Effectiveness of Exercise After an ICD

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Washington

About this trial

This study will test an exercise intervention (E-ICD) following an implantable cardioverter defibrillator.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

ICD implantation for primary or secondary prevention of sudden cardiac arrest, -ability to read, speak and write English,-

access to a reliable phone for 6 months after study entry,

able to ambulate without assist devices for at least 5-10 minutes/day

greater than 18 years of age.

Disqualifiers

current diagnosis of serious mental disorder,

regular non-medical use of illicit drugs (opiates, cocaine, amphetamines, etc.), -unstable angina, myocardial infarction, ICD shock or heart surgery within previous 3 months

pregnancy

concurrent participation in an exercise program > 5 days/week.

Trial design

Design model

Parallel

Treatments tested in this trial

  • E-ICD Intervention

    Behavioral

    Home walking 3 days/week x 12 weeks

Treatment groups

210 Participants
are divided into 2 treatment groups
Group A: E-ICD InterventionExperimental treatment 1 intervention
Group B: Usual CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Daily activity

average steps/day measured on Step Watch activity monitor

Time frame
Baseline, 3, 6, and 12 months

Secondary outcomes

1

General Health

PROMIS Global v1.2 measures 5 domains of global health and quality of life, including physical, mental, and social health. Two factors physical health (GPH) and mental health (GMH) are derived.

Time frame
Baseline, 3, 6, and 12 months
2

Mobility

PROMIS Mobility V2.1 measures general mobility of lower extremities in adults, relating to overall physical functioning

Time frame
Baseline, 3, 6, and 12 months
3

Self-Efficacy for Walking

Self-Efficacy for Exercise Scale (9-items, α=0.92) assesses self-efficacy expectations related to one's ability to walk in the face of barriers to exercise \[22\], was used in the pilot and found to be sensitive to change with the intervention.

Time frame
Baseline, 3, 6, and 12 months
4

ICD shock anxiety

Florida Shock Anxiety Scale (FSAS), assesses anxiety about receiving an ICD shock \[23\], is sensitive to change across time.

Time frame
Baseline, 3, 6, and 12 months

Other outcomes

1

Long Term Maintenance

Measure of innovation-specific implementation intentions (MISII) scale (3 items) completed by CR staffs and site staff, measures the providers' intentions to use the E-ICD program in routine care.

Time frame
12 months

Sponsors and contacts

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