte Ältere mit strukturierter Unterstützung durch die hausärztliche Praxis (HOMEfit) - ene randomisierte kontrollierte Studie]

Ruhr-University Bochum (Germany)0 个研究点目标入组 210 人开始时间: 2011年9月19日最近更新: 2016年10月17日

适应症

试验速览

暂无简介。

•1. Community-dwelling (not institutionalized) primary care patient
•2. Age 70 years or above, either gender
•3. Diagnosed with at least one of the following diseases:
•3.1. Arterial hypertension
•3.2. Diabetes mellitus type 2
•3.3. Coronary heart disease
•3.4. Chronic heart failure
•3.5. Peripheral arterial disease
•3.6. Chronic obstructive lung disease
•3.7. Renal insufficiency
•3.8. Degenerative spine disease
•3.9. Hip or knee osteoarthritis
•3.10. Osteoporosis with or without pathologic fracture
•4. Mobility limitation defined by self-report of at least some difficulties in either walking 2 km or climbing one flight of stairs
•5. Ability to at least walk short distances within rooms with or without a walking aid; but without the help of another person
•6. Ability to visit the GP's practice for repeated consultations
•7. Medical clearance from the GP to participate in the study
•8. Ability to cooperate appropriately and to follow the instructions of the home-based exercise programme
•9. Written informed consent

•1. Inability to attend or complete the proposed course of intervention and follow-up (including not having a telephone or being unable to have telephone conversations)
•2. Spouses of participants, persons living in the same household and former participants of the feasibility trial
•3. Inability to perform the 'chair rising test' (primary outcome)
•4. Regular performance of exercises, sporting activities or leisure activities that cause sweating and/or harder breathing for 2 hours or more per week; or walking outdoors for 4 hours or more per week
•5. Untreated arterial hypertension or significantly elevated blood pressure despite antihypertensive medication (GP's judgement)
•6. Higher grade chronic heart failure (NYHA grade III?IV)
•7. Higher grade chronic obstructive pulmonary disease (GOLD grade IV)
•8. Acute psychiatric disorder (e.g. severe depression)
•9. Severe consuming illness
•10. Clinically relevant cardiovascular event within past 3 months
•11. Clinically relevant cerebrovascular event within past 3 months
•12. Deterioration of insufficiently controlled diabetes mellitus (according to GP's judgement) within past 3 months, or HbA1c exceeding 10% (if available)
•13. Ongoing rehabilitation measures following an inpatient surgical procedure
•14. Concurrent participation in another clinical trial

发起方

Ruhr-University Bochum (Germany)