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| ID | Type | Description | Link |
|---|---|---|---|
| 1K23HL123607-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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The focus of this study is to examine the feasibility, acceptability, and preliminary impact of our customized positive psychology (PP)-based health behavior intervention in a group of patients with mild to moderate heart failure (HF).
The investigators are proposing a study that will specifically and innovatively focus on the development of a novel positive psychology intervention that is adapted for patients with HF. The MGH inpatient units and MGH Heart Center outpatients will serve as the source of subjects for the study, with patients who have a diagnosis of HF serving as potential subjects. The investigators will enroll 10 HF patients, who will take part in an 10-week PP-based health behavior intervention.
In this project, the investigators hope to do the following:
Baseline information about enrolled participants will be obtained from the patients, care providers, and the electronic medical record as required for characterization of our population. This information will include data regarding medical history (history of prior acute coronary syndrome, coronary artery bypass graft, congestive HF, hypertension, diabetes mellitus, hyperlipidemia, and current smoking), current medical variables (renal function, left ventricular ejection fraction, NYHA class), medications, and sociodemographic data (age, gender, race/ethnicity, living alone).
Participants will under go an initial visit during which they will meet with study staff in person (or if preferred over the phone).
• They will fill out baseline questionnaires, and be provided a treatment manual with weekly exercises, along with a copy of Learning to Live with Heart Failure. The PP and goal-setting portions of the intervention will be introduced, and the first exercise will be assigned. Finally, participants will be provided an ActiGraph accelerometer to wear for 7 days, as well as a personal step counter to keep.
Participants will undergo weekly phone sessions for 10 weeks.
Participants will undergo a follow-up phone call at 10 weeks that asks the same questions that were answered during the initial visit, as well as questions about their experience using the ActiGraph.
• At Week 10, participants will wear another ActiGraph for 7 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | Participants will all undergo a 10-week PP-based health behavior intervention and adherence measurements (baseline and Week 10). The participants will receive an ActiGraph accelerometer. They will be asked to begin wearing the accelerometer after their initial visit. Participants will wear the ActiGraph for 7 days at baseline and again at 10 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PP-based health behavior intervention | Behavioral | The positive psychology exercises include 3 modules: Gratitude-based activities, Strength-based activities, and Meaning-based activities. The goal setting exercises include 3 modules: Physical activity, Heart-healthy diet, and Medication adherence. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of the PP-based Health Behavior Intervention | Feasibility will be measured by examining the number of completed exercises. | 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in PANAS Scores | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of positive affect. | Change in score from Baseline to 10 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christopher M Celano, MD | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30273277 | Derived | Celano CM, Freedman ME, Beale EE, Gomez-Bernal F, Huffman JC. A Positive Psychology Intervention to Promote Health Behaviors in Heart Failure: A Proof-of-Concept Trial. J Nerv Ment Dis. 2018 Oct;206(10):800-808. doi: 10.1097/NMD.0000000000000883. |
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| ID | Title | Description |
|---|---|---|
| FG000 | PP-Based Health Behavior Intervention | Participants will all undergo a 10-week PP-based health behavior intervention and adherence measurements (baseline and Week 10). The participants will receive an ActiGraph accelerometer. They will be asked to begin wearing the accelerometer after their initial visit. Participants will wear the ActiGraph for 7 days at baseline and again at 10 weeks. PP-based health behavior intervention: The positive psychology exercises include 3 modules: Gratitude-based activities, Strength-based activities, and Meaning-based activities. The goal setting exercises include 3 modules: Physical activity, Heart-healthy diet, and Medication adherence. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Arm | Participants will all undergo a 10-week PP-based health behavior intervention and adherence measurements (baseline and Week 10). The participants will receive an ActiGraph accelerometer. They will be asked to begin wearing the accelerometer after their initial visit. Participants will wear the ActiGraph for 7 days at baseline and again at 10 weeks. PP-based health behavior intervention: The positive psychology exercises include 3 modules: Gratitude-based activities, Strength-based activities, and Meaning-based activities. The goal setting exercises include 3 modules: Physical activity, Heart-healthy diet, and Medication adherence. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Feasibility of the PP-based Health Behavior Intervention | Feasibility will be measured by examining the number of completed exercises. | Posted | Mean | Standard Deviation | Exercises Completed | 10 weeks |
