The Effect of Rehabilitation for Patients Living With an Implantable Cardioverter Defibrillator (ICD-rehab)
|ClinicalTrials.gov Identifier: NCT00569478|
Recruitment Status : Completed
First Posted : December 7, 2007
Last Update Posted : December 4, 2012
The purpose of this study is to describe the effect and meaning of an outpatient-nursing programme including physical activity for patients with implantable cardioverter defibrillators (ICD).
Hypothesis: The outpatient nursing programme will increase the perceived health and quality of life; improve the management of life from a patient perspective; reduce fear of exercise and increase physical capability and reduce the number of treatment-demanding arrhythmias.
|Condition or disease||Intervention/treatment||Phase|
|Quality of Life||Other: rehabilitation||Phase 2|
Implantable cardioverter defibrillators (ICD) are used in the treatment of life-threatening heart arrhythmia and the prevention of sudden cardiac death (SCD). The ICD terminates arrhythmia by delivering therapy in the form of electrical impulses to the heart. Patients have described the high energy shock administered by the devise as feeling like a painful kick in the chest.
Patients, who receive an ICD are very much protected against SCD and it is assumed that they are less worried and effected by their heart disease than others. That is not correct though. Studies have shown, that living with an ICD can lead to anxiety, fear of shock and avoidance of situations, places and objects that are associated to shock. It often leads to social isolation, avoidance of physical activity and mood-disturbances.
The purpose of this study is to describe the effect and meaning of an outpatient-nursing programme including physical activity for patients with ICD.
Hypothesis: see above
Intervention: The outpatient nursing programme has a duration of 1 year and is directed towards parameters that ICD reportedly affect. The focus is prevention of the known risks and problems. The content is partly information and education in managing an ICD, partly emotional reactions and further discussion of handling life with ICD. 3-month into the program physical training lead by a physical therapist is started. It is optimal whether to carry out the twice-weekly physical training program at home or at the hospital.
180 patients, who get an ICD transplanted at Copenhagen university Hospital, Rigshospitalet, are included in the study prior to discharge. 90 patients in the intervention group and 90 controls.
Using questionnaires, qualitative interviews, work-test, 6 MWT and decoding ICD the effect and meaning of the programme is evaluated.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||196 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||The Effect of Rehabilitation for Patients Living With an ICD|
|Study Start Date :||October 2007|
|Actual Primary Completion Date :||August 2009|
|Actual Study Completion Date :||October 2011|
Active Comparator: 1
Nursing consultations and physical training
No Intervention: 2
- Quality of life [ Time Frame: 3 -6-12 month ]
- Physical capability [ Time Frame: 3-6-12 month ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00569478
|Copenhagen, Denmark, 2100|
|Principal Investigator:||Selina K Berg, PhD Fellow||Rigshospitalet, Denmark|
|Principal Investigator:||Jesper H Svendsen||Rigshospitalet, Denmark|
|Principal Investigator:||Preben U Pedersen||Aarhus Universitet|
|Principal Investigator:||Birthe D Pedersen||Aarhus Universitet|