ID

39464

Description

Exploring Behavioral Interventions to Improve Heart Failure; ODM derived from: https://clinicaltrials.gov/show/NCT01625819

Lien

https://clinicaltrials.gov/show/NCT01625819

Mots-clés

  1. 13/01/2020 13/01/2020 -
Détendeur de droits

See clinicaltrials.gov

Téléchargé le

13 janvier 2020

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY 4.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

Eligibility Heart Failure NCT01625819

Eligibility Heart Failure NCT01625819

Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
1. ability to perform a 6-minute walk task, with or without use of a cane or walker (must use the same walking assistance device during each session), and walk under 500 meters during task.
Description

Ability Perform 6-Minute Walk Test | Cane user | Independent of Cane | Walker user | Independent of Walker | 6-Minute Walk Test Distance

Type de données

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0884358
UMLS CUI [1,3]
C0430515
UMLS CUI [2]
C0920240
UMLS CUI [3,1]
C0332291
UMLS CUI [3,2]
C0006856
UMLS CUI [4]
C0920121
UMLS CUI [5,1]
C0332291
UMLS CUI [5,2]
C0043016
UMLS CUI [6,1]
C0430515
UMLS CUI [6,2]
C0012751
2. symptoms of chronic heart failure for at least 3 months.
Description

Symptoms Chronic heart failure Duration

Type de données

boolean

Alias
UMLS CUI [1,1]
C1457887
UMLS CUI [1,2]
C0264716
UMLS CUI [1,3]
C0449238
3. clinically stable- defined as not having been hospitalized for a 3 month period, on stable doses of neurohormonal blocking agents and diuretics for at least 3 months.
Description

Stable status Clinical | Hospitalization Absent | Neurohormone antagonists Dose Stable | Diuretics Dose Stable

Type de données

boolean

Alias
UMLS CUI [1,1]
C0205360
UMLS CUI [1,2]
C0205210
UMLS CUI [2,1]
C0019993
UMLS CUI [2,2]
C0332197
UMLS CUI [3,1]
C0597049
UMLS CUI [3,2]
C0243076
UMLS CUI [3,3]
C0178602
UMLS CUI [3,4]
C0205360
UMLS CUI [4,1]
C0012798
UMLS CUI [4,2]
C0178602
UMLS CUI [4,3]
C0205360
4. acc/aha stages b and c
Description

ACC-AHA Heart failure Classification Stage

Type de données

boolean

Alias
UMLS CUI [1,1]
C4072694
UMLS CUI [1,2]
C0018801
UMLS CUI [1,3]
C0008902
UMLS CUI [1,4]
C1306673
5. ability to perform light to moderate exercise (nyha functional class ii and iii)
Description

Ability Perform Light Exercise | Ability Perform Moderate Exercise | New York Heart Association Classification

Type de données

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0884358
UMLS CUI [1,3]
C1517883
UMLS CUI [2,1]
C0085732
UMLS CUI [2,2]
C0884358
UMLS CUI [2,3]
C1513375
UMLS CUI [3]
C1275491
6. presence of hf with an ejection fraction less than 40%, or diastolic dysfunction
Description

Heart failure | Cardiac ejection fraction | Diastolic dysfunction

Type de données

boolean

Alias
UMLS CUI [1]
C0018801
UMLS CUI [2]
C0232174
UMLS CUI [3]
C0520863
7. ability to give informed consent
Description

Informed Consent

Type de données

boolean

Alias
UMLS CUI [1]
C0021430
8. at least18 years of age
Description

Age

Type de données

boolean

Alias
UMLS CUI [1]
C0001779
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
1. history of recent myocardial infarction (1 month)
Description

Recent myocardial infarction

Type de données

boolean

Alias
UMLS CUI [1]
C1998297
2. angina not adequately managed with nitrates.
Description

Angina Pectoris | Nitrates Disease Management Inadequate

Type de données

boolean

Alias
UMLS CUI [1]
C0002962
UMLS CUI [2,1]
C0028125
UMLS CUI [2,2]
C0376636
UMLS CUI [2,3]
C0205412
3. aortic or mitral stenosis
Description

Aortic Valve Stenosis | Mitral Valve Stenosis

Type de données

boolean

Alias
UMLS CUI [1]
C0003507
UMLS CUI [2]
C0026269
4. coronary revascularization, mitral valve repair or any other cardiac surgery or implantation of a biventricular pacemaker within the past 6 months.
Description