|
1 year and 8 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intervention Arm | Participants will all undergo a 10-week PP-based health behavior intervention and adherence measurements (baseline and Week 10). The participants will receive an ActiGraph accelerometer. They will be asked to begin wearing the accelerometer after their initial visit. Participants will wear the ActiGraph for 7 days at baseline and again at 10 weeks. PP-based health behavior intervention: The positive psychology exercises include 3 modules: Gratitude-based activities, Strength-based activities, and Meaning-based activities. The goal setting exercises include 3 modules: Physical activity, Heart-healthy diet, and Medication adherence. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Unexpected Fall | Injury, poisoning and procedural complications | Systematic Assessment | Participant had an unexpected fall 1 week after completing baselines and broke their hip. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Small, unexpected fall | Injury, poisoning and procedural complications | Systematic Assessment | Participant reported a small fall while exiting his car post-exercise. No significant injury resulted and participant recovered quickly. |
Was performed at a single academic medical center and had a largely White population. It was a small sample size and there was no control condition in this initial trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Christopher Celano | Massachusetts General Hospital | 617-726-6485 | ccelano@partners.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 28, 2017 | Apr 20, 2018 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
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|
| Changes in LOT-R Scores | Life Orientation Test-Revised is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of optimism. | Change of score from Baseline to 10 weeks |
| Changes in HADS-Anxiety Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of anxiety. | Change in score from Baseline to 10 weeks |
| Change in HADS-Depression Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate worse outcome (i.e. greater levels of depression). | Change in score from Baseline to 10 weeks |
| Changes in KCCQ Scores | The Kansas City Cardiomyopathy Questionnaire is a well-validated questionnaire of health status in HF. The full scale will be used to measure HF-specific health-related QoL (HRQoL), and an eight-question subset of the KCCQ will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher QoL scores indicate better HF specific health-related QoL, and higher total symptom scores indicate fewer symptoms. | Change in score from Baseline to 10 weeks |
| Changes in SF-12 Scores | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher level of health related QoL. | Change in score from Baseline to 10 weeks |
| Changes in MOS SAS Scores | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate better adherence to health behaviors. | Change in score from Baseline to 10 weeks |
| Changes in Daily Sodium Intake (as Measured With the SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher sodium intake. | Change in score from Baseline to 10 weeks |
| Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-10). Change was calculated by subtracting the score at baseline from the score at 10 weeks. | Change in score from Baseline to 10 weeks |
| Change in Physical Activity | Measured by Actigraph accelerometer, in number of steps per day. | Baseline and 10 weeks |
| Change in Moderate to Vigorous Physical Activity (Actigraph) | ActiGraph GT3X+ step counters are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. In this trial, participants will wear the accelerometer for one week at baseline and again for one week at 10 weeks to assess the feasibility of doing so and to ensure adequate capture of physical activity. Change was calculated by subtracting the MVPA at baseline from the MVPA at 10 weeks. | Change in MVPA from Baseline to 10 weeks |
| Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who use of the Actigraph. | Baseline and 10 weeks |
| Acceptability of the Exercises: Utility Score | Participants will provide ratings of utility after each exercise, measured on a 10-point Likert scale (0-10). Higher scores indicate greater utility of the exercise. Weekly utility ratings were averaged to provide an overall utility score of the exercises. | Weeks 1-10 |
| Acceptability of the Exercises: Ease Score | Participants will provide ratings of ease after each exercise, measured on a 10-point Likert scale (0-10). Higher scores indicate greater ease of the exercise. Weekly ease ratings were averaged to provide an overall easy score of the exercises. | Weeks 1-10 |
