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Exercise Training Study for Patients With Cystic Fibrosis
This study is currently recruiting participants.
Verified by National Institute of Nursing Research (NINR), August 2008
Sponsors and Collaborators: National Institute of Nursing Research (NINR)
University of Pittsburgh
Information provided by: National Institute of Nursing Research (NINR)
ClinicalTrials.gov Identifier: NCT00609050
  Purpose

The aim of this study is to test the effect of a 6-month program of self-regulated, home-based exercise with telephone reinforcement on the cardiorespiratory fitness, pulmonary function and health-related quality of life of children with cystic fibrosis (CF), compared to controls. Exploring the exercise experiences of the children and parents is a secondary aim.


Condition Intervention Phase
Cystic Fibrosis
Self Regulated Exercise
Behavioral: Self-Regulated Exercise with Telephone Reinforcement
Behavioral: Standard Treatment
Behavioral: Qualitative Approach
Phase I

Genetics Home Reference related topics: cystic fibrosis
MedlinePlus related topics: Cystic Fibrosis Exercise and Physical Fitness
Drug Information available for: Benzocaine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Crossover Assignment, Efficacy Study
Official Title: Self-Regulated Exercise in CF: A Randomized Trial

Further study details as provided by National Institute of Nursing Research (NINR):

Primary Outcome Measures:
  • Cardiopulmonary Fitness: Peak VO2 [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Cardiopulmonary fitness: VO2150 and peak power output [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Pulmonary function: FEV1 and sustained phonation time [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Health-related quality of life: Quality of well-being scale and cystic fibrosis questionnaire [ Time Frame: 1 Year ] [ Designated as safety issue: No ]
  • Exercise experiences of children and parents: Interviews [ Time Frame: 1 Year ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: March 2007
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Self-Regulated Exercise with Telephone Reinforcement
Behavioral: Self-Regulated Exercise with Telephone Reinforcement
The self-regulated exercise with telephone reinforcement group will engage in a three-times-a-week (or more) at home exercise regimen for 6 months during which they may choose the mode of exercise. They will receive weekly telephone calls about exercise and airway clearance. After 6 months, they will be instructed to maintain their self-regulated exercise activity for the remaining 6 months of the study, but they will not receive telephone calls
Behavioral: Qualitative Approach
A qualitative naturalistic approach is nested within the primary experimental framework to explore the experiences of the children and parents, in both groups, with the exercise regimen.
2: Active Comparator
Attention Control
Behavioral: Standard Treatment
The attention control group will receive standard recommendations for exercise activity, during the first 6 months, as is common in our clinic. Also during the first 6 months, they will receive weekly telephone calls about airway clearance. For the final 6 months of the study, the attention control group will cross over to self-regulated exercise without telephone reinforcement.
Behavioral: Qualitative Approach
A qualitative naturalistic approach is nested within the primary experimental framework to explore the experiences of the children and parents, in both groups, with the exercise regimen.

Detailed Description:

CF is a life-long illness that requires complex and dynamic adjustment by the patient and family. The nursing role is vital to the multidisciplinary team approach required in providing comprehensive, individualized care for these patients. Nurses facilitate the coordination of health care efforts and support the patient and family across physical and psychosocial domains. With the well-documented correlation between exercise tolerance and both survival and HRQoL, exercise represents a critical treatment focus for CF patients. Nurses contribute to standard exercise rehabilitation programs, through education, psychosocial support, and communication. In this exercise training study, the nursing role will include: a) teaching the patients and families how to use the OMNI scale, b) confirming that they understand the home-based exercise regimen, and c) ensuring that the home-care program is properly followed by placing weekly telephone calls to assess progress and barriers. Long-term nursing application will occur via dissemination of the OMNI training manual, to be developed as part of this study, for use by CF nurses in clinics worldwide.

  Eligibility

Ages Eligible for Study:   10 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • CF diagnosis
  • age 10-18 years
  • reliable pulmonary function tests
  • living at home
  • able to read
  • able to ride a stationary bike
  • able to walk and/or run on a treadmill.

Exclusion Criteria:

  • Enrolled in another intervention study
  • in structured aerobic activity for 30 continuous minutes 3 times per week
  • sibling enrolled in study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00609050

Contacts
Contact: Linda W Higgins, PhD, RN 412-692-5872 linda.higgins@chp.edu

Locations
United States, Pennsylvania
Antiono J & Janet Palumbo Cystic Fibrosis Center; Children's Hospital of Pittsburgh of UPMC Recruiting
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
University of Pittsburgh
Investigators
Principal Investigator: David M Orenstein, MD Children's Hospital of Pittsburgh
  More Information

Responsible Party: Children's Hospital of Pittsburgh ( David M. Orenstein, MD )
Study ID Numbers: R01NR009285, R01NR009285
Study First Received: January 31, 2008
Last Updated: August 14, 2008
ClinicalTrials.gov Identifier: NCT00609050  
Health Authority: United States: Federal Government;   United States: Institutional Review Board

Keywords provided by National Institute of Nursing Research (NINR):
cystic fibrosis
exercise
perceived exertion
aerobic fitness
lung function
health related quality of life

Study placed in the following topic categories:
Digestive System Diseases
Genetic Diseases, Inborn
Respiratory Tract Diseases
Cystic Fibrosis
Fibrosis
Lung Diseases
Benzocaine
Quality of Life
Infant, Newborn, Diseases
Pancreatic Diseases
Cystic fibrosis

Additional relevant MeSH terms:
Pathologic Processes

ClinicalTrials.gov processed this record on January 16, 2009