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Trial registered on ANZCTR
Registration number
ACTRN12617001411336
Ethics application status
Approved
Date submitted
15/09/2017
Date registered
5/10/2017
Date last updated
5/10/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of Aquatic "water-based" exercise on exercise capacity and quality of life in people with Chronic Heart Failure and/or a chronic respiratory disease
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Scientific title
The effect of Aquatic Exercise Training on Exercise Capacity and Health Related Quality of Life in people with Chronic Heart Failure and/or a Chronic Respiratory Disease: A Pilot Study
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Secondary ID [1]
292897
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic respiratory disease
304743
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Chronic heart failure
304744
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Condition category
Condition code
Respiratory
304073
304073
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0
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Chronic obstructive pulmonary disease
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Cardiovascular
304074
304074
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0
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Other cardiovascular diseases
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Respiratory
304282
304282
0
0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participants will exercise in a hydrotherapy pool, heated to 32-33 degrees. The exercise sessions will last approximately 45 minutes and will be similar in structure to traditional land-based pulmonary rehabilitation classes. The participants will complete a variety of aerobic and strengthening exercises in the water, aiming to achieve a moderate level of breathlessness or fatigue as determined by the modified Borg Scale. The sessions will run twice/weekly for eight weeks and will be supervised by two experienced physiotherapists. Exercise sessions will be group classes with a maximum of ten attendees each session. Intervention adherence rates will be monitored by documenting which participants have attended each session and each participants exercise routine will be documented on a recording sheet each session. Exercises will be progressed gradually based on participants' symptoms and willingness. No particular strategies are being employed to increase adherence or participation apart from general encouragement to attend and education about signs the participants are ready to progress
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Intervention code [1]
299133
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Rehabilitation
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Comparator / control treatment
No control group- pilot study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Distance walked in a six-minute walk test
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Assessment method [1]
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Timepoint [1]
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At baseline and at the end of eight week exercise program
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Secondary outcome [1]
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Health related quality of life measured by St George Respiratory Questionnaire
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Assessment method [1]
338825
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Timepoint [1]
338825
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At baseline and at the end of eight week exercise program
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Secondary outcome [2]
338826
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Levels of Anxiety, measured using the Anxiety domain of the Hospital Anxiety and Depression Scale
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Assessment method [2]
338826
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Timepoint [2]
338826
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At baseline and at the end of eight week exercise program
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Secondary outcome [3]
339351
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Levels of Depression, measured using the Depression domain of the Hospital Anxiety and Depression Scale
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Assessment method [3]
339351
0
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Timepoint [3]
339351
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At the end of eight week exercise program
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Secondary outcome [4]
339352
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Functional quadriceps strength measured by the Five Sit-to-Stand test
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Assessment method [4]
339352
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Timepoint [4]
339352
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At baseline and at the end of eight week exercise program
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Secondary outcome [5]
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Participant (both patient and physiotherapist) satisfaction measured with purpose designed qualitative questionnaire
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Assessment method [5]
339353
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Timepoint [5]
339353
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At the end of eight week exercise program
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Eligibility
Key inclusion criteria
People with a confirmed diagnosis of chronic heart failure and/or a chronic respiratory disease, including but not limited to Chronic Obstructive Pulmonary Disease, bronchiectasis and interstitial lung disease
Have completed an initial assessment with the CDCRS exercise rehabilitation program
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• have had an interventional cardiac procedure in the eight weeks prior or an exacerbation of their CHF and/or chronic respiratory disease in the two weeks prior to assessment;
• unstable CHF or those who are symptomatic at rest (New York Heart Association Class IV);
• have medical contraindications to exercise training in the water including unstable epilepsy, open wounds which cannot be contained by waterproof dressing, urinary or faecal incontinence;
• participation in any supervised exercise training within the last 12 months;
• cognitive impairment that would limit their ability to participate safely in a group exercise environment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
9/10/2017
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
9034
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [2]
9035
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Ryde Hospital - Eastwood
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Recruitment hospital [3]
9036
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Hornsby Ku-ring-gai Hospital - Hornsby
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Recruitment postcode(s) [1]
17515
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2065 - St Leonards
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Recruitment postcode(s) [2]
17516
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2122 - Eastwood
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Recruitment postcode(s) [3]
17517
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2077 - Hornsby
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Funding & Sponsors
Funding source category [1]
297528
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Hospital
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Name [1]
297528
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Chronic disease community rehabilitation service, Macquarie Hospital
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Address [1]
297528
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The Lodge, corner Twin and Badajoz Road, North Ryde, NSW, 2113
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Country [1]
297528
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Australia
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Primary sponsor type
Individual
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Name
Meredith King
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Address
Chronic Disease Community Rehabilitation Service, Macquarie Hospital.
