Match!

Cross-sectoral rehabilitation intervention for patients with intermittent claudication versus usual care for patients in non-operative management - the CIPIC Rehab Study: study protocol for a randomised controlled trial

Published on Jan 21, 2020in Trials1.975
· DOI :10.1186/S13063-019-4032-X
Maj Siercke , Lise Pyndt Jorgensen (Copenhagen University Hospital)+ 4 AuthorsSelina Kikkenborg Berg13
Estimated H-index: 13
Sources
Abstract
Introduction Intermittent claudication (IC) caused by peripheral artery disease (PAD) is a common cardiovascular disease. Patients with IC have reduced walking capacity, restricted activity levels and mobility, and reduced health-related quality of life. The disease leads to social isolation, the risk of cardiovascular morbidity, and mortality. Non-operative management of IC requires exercise therapy and studies show that supervised exercise training is more effective than unsupervised training, yet many patients with IC lack motivation for changes in health behaviour. No studies investigating the effects of existing cardiac rehabilitation targeted patients with IC have been published. The aim of this article is to present the rationale and design of the CIPIC Rehab Study, which examines the effect of a cross-sectoral rehabilitation programme versus usual care for patients in non-operative management for IC.
Figures & Tables
  • References (54)
  • Citations (0)
📖 Papers frequently viewed together
2 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References54
Newest
Background: Walking limitation in patients with peripheral arterial disease (PAD) and intermittent claudication (IC) contributes to poorer disease outcomes. Identifying and examining barriers to walking may be an important step in developing a comprehensive patient-centered self-management intervention to promote walking in this population. Aim: To systematically review the literature regarding barriers and enablers to walking exercise in individuals with IC. Methods: A systematic review was con...
5 CitationsSource
#1David Hageman (UM: Maastricht University)H-Index: 3
#2H.J.P. FokkenroodH-Index: 11
Last. J. A. W. Teijnk (UM: Maastricht University)H-Index: 33
view all 5 authors...
BACKGROUND:Although supervised exercise therapy (SET) provides significant symptomatic benefit for patients with intermittent claudication (IC), it remains an underutilized tool. Widespread implementation of SET is restricted by lack of facilities and funding. Structured home-based exercise therapy (HBET) with an observation component (e.g., exercise logbooks, pedometers) and just walking advice (WA) are alternatives to SET. This is the second update of a review first published in 2006. OBJECTIV...
13 CitationsSource
7 CitationsSource
#1Rachael L Morley (UoB: University of Bristol)H-Index: 3
#2Anita SharmaH-Index: 3
Last. Robert J. Hinchliffe (UoB: University of Bristol)H-Index: 48
view all 4 authors...
### What you need to know Peripheral artery disease affects around 13% of the Western population who are more than 50 years old.1 It is most commonly due to atherosclerosis, where an atherosclerotic plaque causes arterial stenosis or occlusion. This results in a reduction in blood flow to the affected limb. Most patients are asymptomatic, but many experience intermittent claudication (pain on walking). Critical limb ischaemia occurs when the reduction in blood flow is so severe that it causes pa...
13 CitationsSource
#1Victor Aboyans (University of Limoges)H-Index: 52
#2J.-B. Ricco (UDS: University of Strasbourg)H-Index: 1
Last. Ileana DesormaisH-Index: 13
view all 23 authors...
2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) : Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries
454 CitationsSource
#2Lars Hermann TangH-Index: 8
Last. Rod S. TaylorH-Index: 80
view all 5 authors...
#1Thomas D. Raedeke (ECU: East Carolina University)H-Index: 20
#2Deirdre Dlugonski (ECU: East Carolina University)H-Index: 4
ABSTRACTPurpose: This study was designed to compare a low versus high theoretical fidelity pedometer intervention applying social-cognitive theory on step counts and self-efficacy. Method: Fifty-six public university employees participated in a 10-week randomized controlled trial with 2 conditions that varied in theoretical fidelity. Participants in the high theoretical fidelity condition wore a pedometer and participated in a weekly group walk followed by a meeting to discuss cognitive-behavior...
4 CitationsSource
#1Xi Chen (University of Oklahoma Health Sciences Center)H-Index: 1
#2Julie A. Stoner (University of Oklahoma Health Sciences Center)H-Index: 33
Last. Andrew W. Gardner (University of Oklahoma Health Sciences Center)H-Index: 3
view all 8 authors...
Abstract Background Peripheral artery disease (PAD) is a highly prevalent disease that impairs walking ability. Walking tests, such as the 6-minute walk test (6MWT) and 4-meter walk test, are commonly used to assess exercise endurance and ambulatory function over a short distance, respectively. The 6MWT performance is predictive of PAD severity and disease outcomes, but it is not feasible in many clinical settings because it requires a long walkway to serve as the test route and lengthens clinic...
2 CitationsSource
#1Christine Kumlien (Malmö University)H-Index: 3
#2Joakim Nordanstig (Sahlgrenska University Hospital)H-Index: 13
Last. Monica Pettersson (Sahlgrenska University Hospital)H-Index: 4
view all 4 authors...
Many existing patient-reported outcome measures are extensive regarding both patient burden and administration, and in terms of analysing and reporting results. The VascuQoL-6 (VQ6) – a short version of the original Vascular Quality of Life Questionnaire (VascuQoL), a disease-specific instrument for peripheral arterial disease – was recently developed. However, the VQ6 has not yet been empirical tested with regard to content validity, construct validity and test retest reliability. Our aim was, ...
1 CitationsSource
#1T. Thomsen (UCPH: University of Copenhagen)H-Index: 7
#2Mette AadahlH-Index: 27
Last. Bente Appel EsbensenH-Index: 12
view all 10 authors...
Objectives The aim of this report is to investigate the efficacy of an individually tailored, theory-based behavioural intervention for reducing daily sitting time, pain and fatigue, as well as improving health-related quality of life, general self-efficacy, physical function and cardiometabolic biomarkers in patients with rheumatoid arthritis (RA). Methods In this randomised controlled trial 150 patients with RA were randomised to an intervention or a no-intervention control group. The interven...
14 CitationsSource
Cited By0
Newest