Reducing Sedentary Time in Patients With Heart Failure

Study Overview
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Brief Summary
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To determine the change in sedentary time and number of steps/day for older patients with heart failure at risk for mobility disability who receive a program to decrease sedentary behavior versus a standard program to increase exercise.

Official Title
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Reducing Sedentary Time in Patients With Heart Failure

Conditions
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Heart Failure

Intervention / Treatment
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* Behavioral: Reducing Sedentary Behavior
* Behavioral: Physical Activity Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: NYHA II-IV, Age ≥ 65, SPPB score of > 4 and ≤ 10 of 12, and deemed (by 1° cardiologist) to be at maximal tolerated dose of heart failure medication (ACE-inhibitor (ACE-I)/angiotensin receptor blocker and beta blocker (BB) for patients with HF with reduced ejection fraction (HFrEF), and blood pressure controlled for HF with preserved ejection fraction (HFpEF) according to the American Heart Failure Association HF guidelines. Exclusion Criteria: Patients requiring medication titration such as ACE-I or BB, (will return to their cardiologist and be eligible after 3 months of stable medication.) Oxygen dependent lung disease, Orthopedic or neurologic disease that severely limits mobility, Active cancer diagnosis except non-melanoma skin cancer, Geriatric Depression Scale (GDS) score of ≥ 9 , Limited life-expectancy of <6 months, Known dementia or disease that effects ability to learn/follow directions, or Failed MiniCog test.

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sedentary Group-Experimental<br>The experimental group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to reduce sedentary time. | Behavioral: Reducing Sedentary Behavior<br>* The experimental group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to reduce sedentary time.<br>|
| Active Comparator: Physical Activity Group<br>The Active Comparative group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to increase exercise time. | Behavioral: Physical Activity Group<br>* The Active Comparative group will wear an activPAL and have counseling sessions that use the Health Belief Model and Motivational Interviewing strategies to increase exercise time.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Subjects that are more active than Control. |  | Monthly for 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sedentary time, number of steps/day, mobility, disability