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Cardiovascular DiseasesNCT05434273

Effects of Integrated Cardiovascular Health Education Program on Older Adults at Risk of ASCVD

A study testing HE programme in people with Cardiovascular Diseases and Healthy Lifestyle, run by The Hong Kong Polytechnic University at 1 site in Hong Kong.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Despite older adults being exposed to an increased risk of atherosclerotic cardiovascular disease (ASCVD), they are generally underrepresented in cardiovascular prevention programmes. Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
What is being tested?
HE programme
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
190 participants
Where
1 siteHong Kong
Study dates
Feb 2023to Nov 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Chinese adults ≧60 years old
  • Having at least one ASCVD risk factor
  • Pass the cardiovascular fitness evaluation
  • Able to write and read Chinese, and communicate in Cantonese;
  • Possess a mobile phone and able to make use of the phone in reading short messages

Who cannot join

  • Visually impaired, hearing impaired, or suffer from cognitive, psychiatric, or muscular disorder
  • Having a history of attending similar cardiovascular prevention program
  • Having a previous history of coronary heart disease or stroke

Trial locations and contacts

1 site in 1 country.

Hong Kong1 site
  • The Hong Kong Polytechnic University

    Hong Kong

Other trials in Hong Kong

About this study

Official title: The Effects of an Integrated Exercise and Cardiovascular Health Education Programme on Community-dwelling Older Adults at Risk of Atherosclerotic Cardiovascular Diseases: A Randomised Controlled Trial

Despite older adults being exposed to an increased risk of atherosclerotic cardiovascular disease (ASCVD), they are generally underrepresented in cardiovascular prevention programmes. The aim of this study is to examine the effects of an integrated exercise and cardiovascular health education programme (HE programme) on community-dwelling older adults at risk of ASCVD.

Read the detailed description

The study is a two-arm randomized controlled trial. (1) The control group will mainly receive a basic lifestyle modification talk, a lecture video and governmental education leaflets. (2) The experimental group will receive an integrated exercise and health education programme (HE programme) based on self-efficacy theory. Physical activity level, exercise self-efficacy and ASCVD risk profile including blood pressure, cardiac endurance, fasting blood glucose, fasting blood lipids, and anthropometric outcomes will be investigated via physiological assessments, medical history-taking or questionnaires at baseline, Week 12, Week 24 and Week 36.

Being tested
HE programme, Usual care
Keywords
Older Adults, Physical Activity, Atherosclerotic Cardiovascular Disease, Lifestyle Modification, Health Education
Medical subject headings
Cardiovascular Diseases, Health Education, Motor Activity, Atherosclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HE programmeBehavioural

    Participants will receive a 12-week integrated exercise and cardiovascular health education programme (HE programme) which is constructed based on self-efficacy theory. A booster intervention in the form of SMS messaging will be given from Week 1 to Week 12.

  • Usual careBehavioural

    Participants will receive usual care which primarily includes an education talk on basic health issues. A governmental health education leaflet and a lecture video will be provided for reference.

Study groups in NCT05434273
Study groupRoleWhat they receive
Experimental Arm: Integrated InterventionExperimentalReceive an integrated exercise and cardiovascular health education programme (HE programme)
Receives: Behavioral: HE programme
ControlSham comparatorReceive usual care
Receives: Behavioral: Usual care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Physical activity level (total score) at Week 24

    The physical activity level will be measured by the Chinese Version of Physical Activity Scale for the Elderly (PASE-C). The total score (from zero to 400 or above) is quantified based on frequency values and weights for these activities. The higher the score, the higher the level of physical activity.

    Measured: At Week 24

  2. Physical activity level (classification of physical activity level) at Week 24

    The physical activity level will be measured by the Chinese version of International Physical Activity Questionnaire-short form (IPAQ-C-short form). Participants are classified into "inactive", "minimally active" or "health enhancing physical activity (HEPA) active" based on their physical activity levels.

    Measured: At Week 24

Secondary outcomes (43)
  1. Exercise self-efficacy at baseline

    Exercise self-efficacy will be measured via the Chinese version of Self-Efficacy for Exercise (SEE-C). The total score ranges from 0 to 90. The higher the score, the greater the exercise self-efficacy.

    Measured: At baseline

  2. Exercise self-efficacy at Week 12

    Exercise self-efficacy will be measured via the Chinese version of Self-Efficacy for Exercise (SEE-C). The total score ranges from 0 to 90. The higher the score, the greater the exercise self-efficacy.

    Measured: At Week 12

  3. Exercise self-efficacy at Week 24

    Exercise self-efficacy will be measured via the Chinese version of Self-Efficacy for Exercise (SEE-C). The total score ranges from 0 to 90. The higher the score, the greater the exercise self-efficacy.

    Measured: At Week 24

  4. Exercise self-efficacy at Week 36

    Exercise self-efficacy will be measured via the Chinese version of Self-Efficacy for Exercise (SEE-C). The total score ranges from 0 to 90. The higher the score, the greater the exercise self-efficacy.

