Changing illness perceptions of patients with intermittent claudication

ISRCTN ISRCTN28051878
DOI https://doi.org/10.1186/ISRCTN28051878
Secondary identifying numbers N/A
Submission date
01/04/2008
Registration date
28/10/2009
Last edited
28/05/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Margaret Cunningham
Scientific

Psychology Department
University of Stirling
Stirling
FK9 4LA
United Kingdom

Study information

Study designSingle-centre randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleChanging illness perceptions of patients with intermittent claudication: a pilot randomised controlled trial to increase walking
Study objectivesPrincipal research question:
Will a brief psychological intervention to modify illness perceptions increase walking behaviour for patients with intermittent claudication?

Secondary research questions:
1. Will a brief psychological intervention increase intention to walk?
2. Will a brief psychological intervention increase walking self-efficacy?
3. Will a brief psychological intervention change illness perceptions?

As of 03/11/2009 this record was updated to include an extended anticipated end date; the initial anticipated end date at the time of registration was 01/10/2009.

As of 13/01/2010 this record was updated to include a further extended anticipated end date; the previous anticipated end date at the time of registration was 30/11/2009.
Ethics approval(s)Fife and Forth Valley NHS Research Ethics Committee approved on the 12th February 2008 (ref: 08/S0501/6).
Health condition(s) or problem(s) studiedIntermittent claudication
InterventionSession 1: one hour in the participant's own home:
1. Modify illness beliefs regarding interpretation of symptoms and chronicity of disease by providing information about disease, and behaviour health link
2. Modify understanding of consequences of disease and future health risk perception by providing information on consequences of disease
3. Operationalise above points 1 and 2 using motivational interviewing

Session 2: one hour in the participant's own home:
4. Improve personal control/self efficacy by prompting specific goal setting for walking; prompt barrier identification to formulate a coping plan

Three follow up phone calls (monthly):
5. Prompt review of behavioural goals through monthly phone calls
6. Provide social support through the inclusion in the intervention of a key partner

Control:
Control group receives usual care and phone calls to minimise social support effects.

Total duration of treatment is 2 hours. Follow-up for both arms is at 4 months, however an amendment to ethical approval has been submitted to carry out long-term follow-ups at 1 year and 2 years after recruitment.
Intervention typeOther
Primary outcome measureIncrease in walking behaviour as measured by pedometer (mean daily steps measured over 1 week at each time point) at baseline, 4 months, and 1 year and 2 years (subject to the approval of the amendment).
Secondary outcome measuresAll outcomes will be measured at baseline, 4 months, and 1 year and 2 years (subject to the approval of the amendment):
1. Self-report physical activity, measured with the International Physical Activity Questionnaire (IPAQ)
2. Quality of life, measured with the Intermittent Claudication Questionnaire (ICQ)
3. Psychological outcomes, measured with a range of psychological questionnaires adapted for use in this study
4. Clinical outcome, measured by type of treatment received or scheduled by each time point e.g. angioplasty, bypass graft, conservative treatment
Overall study start date07/04/2008
Completion date01/02/2012

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants80
Key inclusion criteria1. Newly diagnosed patients with intermittent claudication
2. English speaking
3. Aged over 55 years, either sex
Key exclusion criteria1. Severe cardiac disease
2. Patients unable to perform simple exercise test at slow speed
3. Severe debility, e.g., arthritis
4. History of orthopaedic surgery
5. Ankle Brachial Blood Pressure Index (ABPI) at diagnosis of less than 0.35
Date of first enrolment07/04/2008
Date of final enrolment01/02/2012

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

Psychology Department
Stirling
FK9 4LA
United Kingdom

Sponsor information

University of Stirling (UK)
University/education

Head of Psychology Department
Psychology Department
Stirling
FK9 4LA
Scotland
United Kingdom

Website http://www.stir.ac.uk/
ROR logo "ROR" https://ror.org/045wgfr59

Funders

Funder type

University/education

University of Stirling (UK) - Internally funded PhD

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 07/10/2010 Yes No
Results article results 01/01/2012 Yes No
Results article results 01/05/2013 Yes No