CopenHeartRFA - Integrated Rehabilitation of Patients Treated for Atrial Fibrillation With Radio Frequency Ablation

This study is currently recruiting participants.
Verified December 2012 by Rigshospitalet, Denmark
Sponsor:
Collaborator:
Copenhagen Trial Unit, Center for Clinical Intervention Research
Information provided by (Responsible Party):
Selina Kikkenborg Berg, Rigshospitalet, Denmark
ClinicalTrials.gov Identifier:
NCT01523145
First received: January 27, 2012
Last updated: December 7, 2012
Last verified: December 2012

January 27, 2012
December 7, 2012
December 2011
December 2013   (final data collection date for primary outcome measure)
change in physical capacity [ Time Frame: 1, 4 and 12 months ] [ Designated as safety issue: Yes ]
Measured by Peak VO2 via ergospirometry testing
Same as current
Complete list of historical versions of study NCT01523145 on ClinicalTrials.gov Archive Site
Change in mental component scale [ Time Frame: 1, 4, 6, 12 and 24 months ] [ Designated as safety issue: No ]
Measured by the mental component scale (MCS) in the SF-36 questionnaire
Same as current
Not Provided
Not Provided
 
CopenHeartRFA - Integrated Rehabilitation of Patients Treated for Atrial Fibrillation With Radio Frequency Ablation
CopenHeartRFA - A Randomized Clinical Trial Investigating the Effect and Meaning of Integrated Rehabilitation Versus Usual Follow-up of Patients Treated for Atrial Fibrillation With Radio Frequency Ablation

Atrial fibrillation is the most common arrhythmia and affect 1-2 % of the population in the western world. Atrial fibrillation can be treated with a relatively new procedure, called radiofrequency ablation.

The aim of this study is to explore if patients treated with ablation for atrial fibrillation, benefit from an integrated rehabilitation programme, that consist of physical training and psycho-educative consultations with a specialised nurse.

The hypothesis is, that integrated rehabilitation can improve mental health, physical capacity and other factors.

1-2 % of the population in the western world live with atrial fibrillation. One way to treat atrial fibrillation is with radiofrequency ablation. Ablation is a relatively new treatment and therefore only few studies has been exploring how the patients are doing after discharge. In Denmark the patients are not offered rehabilitation, only brief follow-up with a doctor. Therefore the aim of this study is to explore if the patients will benefit from a integrated rehabilitation programme consisting of physical training and psycho-educational intervention.

A randomized clinical trial is conducted to investigate the effect and meaning of an integrated rehabilitation programme on the physical and psychosocial functioning of patients treated for atrial fibrillation with radiofrequency ablation. The trial is a parallel arm design.

A mixed methods embedded experimental design is chosen to include both quantitative and qualitative data to evaluate the intervention. The intervention consists of four psycho-educational consultations provided by specialized nurses and a twelve week individualized exercise training programme provided by physiotherapists. A qualitative post-intervention study will explore rehabilitation participation experiences.

The hypothesis is, that integrated rehabilitation can improve mental health, physical capacity, self-rated health, quality of life, sleep-quality and reduce anxiety, depression, health care utilisation, work cessation and mortality in patients treated for atrial fibrillation with radiofrequency ablation and that it is cost effective.

210 patients will be included.

Questionnaires, cardiopulmonary testing, 6 minute walking test and qualitative interviews will be used to evaluate the effect and meaning of the programme.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Atrial Fibrillation
  • Behavioral: Rehabilitation
    Integrated Rehabilitation consisting of exercise training (minimum 3 times a week for a total of twelve weeks) and psychoeducational care (4 sessions over 6 months)
  • Other: Control Group
    usual follow-up Standard follow-up at the participating heart center
  • Experimental: Intervention
    Intervention: Behavioral: Rehabilitation
  • Experimental: Control gruop
    Intervention: Other: Control Group
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
210
December 2014
December 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

Patients:

  • treated for atrial fibrillation with radiofrequency ablation on Rigshospitalet, Denmark
  • 18 years or older
  • speaking and understanding Danish
  • providing written informed consent

Exclusion Criteria:

  • unable to understand study instructions
  • who are pregnant or breastfeeding
  • with considerable illness in the musculoskeletal system or with physical disability, which complicates exercise training
  • who does strenuous physical training several times a week on competition level
  • who does not wish to participate
Both
18 Years and older
No
Contact: Signe S Risom, RN, MSc +45 3545 2938 signe.stelling.risom@rh.regionh.dk
Contact: Kirstine L Sibilitz, MD +45 3545 1205 kirstine.laerum.sibilitz@rh.regionh.dk
Denmark
 
NCT01523145
RHCopenHeartRFA
Yes
Selina Kikkenborg Berg, Rigshospitalet, Denmark
Rigshospitalet, Denmark
Copenhagen Trial Unit, Center for Clinical Intervention Research
Principal Investigator: Signe S Risom, RN, MSc Rigshospitalet, Denmark
Principal Investigator: Selina K Berg, MScN, ph.d. Copenhagen University Hospital Rigshospitalet, University Hospital Gentofte
Principal Investigator: Ann-Dorthe O Zwisler, MD, ph.d. Copenhagen University Hospital Rigshospitalet, National Institute of Public Health, University of Southern Denmark
Principal Investigator: Jesper H Svendsen, MD, DMSc Rigshospitalet, Denmark
Rigshospitalet, Denmark
December 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP