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Mobile Subthreshold Exercise Program for Concussion

Sponsor:
Collaborators:
Information provided by (Responsible Party):
Sara Chrisman,Seattle Children's Hospital
September 27, 2018
October 1, 2018
October 1, 2018
March 6, 2018
September 1, 2019   (Final data collection date for primary outcome measure)
Change in Health Behavior Inventory (HBI)[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
Self-report questionnaire regarding concussive symptoms

Same as current
  • Change in Pediatric Quality of Life Inventory (PedsQL)[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire regarding Health-related quality of life
  • Change in Fear of pain questionnaire (FOPQ)-P/C, adapted for concussion[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire completed by parent and child regarding their fear of concussive symptoms and avoidance of activities that might produce concussive symptoms
  • Change in Patient Health Questionnaire 9 (PHQ-9)[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire of depression symptoms
  • Change in PROMIS Positive affect[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire of positive mood levels
  • Change in moderate to vigorous physical activity (MVPA)[ Time Frame: Change from baseline to 6 weeks ]
    Average minutes per day of MVPA, measured using hip-mounted accelerometry
  • Change in Adolescent Sleep Wake Scale (ASWS)[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report 10-item questionnaire regarding difficulty falling asleep, night wakenings and other sleep issues
  • Change in Sport participation questionnaire[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire regarding sporting and recreational activities that a youth participated in that week
  • Change in Physical activity parenting[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire (completed by parents) regarding their approach to physical activity with their child.
  • Change in Adult responses to child's symptoms (ARCS), adapted for concussion[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire regarding parenting responses to child's concussive symptoms
  • Change in Generalized anxiety disorder--7 item (GAD7)[ Time Frame: Trajectory over 6 weeks (baseline, 3 weeks, 6 weeks) ]
    Self-report questionnaire regarding anxiety symptoms (7-item)
 

Mobile Subthreshold Exercise Program for Concussion

Mobile Subthreshold Exercise Program (M-STEP) for Concussion

Non-randomized pilot intervention using mobile-administered sub-threshold exercise to treat youth with prolonged symptoms of concussion.

6-week pilot study of a novel intervention for concussion, administering a sub-threshold exercise program in a mobile fashion using video conferencing and providing feedback using wrist-worn accelerometry and heart rate monitoring.
Interventional
N/A
Allocation:
Intervention Model: Single Group Assignment
Intervention Model Description: All youth will receive the intervention
Masking: Interventional
Masking Description:
Primary Purpose: Treatment
  • Behavioral: M-STEP
    Youth will be assessed using actigraphy at baseline, and will then be asked to exercise for 1) a duration of 10 minutes > MVPA at baseline with 2) HR>120 while being monitored by a Fitbit. Youth will be asked to exercise daily, and intensity and duration will be increased every few days for a goal of 60 minutes per day at a HR>140 (low end of MVPA). The intervention will be 6 weeks in duration.
  • Experimental: M-STEP
    Mobile exercise intervention
 
Recruiting
30
Same as current
September 1, 2019
September 1, 2019   (Final data collection date for primary outcome measure)
Inclusion Criteria: - Concussion diagnosed by a healthcare provider that occurred 2 weeks-6 months ago - Continued symptoms with at least 3 symptoms on the HBI and a score of 20+ - No other issues that would preclude physical activity - Parents and youth are English-speaking Exclusion Criteria: - Already participating in >30 minutes of MVPA/day
Sexes Eligible for Study: All
9 Years and older   (Adult, Older Adult)
No
United States
 
 
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
Sara Chrisman,Seattle Children's Hospital
Seattle Children's Hospital
Principal Investigator: Sara PD Chrisman, MD, MPH Seattle Children's Research Institute
Seattle Children's Hospital
September 2018

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