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Financial InceNtives for cArdiac rehabilitioN ComplEtion (FINANCE) (Single blind Pragmatic RCT)

Status Approved

  • First Submitted Date

    2021/03/29

  • Registered Date

    2021/04/07

  • Last Updated Date

    2022/12/16

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0006063
    Unique Protocol ID CNUH-2021-100
    Public/Brief Title Financial InceNtives for cArdiac rehabilitioN ComplEtion (FINANCE) (Single blind Pragmatic RCT)
    Scientific Title Financial InceNtives for cArdiac rehabilitioN ComplEtion (FINANCE) (Single blind Pragmatic RCT)
    Acronym FINANCE
    MFDS Regulated Study No
    IND/IDE Protocol No
    Registered at Other Registry No
    Healthcare Benefit Approval Status Not applicable
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number CNUH-2021-100
    Approval Date 2021-03-29
    Institutional Review Board Name Chonnam national university hospital institutional review board
    Institutional Review Board Address 3dong 5 floor IRB administration office, Chonnam national university hospital, 42, Jebong-ro, Dong-gu, Gwangju
    Institutional Review Board Telephone 062-220-5257
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Jae -Young Han
    Title M.D.,Ph.D
    Telephone +82-62-220-5198
    Affiliation Chonnam National University Hospital
    Address Department of Physical medicine and Rehabilitation, 42, Jebong-ro, Dong-gu, Gwangju
    Contact Person for Public Queries
    Name Hae Young Yu
    Title B.S
    Telephone +82-62-1566-5186
    Affiliation Chonnam National University Hospital
    Address Department of Physical medicine and Rehabilitation, 42, Jebong-ro, Dong-gu, Gwangju
    Contact Person for Updating Information
    Name Min A Jeong
    Title B.S
    Telephone +82-62-220-5198
    Affiliation Chungnam National University Hospital
    Address Department of Physical medicine and Rehabilitation, 282 Munhwa-ro, Jung-gu Daejeon
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Multi-center Number of center : 2
    Overall Recruitment Status Recruiting
    Date of First Enrollment 2021-04-27 Actual
    Target Number of Participant 48
    Primary Completion Date 2023-06-30 , Anticipated
    Study Completion Date 2023-06-30 , Anticipated
    Recruitment Status by Participating Study Site 1
    Name of Study Chungnam National University Hospital
    Recruitment Status Recruiting
    Date of First Enrollment 2021-04-27 ,
    Recruitment Status by Participating Study Site 2
    Name of Study Chonnam National University Hospital
    Recruitment Status Recruiting
    Date of First Enrollment 2021-07-01 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name National Institute of Health
    Organization Type Government
    Project ID 2020ER630500
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Chonnam National University Hospital
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    (1) Research purpose
    This study intends to confirm the effect of enhancing the participation and completion rates in patients who are referred for cardiac rehabilitation by comparing those in the group that receives incentives and those in the group that does not receive incentives for cardiac rehabilitation.
    
    (2) Clinical research plan
    A total of 48 participants are required for this clinical research. Participants who voluntarily sign the participation consent form will be reviewed by the inclusion and exclusion criteria according to the clinical research plan. Once the participants are reviewed as suitable for this trial, they will be randomly assigned to the 'incentive group' or the 'control group' with 24 participants in each group. Exercise rehabilitation program will be conducted on both the groups three times a week for three months, for a total of 36 sessions. Evaluation will be conducted through baseline and chart review, after the end of the exercise rehabilitation program (3 months) and at 6 months and 12 months respectively.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
     Health Services Research
    Phase Not applicable
    Intervention Model Parallel  
    Blinding/Masking Single
    Blinded Subject Investigator, Outcome Accessor
    Allocation RCT
    Intervention Type Behavioral  
    Intervention Description
    The same 36 sessions of exercise rehabilitation program will be provided to both groups.
    Incentive provided to the group:
    - Incentives: 5,000 won each for the first 12 visits (1-12th session) (total 60,000 won), 10,000 won each for the next 12 visits (13th-24th session) (total 120,000 won), 15,000 won each for the last 12 visits (25th-36th session) (total 180,000 won), and transportation expenses of 360,000 won will be paid if the participant attends all 36 sessions.
    The control group will not receive any payment.
    Number of Arms 2
    Arm 1

    Arm Label

    Incentive group

    Target Number of Participant

    24

    Arm Type

    Experimental

    Arm Description

    : Incentive will be provided for participation in all 36 outpatient exercise programs.
    - Incentives: 5,000 won each for the first 12 visits (1-12th session) (total 60,000 won), 10,000 won each for the next 12 visits (13th-24th session) (total 120,000 won), 15,000 won each for the last 12 visits (25th-36th session) (total 180,000 won), and transportation expenses of 360,000 won will be paid if the participant attends all 36 sessions.
    Arm 2

    Arm Label

    control group

    Target Number of Participant

    24

    Arm Type

    No intervention

    Arm Description

    Control and incentive groups both will participate in the same 36 outpatient exercise programs.
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (I00-I99)Diseases of the circulatory system 
       (I25.9)Chronic ischaemic heart disease, unspecified 

    Cardiovascular disease
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    19Year~84Year

    Description

    : Male and female patients aged ≥19 years or above and <85 years
    : Patients who have been hospitalized for cardiovascular disease and are referred for multidisciplinary cardiac rehabilitation consultation after acute treatment
    : Patients who consent to participate in cardiac rehabilitation and as participants of the research
    Exclusion Criteria
    : Patients who are contraindicated for cardiopulmonary test and exercise training or patients who have difficulties in participating in this study due to other medical reasons or are excluded as per the researcher’s discretion
    (Contraindications: unstable angina symptoms, acute myocardial infarction (within 2 days), uncontrolled ventricular arrhythmia, third-degree atrioventricular block without artificial pacemaker, acute congestive heart failure, severe aortic stenosis, acute systemic disease, thrombophlebitis, thrombosis, active or suspected myocarditis, pericarditis)
    : Patients who are judged to be at risk of developing serious health problems from the exercise training
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome Efficacy
    Primary Outcome(s) 1
    Outcome
    Cardiac rehabilitation participation rate (number of participations out of the 36 exercise programs)
    Timepoint
    3 months, at the end of the exercise program
    Primary Outcome(s) 2
    Outcome
    Cardiac rehabilitation completion rate (participation of patients in 18 or more out of 36 exercise programs)
    Timepoint
    3 months, at the end of the exercise program
    Primary Outcome(s) 3
    Outcome
    PROM (Patient-Reported Outcome Measures) (KASI, EQ-5D, PHQ-9, CCI, physical activity)
    Timepoint
    - Baseline, 3 months, 6 months, 12 months
    Secondary Outcome(s) 1
    Outcome
    Cardiopulmonary function index (VO2 max, VO2 at  AT, MET, etc.)
    Timepoint
    - Baseline, 3 months, 6 months, 12 months
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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