    Measured: At Week 36

  5. ASCVD risk profiles (Blood pressure, weight, height, BMI & waist circumference, heart rate) at baseline

    The ASCVD risk profiles will be assessed by physical evaluations carried out by blinded, trained outcome assessors.

    Measured: At baseline

  6. ASCVD risk profiles (Blood pressure, weight, height, BMI & waist circumference, heart rate) at Week 12

    The ASCVD risk profiles will be assessed by physical evaluations carried out by blinded, trained outcome assessors.

    Measured: At Week 12

  7. ASCVD risk profiles (Blood pressure, weight, height, BMI & waist circumference, heart rate) at Week 24

    The ASCVD risk profiles will be assessed by physical evaluations carried out by blinded, trained outcome assessors.

    Measured: At Week 24

  8. ASCVD risk profiles (Blood pressure, weight, height, BMI & waist circumference, heart rate) at Week 36

    The ASCVD risk profiles will be assessed by physical evaluations carried out by blinded, trained outcome assessors.

    Measured: At Week 36

  9. ASCVD risk profiles (Fasting blood glucose and fasting blood lipids including low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides) at baseline

    The ASCVD risk profiles will be assessed by obtaining finger-prick blood samples using an auto-analyser, carried out by blinded, trained outcome assessors. Fasting 8 hours before obtaining blood samples will be required.

    Measured: At baseline

  10. ASCVD risk profiles (Fasting blood glucose and fasting blood lipids including low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides) at Week 24

    The ASCVD risk profiles will be assessed by obtaining finger-prick blood samples using an auto-analyser, carried out by blinded, trained outcome assessors. Fasting 8 hours before obtaining blood samples will be required.

    Measured: At Week 24

  11. ASCVD risk profiles (Fasting blood glucose and fasting blood lipids including low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides) at Week 36

    The ASCVD risk profiles will be assessed by obtaining finger-prick blood samples using an auto-analyser, carried out by blinded, trained outcome assessors. Fasting 8 hours before obtaining blood samples will be required.

    Measured: At Week 36

  12. ASCVD risk profiles (2-minute walk test) at baseline

    2-minute walk test will be adopted to examine aerobic capacity and self-paced walking capacity by measuring the walking distance covered at two minutes. It will be assessed by blinded, trained outcome assessors.

    Measured: At baseline

  13. ASCVD risk profiles (2-minute walk test) at Week 12

    2-minute walk test will be adopted to examine aerobic capacity and self-paced walking capacity by measuring the walking distance covered at two minutes. It will be assessed by blinded, trained outcome assessors.

    Measured: At Week 12

  14. ASCVD risk profiles (2-minute walk test) at Week 24

    2-minute walk test will be adopted to examine aerobic capacity and self-paced walking capacity by measuring the walking distance covered at two minutes. It will be assessed by blinded, trained outcome assessors.

    Measured: At Week 24

  15. ASCVD risk profiles (2-minute walk test) at Week 36

    2-minute walk test will be adopted to examine aerobic capacity and self-paced walking capacity by measuring the walking distance covered at two minutes. It will be assessed by blinded, trained outcome assessors.

    Measured: At Week 36

  16. Adverse events throughout the program

    Unfavorable or unintended events regarding the programme reported by participants throughout the study period.

    Measured: Throughout the study period

  17. Eligibility rate

    The number of eligible potential participants divided by the number of screened people

    Measured: At baseline

  18. Recruitment rate

    The percentage of participants who consent to join the study and being recruited

    Measured: At baseline

  19. Retention rate at baseline

    The percentage of participants remaining in the study

    Measured: At baseline

  20. Retention rate at Week 12

    The percentage of participants remaining in the study

    Measured: At Week 12

  21. Retention rate at Week 24

    The percentage of participants remaining in the study

    Measured: At Week 24

  22. Retention rate at Week 36

    The percentage of participants remaining in the study

    Measured: At Week 36

  23. Lecture attendance rate

    The number of participants in the control group who attend the education talk divided by the number of participants who are randomized into the control group The number of participants in the experimental group who attend the education session divided by the number of participants who are randomized into the experimental group The number of participants in the two groups who attend the education session divided by the number of randomized participants

    Measured: Immediately after education session

  24. Adherence to intervention

    The number of participants in the experimental group who practice the tailor-made exercise learned during the intervention divided by the number of participants in the experimental group Experimental group's frequency in performing tailor-made exercise related to the recommended exercise dosage

    Measured: At Week 36

  25. Attendance rate to data collection at baseline

    The number of participants in the control group who attend the data collection divided by the number of participants who are randomized into the control group The number of participants in the experimental group who attend the data collection divided by the number of participants who are randomized into the experimental group The number of participants who attend the data collection divided by the number of randomized participants

