Improving health self-management using walking biobehavioral intervention for people with dysvascular lower limb amputation
Improving health self-management using walking biobehavioral intervention for people with dysvascular lower limb amputation
批准号:
10614536
负责人:
Cory L Christiansen
金额:
$38.51万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
未结题
起止时间:
2019-08-01 至 2025-05-31
关键词:
2 arm randomized control trialAddressAdoptionAmbulatory CareAmputationBehaviorCaringChronicChronic DiseaseClinicalClinical ResearchComplexControl GroupsDiabetes MellitusDisabled PersonsDiseaseEarly InterventionEnrollmentEnvironmentEvaluationFocus GroupsFunding OpportunitiesFutilityFutureGoalsGuidelinesHealthInterventionLearningLower ExtremityMaintenanceMeasuresMedicalMethodsMonitorMotivationNatureOutcomeParticipantPatient RecruitmentsPatientsPeripheral arterial diseasePersonsPhasePhase II Clinical TrialsPhysical FunctionPhysical activityPopulationProsthesisProsthetic rehabilitationQuality of lifeQuestionnairesReach, Effectiveness, Adoption, Implementation, and MaintenanceRecoveryRehabilitation therapyReportingResearchResearch DesignRoleScheduleSelf EfficacySelf ManagementSiteTestingTimeTrainingTraumatic AmputationTreatment EfficacyUnited States National Institutes of HealthWalkingWorkWorld Health Organizationattentional controlbiobehaviorclinical implementationcomorbiditycomparison controldesigndisabilityeligible participantevidence basehealingimplementation designimplementation evaluationimprovedlimb amputationlimb lossmultiple chronic conditionsnovelpatient orientedphase III trialphysical conditioningpreventprimary endpointprimary outcomerural areasedentary lifestylesuccesstelehealthunderserved areawearable sensor technology
中文摘要
项目概要/摘要
这项研究的最终目标是优化人们的生活质量,最大限度地减少残疾。
通过改善体力活动自我管理,初始
实现这一目标步骤是测试我们的步行生物行为干预。我们的首要假设是
对下肢血管障碍性截肢康复者实施步行生物行为干预,
一种以多种慢性疾病为特征的疾病,将改善健康自我管理,
增加习惯性体育活动。复杂的,共病的性质,血管障碍截肢需要
与创伤性截肢相比,愈合时间延长,恢复方法独特。
截肢前存在的慢性久坐行为在以下情况下变得更加明显:
失去肢体的影响因此,患有血管障碍性截肢的人报告残疾率极高,
行走受限是他们的头号功能问题。生物行为干预
传统的假肢康复是一个适当的时机,以解决步行行为,
变革的动力。然而,假肢训练指南不包括步行生物行为
干预因此,本II期临床试验的目的是:1)测试步行的益处
生物行为干预,以改善习惯性日常步行活动; 2)确定潜在的
在康复中实施步行生物行为干预,
评估干预措施的覆盖范围、有效性、采用、实施和维持情况。本试验
提出了一种替代战略,以改善生活质量和减少残疾的服务不足,医疗
复杂的慢性病人群。该试验直接与NIH资助机会保持一致
公告PA-18-146,寻求自我管理干预的临床研究,
需要帮助的人的生活质量,以优化功能,预防/延迟残疾,
环境
英文摘要
PROJECT SUMMARY / ABSTRACT
The ultimate goal of this line of research is to optimize quality of life and minimize disability for people
with dysvascular lower limb amputation through improved physical activity self-management. An initial
step toward that goal is to test our walking biobehavioral intervention. Our overarching hypothesis is that
implementing walking biobehavioral intervention for people recovering from dysvascular lower limb amputation,
a disease characterized by multiple chronic conditions, will improve health self-management, as measured by
increased habitual physical activity. The complex, comorbid nature of dysvascular amputation requires
extended healing time and unique approaches to recovery compared to amputation from traumatic causes.
Chronic sedentary behaviors that are present before amputation become more obvious when compounded by
the effects of limb loss. As a result, people with dysvascular amputation report extremely high disability and
walking limitation as their number one functional problem. Biobehavioral intervention integrated within
conventional prosthesis rehabilitation is an opportune time to address walking behaviors by capitalizing on
motivation for change. However, prosthetic training guidelines do not include walking biobehavioral
intervention. Therefore, the purposes of this Phase II clinical trial are to: 1) test the benefit of walking
biobehavioral intervention for improving habitual daily walking activity and 2) determine the potential
for implementing the walking biobehavioral intervention in rehabilitation by performing initial
assessments of intervention reach, efficacy, adoption, implementation, and maintenance. This trial
presents an alternative strategy for improving quality of life and reducing disability in an underserved, medically
complex, chronic disease population. The trial is directly aligned with the NIH Funding Opportunity
Announcement PA-18-146, which seeks clinical research on self-management interventions that improve
quality of life in persons needing assistance to optimize function, prevent/delay disability, and navigate their
environment.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
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批准号:10534859
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项目类别:
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资助金额:$0.0万
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财政年份:2022
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负责人:Cory L Christiansen
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批准号:10261384
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财政年份:2019
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负责人:Cory L Christiansen
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依托单位:
Improving health self-management using walking biobehavioral intervention for people with dysvascular lower limb amputation
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批准号:10402923
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项目类别:
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资助金额:$38.54万
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财政年份:2019
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批准号:10067376
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批准号:10672175
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财政年份:2017
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批准号:10329916
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资助金额:$0.0万
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财政年份:2017
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依托单位:
Physical Activity Behavior Change for Older Veterans after Dysvascular Amputation
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批准号:9274852
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项目类别:
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资助金额:$0.0万
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财政年份:2016
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负责人:Cory L Christiansen
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依托单位:
Physical Activity Behavior Change for Older Veterans after Dysvascular Amputation
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批准号:9135095
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项目类别:
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资助金额:$0.0万
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财政年份:2016
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负责人:Cory L Christiansen
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依托单位:
海外基金