The Lodge, corner Twin and Badajoz Road, North Ryde, NSW 2113
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Country
Australia
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Secondary sponsor category [1]
296534
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Individual
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Name [1]
296534
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Dr Sally Wootton
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Address [1]
296534
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Chronic Disease Community Rehabilitation Service, Macquarie Hospital.
The Lodge, corner Twin and Badajoz Road, North Ryde, NSW 2113
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Country [1]
296534
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Australia
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Other collaborator category [1]
279757
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Individual
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Name [1]
279757
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Ms Jillian Chua
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Address [1]
279757
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Graythwaite Rehabilitation Centre, Ryde Hospital.
Fourth Avenue, Eastwood, NSW, 2112.
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Country [1]
279757
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298624
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Northern Sydney Local Health District HREC
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Ethics committee address [1]
298624
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Level 13, Kolling Building, Royal North Shore Hospital, St Leonards, NSW, 2065
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Ethics committee country [1]
298624
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Australia
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Date submitted for ethics approval [1]
298624
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20/04/2017
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Approval date [1]
298624
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02/08/2017
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Ethics approval number [1]
298624
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Summary
Brief summary
This study will investigate the effect of an aquatic or water-based exercise program on exercise capacity and quality of life in people with chronic heart failure and/or a chronic respiratory disease. People will be recruited to the study after their initial assessment with the Chronic Disease Community Rehabilitation Service at Royal North Shore, Ryde and Hornsby Ku-rin-gai Hospitals. The participants will attend a 45-60 minute exercise session in the hydrotherapy pool at the Graythwaite rehabilitation centre twice/weekly for eight weeks that focuses on endurance, lower limb and upper limb strengthening in a similar manner to traditional pulmonary and heart failure gym classes. Outcome measures including six-minute walk distance, leg strength (measured by five sit to stand test), quality of life and levels of anxiety and depression will be retrieved from participants medical record after completion of the program as these measures are routinely performed as part of the CDCRS service. An additional qualitative satisfaction survey will be completed by all participants at the end of the program to evaluate the new program. All staff involved in the program will also complete a qualitative survey at the end of their involvement with the study.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
77690
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Ms Meredith King
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Address
77690
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Chronic Disease Community Rehabilitation Service, Macquarie Hospital
The Lodge, corner Twin and Badajoz Road, North Ryde, NSW, 2113
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Country
77690
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Australia
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Phone
77690
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+61 2 88774041
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Fax
77690
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Email
77690
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[email protected]
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Contact person for public queries
Name
77691
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Meredith King
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Address
77691
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Chronic Disease Community Rehabilitation Service, Macquarie Hospital.
The Lodge, corner Twin and Badajoz Road, North Ryde, NSW, 2113
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Country
77691
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Australia
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Phone
77691
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+ 61 2 88774041
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Fax
77691
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Email
77691
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[email protected]
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Contact person for scientific queries
Name
77692
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Meredith King
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Address
77692
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Chronic Disease Community Rehabilitation Service, Macquarie Hospital.
The Lodge, corner Twin and Badajoz Road, North Ryde, NSW, 2113
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Country
77692
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Australia
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Phone
77692
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+61 2 88774041
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Fax
77692
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Email
77692
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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