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Trial registered on ANZCTR
Registration number
ACTRN12612000378820
Ethics application status
Approved
Date submitted
30/03/2012
Date registered
3/04/2012
Date last updated
9/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial of thermals to prevent heart failure
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Scientific title
A randomised controlled trial of thermals to prevent further heart failure hospitalisations in heart failure patients
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Secondary ID [1]
280253
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heart failure
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Condition category
Condition code
Cardiovascular
286417
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a two arm trial using a 1:1 ratio. Patients in the treatment arm will receive: two pairs of thermal hats and tops, a digital thermometer (with a large display and a battery fitted), and a laminated instruction sheet on when they should wear the thermals. The patients are asked to put the digital thermometer by their bed to help them judge when to wear the thermals. The instruction sheet recommends they wear the thermals when:
1. The indoor temperature is below 18 degrees C when they wake up (for day wear).
2. The indoor temperature is below 18 degrees C degrees when they go to bed (for night wear).
3. Before they go outside for 10 minutes or more and the outdoor temperature is below 18 degrees C.
The instruction sheet recommends they remove the thermals (hat and/or top) if they feel hot or sweaty.
The patients will be recruited at the start of winter (May 2012) and followed-up in the spring (October 2012).
This is a pilot study.
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Intervention code [1]
284600
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Prevention
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Comparator / control treatment
Patients in the control arm will receive the usual care, as they will get no extra clothes or instructions.
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Control group
Active
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Outcomes
Primary outcome [1]
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Number of days in hospital from a retrospective review of the patients records at the end of winter.
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Assessment method [1]
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Timepoint [1]
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May to October 2012
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Secondary outcome [1]
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Self-rated health using the single SF-36 questionnaire ("In general, would you say your current health is", 5 responses from "Excellent" to "Poor"). This will be collected via a telephone follow-up in October 2012.
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Assessment method [1]
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Timepoint [1]
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1/10/2012
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Secondary outcome [2]
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Self-reported number of GP visits in the last month. This will be collected via a telephone follow-up in October 2012.
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Assessment method [2]
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Timepoint [2]
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1/10/2012
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Eligibility
Key inclusion criteria
1. Patient has signed and understood the informed consent form
2. Suffered a heart failure event in the systolic dysfunction category in the last month
3. Living in Queensland
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Pregnant women
2. People living in a residential care facility
3. People with incontinence
4. People unable to give consent
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The patients will be recruited via the cardiology clinic at The Prince Charles Hospital. After patients have consented the research nurse will open a sealed opaque envelope containing the treatment allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation in a 1:1 ratio. The list will be generated using the R software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/05/2012
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Actual
21/06/2012
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Date of last participant enrolment
Anticipated
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Actual
31/07/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
55
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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The Prince Charles Hospital - Chermside
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Recruitment postcode(s) [1]
5168
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4032
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Queensland University of Technology
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Address [1]
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60 Musk Avenue, Kelvin Grove, QLD 4053
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Prince Charles Hospital
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Address
Rode Road, Chermside, Queensland 4032
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Wilderness Wear Aust. Pty Ltd
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Address [1]
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PO Box 2253, Kew, Victoria 3101
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Country [1]
283879
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Prince Charles Hospital Ethics Committee
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Ethics committee address [1]
287018
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/04/2012
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Approval date [1]
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20/06/2012
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Ethics approval number [1]
287018
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HREC/12/QPCH/79
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Summary
Brief summary
Rates of heart failure hospitalisations and deaths in Brisbane increase greatly in winter and in cold weather. Many events could be avoided if people took better measures to protect themselves against the outdoor temperature. A simple and cheap protective measure is thermal clothing. We will randomise patients who have a heart failure event at the start of winter to either a control group, or a treatment group who will receive two pairs of thermal tops and hats. At the end of winter we will retrospectively examine their hospital records to compare the length of time spent in hospital. We will contact all participants by phone at the end of winter to ask them about their self-rated health and their compliance with the thermals. This is a pilot study of 100 patients that will lead to a larger study if the results are promising.
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Trial website
Nil
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Trial related presentations / publications
The benefits of thermal clothing during winter in patients with heart failure: a pilot randomised controlled trial. BMJ Open 2013;3:e002799 doi:10.1136/bmjopen-2013-002799
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Adrian Barnett
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Address
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Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, QLD 4053
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Country
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Australia
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Phone
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61731386010
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Adrian Barnett
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Address
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Queensland University of Technology
60 Musk Avenue
Kelvin Grove
QLD 4053
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Country
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Australia
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Phone
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+61-7-3138 6010
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Fax
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+61-7-3138 6030
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Email
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[email protected]
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Contact person for scientific queries
Name
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Adrian Barnett
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Address
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Queensland University of Technology
60 Musk Avenue
Kelvin Grove
QLD 4053
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Country
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Australia
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Phone
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+61-7-3138 6010
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The benefits of thermal clothing during winter in patients with heart failure: a pilot randomised controlled trial
2013
https://doi.org/10.1136/bmjopen-2013-002799
N.B. These documents automatically identified may not have been verified by the study sponsor.
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