Home-based walking program for veterans with peripheral artery disease

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates two methods of delivering a home-based walking program for veterans with peripheral artery disease (PAD). Participants will be randomized to receive either a web-based or telehealth-delivered walking program, or usual care. The program includes step count goals, healthy walking information, and motivational messages, and lasts for a total of 36 weeks. The study aims to assess improvements in walking distance and quality of life among participants. Additionally, those who do not respond to their initial program may be re-randomized to a combination of both delivery methods.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Men and women
* Diagnosis of lower extremity PAD due to atherosclerosis
* Claudication with walking defined as stage 1-3 on the Rutherford Scale
* Medical clearance from the patient's primary care provider or vascular care provider
* Ability to walk at least one city block
* Self-reported sedentary behaviors defined as \< 150 minutes per week of physical activity
* Access to a phone and/or email \& Internet
* Competent to provide informed consent

Exclusion Criteria:

* Life expectancy of less than six months
* Comorbidities that limit walking to a severe degree (i.e., wheelchair-bound)
* Resident of a nursing home
* Recent enrollment in an exercise program or performing 150 minutes per week or more of exercise
* Planned revascularization or amputation in the next two months
* Recent CVD events (\< 3 months) including stroke/TIA, MI, UA, PCI/CABG
* Unstable cardiac conditions (severe valve disease, NYHA class III-IV heart failure, untreated complex congenital heart disease, or complex arrhythmias)
* Current substance abuse
* Psychiatric disorder which limits the patient's ability to follow the study protocol
* Pregnancy
* Inability to speak and read English

Where it's running

• VA Palo Alto Health Care System, Palo Alto, CA
  Palo Alto, California, United States Recruiting
• Birmingham VA Medical Center, Birmingham, AL
  Birmingham, Alabama, United States Not yet recruiting
• Rocky Mountain Regional VA Medical Center, Aurora, CO
  Aurora, Colorado, United States Not yet recruiting

Study contacts

• Principal investigator: Elizabeth A Jackson, MD — Birmingham VA Medical Center, Birmingham, AL
• Study coordinator: Elizabeth A Jackson, MD
• Email: elizabeth.jackson2@va.gov
• Phone: (205) 933-8101

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.