Coronary revascularisation | Mitral valvuloplasty | Cardiac Surgery | Biventricular pacemaker insertion

Type de données

boolean

Alias
UMLS CUI [1]
C0877341
UMLS CUI [2]
C0396849
UMLS CUI [3]
C0018821
UMLS CUI [4]
C3805138
5. severe copd
Description

Severe chronic obstructive pulmonary disease

Type de données

boolean

Alias
UMLS CUI [1]
C0730607
6. recent stroke or significant cerebral neurologic impairment.
Description

Cerebrovascular accident | Neurologic Deficits cerebral

Type de données

boolean

Alias
UMLS CUI [1]
C0038454
UMLS CUI [2,1]
C0521654
UMLS CUI [2,2]
C0006104
7. active suicidality
Description

Suicidality

Type de données

boolean

Alias
UMLS CUI [1]
C3166387
8. currently participating in an exercise program.
Description

Participation Exercise Program

Type de données

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C0015259
UMLS CUI [1,3]
C3484370
9. currently taking mood stabilizers (e.g. lithium), benzodiazepines or antipsychotics.
Description

Mood Stabilizer | Lithium | Benzodiazepines | Antipsychotic Agents

Type de données

boolean

Alias
UMLS CUI [1]
C2917435
UMLS CUI [2]
C0023870
UMLS CUI [3]
C0005064
UMLS CUI [4]
C0040615
10. medications (steroids) and medical conditions affecting immune status not limited to grave's disease, rheumatoid arthritis, hashimoto's disease, sjogren's disease, lupus, multiple sclerosis
Description

Pharmaceutical Preparations Affecting Immunity | Steroids Affecting Immunity | Medical condition Affecting Immunity | Graves Disease | Rheumatoid Arthritis | Hashimoto Disease | Sjogren's Syndrome | Lupus Erythematosus | Multiple Sclerosis

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0392760
UMLS CUI [1,3]
C0020964
UMLS CUI [2,1]
C0038317
UMLS CUI [2,2]
C0392760
UMLS CUI [2,3]
C0020964
UMLS CUI [3,1]
C3843040
UMLS CUI [3,2]
C0392760
UMLS CUI [3,3]
C0020964
UMLS CUI [4]
C0018213
UMLS CUI [5]
C0003873
UMLS CUI [6]
C0677607
UMLS CUI [7]
C1527336
UMLS CUI [8]
C0409974
UMLS CUI [9]
C0026769