    Measured: At baseline

  26. Attendance rate to data collection at Week 12

    The number of participants in the control group who attend the data collection divided by the number of participants who are randomized into the control group The number of participants in the experimental group who attend the data collection divided by the number of participants who are randomized into the experimental group The number of participants who attend the data collection divided by the number of randomized participants

    Measured: At Week 12

  27. Attendance rate to data collection at Week 24

    The number of participants in the control group who attend the data collection divided by the number of participants who are randomized into the control group The number of participants in the experimental group who attend the data collection divided by the number of participants who are randomized into the experimental group The number of participants who attend the data collection divided by the number of randomized participants

    Measured: At Week 24

  28. Attendance rate to data collection at Week 36

    The number of participants in the control group who attend the data collection divided by the number of participants who are randomized into the control group The number of participants in the experimental group who attend the data collection divided by the number of participants who are randomized into the experimental group The number of participants who attend the data collection divided by the number of randomized participants

    Measured: At Week 36

  29. Questionnaire completion rate at baseline

    The number of participants who complete the questionnaire divided by the number of distributed questionnaires

    Measured: At baseline

  30. Questionnaire completion rate at Week 12

    The number of participants who complete the questionnaire divided by the number of distributed questionnaires

    Measured: At Week 12

  31. Questionnaire completion rate at Week 24

    The number of participants who complete the questionnaire divided by the number of distributed questionnaires

    Measured: At Week 24

  32. Questionnaire completion rate at Week 36

    The number of participants who complete the questionnaire divided by the number of distributed questionnaires

    Measured: At Week 36

  33. Missing data at baseline

    The percentage of missing data

    Measured: At baseline

  34. Missing data at Week 12

    The percentage of missing data

    Measured: At Week 12

  35. Missing data at Week 24

    The percentage of missing data

    Measured: At Week 24

  36. Missing data at Week 36

    The percentage of missing data

    Measured: At Week 36

  37. Structured questionnaire

    The questionnaire will primarily include patient demographics, medical history, lifestyle patterns, medication use and physical fitness evaluation data, etc.

    Measured: At baseline

  38. Physical activity level (total score) at baseline

    The physical activity level will be measured by the Chinese Version of Physical Activity Scale for the Elderly (PASE-C). The total score (from zero to 400 or above) is quantified based on frequency values and weights for these activities. The higher the score, the higher the level of physical activity.

    Measured: At baseline

  39. Physical activity level (total score) at Week 12

    The physical activity level will be measured by the Chinese Version of Physical Activity Scale for the Elderly (PASE-C). The total score (from zero to 400 or above) is quantified based on frequency values and weights for these activities. The higher the score, the higher the level of physical activity.

    Measured: At Week 12

  40. Physical activity level (total score) at Week 36

    The physical activity level will be measured by the Chinese Version of Physical Activity Scale for the Elderly (PASE-C). The total score (from zero to 400 or above) is quantified based on frequency values and weights for these activities. The higher the score, the higher the level of physical activity.

    Measured: At Week 36

  41. Physical activity level (classification of physical activity level) at baseline

    The physical activity level will be measured by the Chinese version of International Physical Activity Questionnaire-short form (IPAQ-C-short form). Participants are classified into "inactive", "minimally active" or "health enhancing physical activity (HEPA) active" based on their physical activity levels.

    Measured: At baseline

  42. Physical activity level (classification of physical activity level) at Week 12

    The physical activity level will be measured by the Chinese version of International Physical Activity Questionnaire-short form (IPAQ-C-short form). Participants are classified into "inactive", "minimally active" or "health enhancing physical activity (HEPA) active" based on their physical activity levels.

    Measured: At Week 12

  43. Physical activity level (classification of physical activity level) at Week 36

    The physical activity level will be measured by the Chinese version of International Physical Activity Questionnaire-short form (IPAQ-C-short form). Participants are classified into "inactive", "minimally active" or "health enhancing physical activity (HEPA) active" based on their physical activity levels.

    Measured: At Week 36

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jun 2022
  2. Study startFeb 2023 (estimated)
  3. Primary completionNov 2025 (estimated)
  4. Study completionNov 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
190 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05434273
Sponsor's protocol ID
ASCVD_OlderAdult_Full
Status last verified
Jun 2022
First submitted
11 Jun 2022
Last updated
27 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Lo FMW, Wong EML, Ho KY. The effects of an integrated exercise and cardiovascular health education programme on community-dwelling older adults at risk of atherosclerotic cardiovascular diseases: A study protocol for a randomised controlled trial. PLoS One. 2023 May 24;18(5):e0286181. doi: 10.1371/journal.pone.0286181. eCollection 2023.

    PubMed 37224162

Questions about this trial

What is this clinical trial studying?

A study testing HE programme in people with Cardiovascular Diseases and Healthy Lifestyle, run by The Hong Kong Polytechnic University at 1 site in Hong Kong.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 27 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ka Yan Ho (27666417, kyeva.ho@polyu.edu.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Physical activity level (total score) at Week 24 (time frame: At Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05434273, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2022.

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