Anxiety Disorders, Cardiovascular Diseases, Depressive Disorder, Quality of Life, Sedentary Behavior
Conditions
Keywords
cardiovascular disease, Mobile Health
Brief summary
Previous studies suggested that most patients with Cardiac Electronic Implantable devices have a perception of describing the lifestyle due to a limitation of daily activities and physical exercise, besides the consequences in the psychological aspects such as anxiety and depression. The MHOL-CEID is a randomized controlled trial that Verifies the effectiveness of the Mobile Health of lifestyle that focuses on aspects of physical functional, psychosocial, and quality of life of patients with Cardiac Electronic Implantable Device.
Detailed description
Cardiovascular diseases represent one of the main causes of death in the Brazilian population, as well as dysfunctions of the heart conduction system. In an attempt to treat and correct heart conduction system dysfunctions, Cardiac Electronic Implantable Device (CEID) was developed. Most people with CEID have a perception of describing the lifestyle due to a limitation of daily activities and physical exercise, besides the consequences in the psychological aspects such as anxiety and depression. These changes in the psychosocial conduct of patients with CEID are due to the lack of knowledge and the lack of effective guidance, being of fundamental importance to elaborate the resources of education in health for patients with CEID. Health promotion through educational intervention is a recognized strategy and an Internet approach to the mobile health proposal is a recognized and promising practice. This randomized controlled study is been conducted to verify the effectiveness of the Mobile Health of lifestyle that focuses on aspects of physical functional, psychosocial, and quality of life of patients with CEID. The hypothesis is that the use of Mobile Health of lifestyle provides greater physical functional, psychological aspects, and quality of life to patients with CIED.
Interventions
BEHAVIORALMobile Health of lifestyle
Mobile health of lifestyle with an orientation about daily activities and necessary care to patients with CEID, and protocol of exercise training with images and guidelines to execute five days per week, with a duration of 50 minutes, and space for doubts which patients could send message to researcher.
Sponsors
Spectator Healthcare Technology
InCor Heart Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Interventional Group (IG): Mobile Health to patients with an orientation about daily activities and protocol of physical exercise Control Group (CG): normally follow up, without mobile health
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Written informed consent prior to randomization and any study procedure; * Patients with any CIED * Access to the internet * Clinical stability in the last 3 weeks * With left ventricular ejection fraction (LVEF) greater than 40% * Skill to conduct the self-monitoring of intensity in physical activity * New York Heart Association classification 1 or 2
Exclusion criteria
* Unstable angina * Uncontrolled systemic arterial hypertension * Cardiac arrhythmia effort- induced * People with a musculoskeletal or neurological problem * Cognitive disability * Patients opposed to the participation in the research * Other concomitants cardiovascular disease, including uncontrolled diabetes mellitus (systemic hypertension without target-organ impairment is allowed); * Moderate or severe chronic obstructive pulmonary disease;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional exercise capacity | Six minutes | Six walk minutes test to assess and measures the distance that patient can walk on a flat in a period of 6 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life of patients | Thirty minutes | SF 36 questionnaire, evaluate health-related quality of life. The SF-36 measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). |
| Anxiety and depression | Thirty minutes | Hospital anxiety and depression scale, which consist 14 questions that evaluate how patients felt during the previous week. Scores with range 0-21. |
| Level of physical activity | Thirty minutes | IPAQ questionnaire, • To assesses the types of intensity of physical activity and sitting time that patients do on daily lives activities, and are considered to estimate total physical activity in MET-min/week and time spent sitting. |
Countries
Brazil
Outcome results
None listed