Similar models

Eligibility Heart Failure NCT01625819

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
C1512693 (UMLS CUI)
Ability Perform 6-Minute Walk Test | Cane user | Independent of Cane | Walker user | Independent of Walker | 6-Minute Walk Test Distance
Item
1. ability to perform a 6-minute walk task, with or without use of a cane or walker (must use the same walking assistance device during each session), and walk under 500 meters during task.
boolean
C0085732 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
C0430515 (UMLS CUI [1,3])
C0920240 (UMLS CUI [2])
C0332291 (UMLS CUI [3,1])
C0006856 (UMLS CUI [3,2])
C0920121 (UMLS CUI [4])
C0332291 (UMLS CUI [5,1])
C0043016 (UMLS CUI [5,2])
C0430515 (UMLS CUI [6,1])
C0012751 (UMLS CUI [6,2])
Symptoms Chronic heart failure Duration
Item
2. symptoms of chronic heart failure for at least 3 months.
boolean
C1457887 (UMLS CUI [1,1])
C0264716 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Stable status Clinical | Hospitalization Absent | Neurohormone antagonists Dose Stable | Diuretics Dose Stable
Item
3. clinically stable- defined as not having been hospitalized for a 3 month period, on stable doses of neurohormonal blocking agents and diuretics for at least 3 months.
boolean
C0205360 (UMLS CUI [1,1])
C0205210 (UMLS CUI [1,2])
C0019993 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C0597049 (UMLS CUI [3,1])
C0243076 (UMLS CUI [3,2])
C0178602 (UMLS CUI [3,3])
C0205360 (UMLS CUI [3,4])
C0012798 (UMLS CUI [4,1])
C0178602 (UMLS CUI [4,2])
C0205360 (UMLS CUI [4,3])
ACC-AHA Heart failure Classification Stage
Item
4. acc/aha stages b and c
boolean
C4072694 (UMLS CUI [1,1])
C0018801 (UMLS CUI [1,2])
C0008902 (UMLS CUI [1,3])
C1306673 (UMLS CUI [1,4])
Ability Perform Light Exercise | Ability Perform Moderate Exercise | New York Heart Association Classification
Item
5. ability to perform light to moderate exercise (nyha functional class ii and iii)
boolean
C0085732 (UMLS CUI [1,1])
C0884358 (UMLS CUI [1,2])
C1517883 (UMLS CUI [1,3])
C0085732 (UMLS CUI [2,1])
C0884358 (UMLS CUI [2,2])
C1513375 (UMLS CUI [2,3])
C1275491 (UMLS CUI [3])
Heart failure | Cardiac ejection fraction | Diastolic dysfunction
Item
6. presence of hf with an ejection fraction less than 40%, or diastolic dysfunction
boolean
C0018801 (UMLS CUI [1])
C0232174 (UMLS CUI [2])
C0520863 (UMLS CUI [3])
Informed Consent
Item
7. ability to give informed consent
boolean
C0021430 (UMLS CUI [1])
Age
Item
8. at least18 years of age
boolean
C0001779 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Recent myocardial infarction
Item
1. history of recent myocardial infarction (1 month)
boolean
C1998297 (UMLS CUI [1])
Angina Pectoris | Nitrates Disease Management Inadequate
Item
2. angina not adequately managed with nitrates.
boolean
C0002962 (UMLS CUI [1])
C0028125 (UMLS CUI [2,1])
C0376636 (UMLS CUI [2,2])
C0205412 (UMLS CUI [2,3])
Aortic Valve Stenosis | Mitral Valve Stenosis
Item
3. aortic or mitral stenosis
boolean
C0003507 (UMLS CUI [1])
C0026269 (UMLS CUI [2])
Coronary revascularisation | Mitral valvuloplasty | Cardiac Surgery | Biventricular pacemaker insertion
Item
4. coronary revascularization, mitral valve repair or any other cardiac surgery or implantation of a biventricular pacemaker within the past 6 months.
boolean
C0877341 (UMLS CUI [1])
C0396849 (UMLS CUI [2])
C0018821 (UMLS CUI [3])
C3805138 (UMLS CUI [4])
Severe chronic obstructive pulmonary disease
Item
5. severe copd
boolean
C0730607 (UMLS CUI [1])
Cerebrovascular accident | Neurologic Deficits cerebral
Item
6. recent stroke or significant cerebral neurologic impairment.
boolean
C0038454 (UMLS CUI [1])
C0521654 (UMLS CUI [2,1])
C0006104 (UMLS CUI [2,2])
Suicidality
Item
7. active suicidality
boolean
C3166387 (UMLS CUI [1])
Participation Exercise Program
Item
8. currently participating in an exercise program.
boolean
C0679823 (UMLS CUI [1,1])
C0015259 (UMLS CUI [1,2])
C3484370 (UMLS CUI [1,3])
Mood Stabilizer | Lithium | Benzodiazepines | Antipsychotic Agents
Item
9. currently taking mood stabilizers (e.g. lithium), benzodiazepines or antipsychotics.
boolean
C2917435 (UMLS CUI [1])
C0023870 (UMLS CUI [2])
C0005064 (UMLS CUI [3])
C0040615 (UMLS CUI [4])
Pharmaceutical Preparations Affecting Immunity | Steroids Affecting Immunity | Medical condition Affecting Immunity | Graves Disease | Rheumatoid Arthritis | Hashimoto Disease | Sjogren's Syndrome | Lupus Erythematosus | Multiple Sclerosis
Item
10. medications (steroids) and medical conditions affecting immune status not limited to grave's disease, rheumatoid arthritis, hashimoto's disease, sjogren's disease, lupus, multiple sclerosis
boolean
C0013227 (UMLS CUI [1,1])
C0392760 (UMLS CUI [1,2])
C0020964 (UMLS CUI [1,3])
C0038317 (UMLS CUI [2,1])
C0392760 (UMLS CUI [2,2])
C0020964 (UMLS CUI [2,3])
C3843040 (UMLS CUI [3,1])
C0392760 (UMLS CUI [3,2])
C0020964 (UMLS CUI [3,3])
C0018213 (UMLS CUI [4])
C0003873 (UMLS CUI [5])
C0677607 (UMLS CUI [6])
C1527336 (UMLS CUI [7])
C0409974 (UMLS CUI [8])
C0026769 (UMLS CUI [9])

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial