Impact of a Physical Exercise Program on the Self-care Capacity of People Hospitalized for Heart Failure
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Sef-care program with exercise.
- Who it may be relevant to
- Registry conditions: Heart Failure. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Portugal
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The objective of the study is to evaluate the effectiveness of a self-care program that integrates physical exercise with components of aerobic and muscular strength training in improving functional capacity and muscular strength in people hospitalized for decompensated heart failure, in a clinical stabilization phase The main question it aims to answer is: Is the Self-care program that integrates physical exercise with aerobic and muscular strength training components effective in improving the capacity for self-care in people hospitalized for decompensated HF, in the clinical stabilization phase? In this randomized clinical trial, the Self-Care program will be applied in the experimental group. The ERIC-HF program will be applied in the control group. The ERIC-HF is a program of exercise only with an aerobic component. Participants will complete these programs during their hospital stay and various assessment instruments (quality of life, functional capacity, capacity for self-care, muscle strength) will be applied at admission, at discharge and one month after discharge.
Interventions
- Procedure Sef-care program with exercise
Self-care program with physical exercise with aerobic and muscular strength components implemented progressively according to the participant's clinical evolution
Primary outcome measures
- functional capacity - distance covered in meters with the use of the 6 Minute Walk Test [Time frame: immediately after the intervention (at discharge from hospitalization)]
- Hand Grip Strength Test [Time frame: baseline, pre-intervention (upon admission) and immediately after the intervention (at discharge from hospitalization)]
- Self-care skills assessed using the Self-Care of Heart Failure Index [Time frame: baseline, pre-intervention (upon admission) and one month after the intervention and discharge from hospitalization]
Secondary outcome measures (3)
- Impact of dyspnea on the various activities of daily living, assessed using the London Chest Activity of Daily Living [Time frame: baseline, pre-intervention (upon admission) and immediately after the intervention (at discharge from hospitalization)]
- Functional performance of the lower limbs assessed through the score obtained using the Short physical performance battery [Time frame: baseline, pre-intervention (upon admission) and immediately after the intervention (at discharge from hospitalization)]
- Quality of life perceived assessed using The Minnesota Living with Heart Failure Questionnaire [Time frame: baseline, pre-intervention (upon admission) and one month after the intervention and discharge from hospitalization]
Eligibility criteria
Inclusion criteria
- Participants: Clinical diagnosis of decompensated HF, regardless of etiology or ventricular function;
- Participants: Be over 18 years old;
- Participants: Be able to provide informed consent.
Exclusion Criteria (participants):
- Osteoarticular pathology that causes physical limitations that prevent the performance of physical exercise;
- Existence of intravenous inotropic medication;
- Uncontrolled auricular or ventricular arrhythmias;
- Chest pain in the last 8 hours;
- Heart rate greater than 120;
- Dyspnea at rest;
- Uncontrolled blood pressure - Systolic blood pressure greater than 180mmHg or diastolic blood pressure greater than 110mmHg;
- 2nd or 3rd degree atrioventricular block;
- Oxygen need at a rate greater than 3L/min;
- Glycemic decompensation in the last 12 hours.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Portugal · 1 center
- Centro Hospitalar Universitário de Santo António - ULS Santo António — Porto
Identifiers
NCT: NCT06528561 · 2023.226(186-DEFI/178-CE)