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Telecoaching to Improve Physical Activity in Patients With Obstructive Sleep Apnea

Primary Purpose

Physical Activity, Obstructive Sleep Apnea

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Telecoaching
CPAP
Sponsored by
Universitaire Ziekenhuizen KU Leuven
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Physical Activity

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • AHI > 15 events/hour, measured by polysomnography
  • < 7,500 steps per day
  • Willing to start CPAP treatment
  • Age between 18 and 65 years
  • Signing the written informed consent

Exclusion Criteria:

  • Patients with neuromuscular diseases
  • Patients with chronic obstructive pulmonary disease and interstitial lung disease
  • Patients with cardiac failure and ischemic heart failure
  • Patients with comorbidities which could interfere with a normal biomechanical gait pattern and the possibility of increasing physical activity
  • Patients with mental disability making it impossible to understand the study protocol and the use of electronic devices.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Control group

    Intervention group

    Arm Description

    Patients will receive standard care, being CPAP treatment

    Patients will receive CPAP and telecoaching

    Outcomes

    Primary Outcome Measures

    Change in steps per day after 3 months
    Steps per day as measured by a step counter

    Secondary Outcome Measures

    The proportion of patients with an increase > 1,000 steps per day
    The proportion of patients with > 7500 steps/day
    Change in functional exercise capacity
    6-minute walking distance
    Change in daytime sleepiness
    Epworth Sleepiness Scale
    Change in sleep quality
    Pittsburgh Sleep Quality Index
    Change in endothelial function
    Endo-PAT 2000 measurement
    Change in body composition
    Bodystat 1500 measurement
    Change in quality of life
    SF-36 questionnaire
    Change in steps per day after 12 months
    Steps per day as measured by a step counter

    Full Information

    First Posted
    June 28, 2017
    Last Updated
    June 29, 2017
    Sponsor
    Universitaire Ziekenhuizen KU Leuven
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03205878
    Brief Title
    Telecoaching to Improve Physical Activity in Patients With Obstructive Sleep Apnea
    Official Title
    Improving Physical Activity in Obstructive Sleep Apnea Patients Treated With Continuous Positive Airway Pressure
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2017
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 1, 2017 (Anticipated)
    Primary Completion Date
    December 31, 2019 (Anticipated)
    Study Completion Date
    December 31, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Universitaire Ziekenhuizen KU Leuven

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Patients with obstructive sleep apnea (OSA) are less physically active than healthy controls. First choice of treatment for OSA is continuous positive airway pressure (CPAP) therapy with an improvement in oxygen saturation and sleep. No improvement on physical activity has been shown. The current study would randomize patients in a standard care group (CPAP) and an intervention group (CPAP + telecoaching). Telecoaching will be performed for 3 months, with physical activity assessment before, after 3 months and 12 years.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Physical Activity, Obstructive Sleep Apnea

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Randomized controlled trial
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    102 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Control group
    Arm Type
    Active Comparator
    Arm Description
    Patients will receive standard care, being CPAP treatment
    Arm Title
    Intervention group
    Arm Type
    Experimental
    Arm Description
    Patients will receive CPAP and telecoaching
    Intervention Type
    Other
    Intervention Name(s)
    Telecoaching
    Intervention Description
    Patients in the intervention arm will receive a step counter and a cell phone with an app on which the amount of steps are daily sent to. Initial targets on steps per day will be discussed with the patient after an activity monitoring before the telecoaching procedure. Dependent whether the patient reaches his/her proposed goal each week, new goals are set.
    Intervention Type
    Device
    Intervention Name(s)
    CPAP
    Intervention Description
    Patients will receive CPAP according to standard care
    Primary Outcome Measure Information:
    Title
    Change in steps per day after 3 months
    Description
    Steps per day as measured by a step counter
    Time Frame
    The change will be measured after 3 months
    Secondary Outcome Measure Information:
    Title
    The proportion of patients with an increase > 1,000 steps per day
    Time Frame
    After 3 months (end of telecoaching) and after 12 months
    Title
    The proportion of patients with > 7500 steps/day
    Time Frame
    Before initiation of telecoaching (baseline), after 3 months (end of telecoaching) and after 12 months
    Title
    Change in functional exercise capacity
    Description
    6-minute walking distance
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in daytime sleepiness
    Description
    Epworth Sleepiness Scale
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in sleep quality
    Description
    Pittsburgh Sleep Quality Index
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in endothelial function
    Description
    Endo-PAT 2000 measurement
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in body composition
    Description
    Bodystat 1500 measurement
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in quality of life
    Description
    SF-36 questionnaire
    Time Frame
    3 months and 12 months compared with baseline
    Title
    Change in steps per day after 12 months
    Description
    Steps per day as measured by a step counter
    Time Frame
    The change will be measured after 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: AHI > 15 events/hour, measured by polysomnography < 7,500 steps per day Willing to start CPAP treatment Age between 18 and 65 years Signing the written informed consent Exclusion Criteria: Patients with neuromuscular diseases Patients with chronic obstructive pulmonary disease and interstitial lung disease Patients with cardiac failure and ischemic heart failure Patients with comorbidities which could interfere with a normal biomechanical gait pattern and the possibility of increasing physical activity Patients with mental disability making it impossible to understand the study protocol and the use of electronic devices.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Telecoaching to Improve Physical Activity in Patients With Obstructive Sleep Apnea

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