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Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance in Leg Ulcer Patients

This study is currently recruiting participants.
Study NCT00184873.   Last updated on February 1, 2006.   Information provided by Radboud University

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Descriptive Information Fields
Brief Title  Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance in Leg Ulcer Patients
Official Title  Legtest Multi Centre Testing of the Lively Legs Program for Promoting Compliance With Compression Therapy and Prescribed Exercise in Leg Ulcer
Brief Summary

Leg ulcers are often chronic or recurring complications of peripheral circulation disorders. Patients' lifestyles are known to influence leg ulcer occurrence and circulation disorders in general. Especially exercise and compliance with compression therapy are key elements in the course of leg ulcer healing and recurrence. Yet many patients demonstrate sedentary lifestyles and non-compliance and current practice offers no systematic approach in the promotion of compliance and physical activity in these patients.

The purpose of the study is testing 'Lively Legs' a compliance promotion program for patients with leg ulcers. The study tests the program on effects regarding:

  • compliance with compression therapy and exercise levels
  • time to leg ulcer recurrence
  • cost effectiveness from a social perspective.
Detailed Description

The project is a multi centre study, using a randomized controlled design. Patients in the study (n=380) are equally randomized to either the experimental or the control group. Patients in the intervention group receive counseling during a period of six months, in line with the Lively Legs program. Patients in the control group receive regular care. Recruitment takes place within a period of nine months. Data are collected at baseline, directly after the intervention period at 6 months, and at follow-ups at 12 and 18 months. Quality of life is additionally assessed at 3, 9 and 15 months.

The population for this study consists of leg ulcer patients, suffering from peripheral circulation disorders of venous or mixed (venous and arterial) origin. The population is restricted to patients treated at outpatient clinics for dermatology.

Individual counseling is performed by nurses, based on the Lively Legs lifestyle-program for leg ulcer patients. This evidence-based program was systematically developed using the Intervention Mapping framework, thus integrating scientific evidence, relevant theories and patient and care provider expertise. The program aims at improved compliance with compression therapy and prescribed exercise level in all patients.

Social Cognitive Theory provides the theoretical framework and the core methods for the Lively Legs program. Nurses will perform the central role as health counselor. In a maximum of six consultations, they will offer tailored counseling, including compliance and physical activity assessment, identification of relevant determinants of behavior, goal setting, and the application of methods and strategies from the Lively Legs program

Study Phase
Study Type  Interventional
Study Design  Prevention, Randomized, Double-Blind, Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  PRIMARY
* Compliance with compression therapy
* Compliance with exercise presriptions
* Leg ulcer recurrence
Secondary Outcome Measure  * time to next ulcer / ulcer size and time to heal in case of recurrence /duration of ulcer free periods
* evaluation of the cost effectiveness of the program
Condition  Leg Ulcers
Varicose Ulcers
Intervention  Behavioral: Health Counseling
MEDLINE PMIDs 15009338,   15009337,   9768376,   9616028,   11735861,   11034749,   10201775
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  380
Start Date  January 2005
Completion Date July 2007
Eligibility Criteria 

Inclusion Criteria:

  • Venous insufficiency
  • Venous and arterial insufficiency
  • Receiving treatment on outpatient clinics for dermatology at the moment of inclusion or in the past three months before inclusion

Exclusion Criteria:

  • Total immobility
  • Insufficient mental capacity
  • Insufficient comprehension of the dutch language
Gender Both
Ages
Accepts Healthy Volunteers No
Contacts ††
Contact: Maud Heinen, MSc     +31243619326     m.heinen@kwazo.umcn.nl    
Contact: Theo Achterberg van, PhD     +3124369529     t.vanachterberg@kwazo.umcn.nl    
Location Countries  Netherlands
Administrative Information Fields
NCT ID  NCT00184873
Organization ID 13091966
Secondary IDs †† ZonMw 945-04-058
Study Sponsor  Radboud University
Collaborators †† ZonMw: The Netherlands Organisation for Health Research and Development
Investigators 
Study Director:     Theo van Achterberg, RN, PhD     Center of quality of care research, Radboud University Nijmegen Medical Center    
Information Provided By Radboud University
Verification Date February 2006
First Received Date  September 12, 2005
Last Updated Date February 1, 2006

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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