| Immediate Impact of the Exercises: Optimism Rating | Participants will provide ratings of optimism before and after each exercise, measured on a 10-point Likert scale (0-10). Weekly pre- and post-exercise ratings of optimism were averaged to provide an overall pre- and post-exercise optimism score. Higher scores indicate higher levels of optimism. | Weeks 1-10 |
| Immediate Impact of the Exercises: Positive Affect Rating | Participants will provide ratings of positive affect, before and after each exercise, measured on a 10-point Likert scale (0-10). Weekly pre- and post-exercise ratings of happiness were averaged to provide an overall pre- and post-exercise score. Higher scores indicate higher levels of positive affect. | Weeks 1-10 |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Positive and Negative Affect Schedule (PANAS) | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Higher scores indicate higher levels of positive affect. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Life Orientation Test-Revised (LOT-R) | Life Orientation Test-Revised is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Higher scores indicate higher levels of optimism. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Hospital Anxiety and Depression Scale (HADS) anxiety subscale | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Higher scores indicate higher levels of anxiety. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Hospital Anxiety and Depression Scale (HADS) depression subscale | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Higher scores indicate higher levels of depression. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Kansas City Cardiomyopathy Questionnaire (KCCQ) | The Kansas City Cardiomyopathy Questionnaire is a well-validated questionnaire of health status in HF. The quality of life (QoL) score will be used to measure HF-specific health-related QoL (HRQoL), and the total symptom score will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Higher scores indicate better HF specific health-related QoL and fewer symptoms. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Medical Outcomes Study Short Form-12 (SF-12) | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Higher scores represent better health-related quality of life. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Medical Outcomes Study Specific Adherence Scale (MOS SAS) | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Higher scores indicate better adherence to health behaviors. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Scored Sodium Questionnaire (SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Higher scores indicate higher sodium intake. | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | units on a scale |
|
| Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-100). | One participant was terminated prior to the completion of baselines as they developed an acute medical illness unrelated to the study. | Mean | Standard Deviation | percentage |
|
| Moderate to Vigorous Physical Activity (measured via Actigraph) | ActiGraph GT3X+ step counters are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. In this trial, participants wear the accelerometer for one week at baseline in order to assess average minutes of Moderate to Vigorous Physical Activity (MVPA). | 2 participants did not wear the Actigraph and provide adequate data at baseline. | Mean | Standard Deviation | minutes/day |
|
| Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who use of the Actigraph. | Count of Participants | Participants |
|
| Physical Activity | Measured by Actigraph accelerometer, in number of steps per day. | Not all participants wore an Actigraph and provided adequate data at baseline. | Mean | Standard Deviation | steps/day |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Secondary | Changes in PANAS Scores | The positive affect items on the Positive and Negative Affect Schedule (PANAS), a well-validated scale used in other intervention trials and in patients with HF, will be used to measure positive affect (Range: 10-50). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of positive affect. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in LOT-R Scores | Life Orientation Test-Revised is a well-validated 6-item instrument used to measure dispositional optimism (Range: 0-24). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of optimism. | Posted | Mean | Standard Deviation | units on a scale | Change of score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in HADS-Anxiety Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-anxiety subscale was be used to measure anxiety. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher levels of anxiety. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Change in HADS-Depression Subscale Scores | The Hospital Anxiety and Depression Scale (HADS)-depression subscale was be used to measure depression. This is a well-validated scale with few somatic symptom items that can confound mood/anxiety assessment in medically-ill patients (Range: 0-21). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate worse outcome (i.e. greater levels of depression). | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in KCCQ Scores | The Kansas City Cardiomyopathy Questionnaire is a well-validated questionnaire of health status in HF. The full scale will be used to measure HF-specific health-related QoL (HRQoL), and an eight-question subset of the KCCQ will be used as a measure of HF symptoms (QoL score range: 0-100; total symptom score range: 0-100). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher QoL scores indicate better HF specific health-related QoL, and higher total symptom scores indicate fewer symptoms. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in SF-12 Scores | The Medical Outcomes Study Short Form-12 (SF-12) will be used to measure quality of life. This is an instrument which has been used in multiple cardiac studies in the past (SF-12 Mental Composite Score and Physical Composite Score Range: 0-100 each). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher level of health related QoL. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in MOS SAS Scores | Three Medical Outcomes Study Specific Adherence Scale (MOS SAS) items assessing medication, diet, and exercise, will be measured individually and as a composite score (Range: 3-18). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate better adherence to health behaviors. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Changes in Daily Sodium Intake (as Measured With the SSQ) | The Scored Sodium Questionnaire (SSQ) is a self-report scale that assesses the frequency with which participants consume a variety of sodium-containing foods, ranging from "Rarely or Never Eaten" to "At Least Once Daily." It is used to calculate daily sodium intake (Range: 0-215). Change was calculated by subtracting the score at baseline from the score at 10 weeks. Higher scores indicate higher sodium intake. | Posted | Mean | Standard Deviation | units on a scale | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Self-Reported Medication Adherence (SRMA) | The Self-Reported Medication Adherence (SRMA) asks what percent of the time (in 10% increments) participants took all of their medications as prescribed in the past week and in the past 2 weeks (Range: 0-10). Change was calculated by subtracting the score at baseline from the score at 10 weeks. | Posted | Mean | Standard Deviation | percentage of time | Change in score from Baseline to 10 weeks |
|
|
|
| Secondary | Change in Physical Activity | Measured by Actigraph accelerometer, in number of steps per day. | Not all participants wore the Actigraph and provided adequate data. | Posted | Mean | Standard Deviation | steps/day | Baseline and 10 weeks |
|
|
|
| Secondary | Change in Moderate to Vigorous Physical Activity (Actigraph) | ActiGraph GT3X+ step counters are validated as measures of physical activity and have been used in numerous studies of physical activity in patients with medical illness. In this trial, participants will wear the accelerometer for one week at baseline and again for one week at 10 weeks to assess the feasibility of doing so and to ensure adequate capture of physical activity. Change was calculated by subtracting the MVPA at baseline from the MVPA at 10 weeks. | Posted | Mean | Standard Deviation | minutes/day | Change in MVPA from Baseline to 10 weeks |
|
|
|
| Secondary | Feasibility of Actigraph | Feasibility will be measured by examining the number of participants who use of the Actigraph. | Posted | Count of Participants | Participants | Baseline and 10 weeks |
|
|
|
| Secondary | Acceptability of the Exercises: Utility Score | Participants will provide ratings of utility after each exercise, measured on a 10-point Likert scale (0-10). Higher scores indicate greater utility of the exercise. Weekly utility ratings were averaged to provide an overall utility score of the exercises. | Posted | Mean | Standard Deviation | units on a scale | Weeks 1-10 |
|
|
|
| Secondary | Acceptability of the Exercises: Ease Score | Participants will provide ratings of ease after each exercise, measured on a 10-point Likert scale (0-10). Higher scores indicate greater ease of the exercise. Weekly ease ratings were averaged to provide an overall easy score of the exercises. | Posted | Mean | Standard Deviation | units on a scale | Weeks 1-10 |
|
|
|
| Secondary | Immediate Impact of the Exercises: Optimism Rating | Participants will provide ratings of optimism before and after each exercise, measured on a 10-point Likert scale (0-10). Weekly pre- and post-exercise ratings of optimism were averaged to provide an overall pre- and post-exercise optimism score. Higher scores indicate higher levels of optimism. | Posted | Mean | Standard Deviation | units on a scale | Weeks 1-10 |
|
|
|
| Secondary | Immediate Impact of the Exercises: Positive Affect Rating | Participants will provide ratings of positive affect, before and after each exercise, measured on a 10-point Likert scale (0-10). Weekly pre- and post-exercise ratings of happiness were averaged to provide an overall pre- and post-exercise score. Higher scores indicate higher levels of positive affect. | Posted | Mean | Standard Deviation | units on a scale | Weeks 1-10 |
|
|
|
| 0 |
| 10 |
| 2 |
| 10 |
| 1 |
| 10 |
|
| Arrhythmia | Cardiac disorders | Systematic Assessment | Participant had an arrhythmia while at work and was hospitalized. |
|
|
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| D015438 | Health Behavior |
| D001519 | Behavior |