Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
29 Sep 2020
Historique:
received: 24 07 2020
accepted: 08 09 2020
entrez: 30 9 2020
pubmed: 1 10 2020
medline: 21 10 2020
Statut: epublish

Résumé

Early reports indicate that COVID-19 may require intensive care unit (ICU) admission in 5-26% and overall mortality can rise to 11% of the recognised cases, particularly affecting the elderly. There is a lack of evidence-based targeted pharmacological therapy for its prevention and treatment. We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19. PROACTIVE-19 is a pragmatic, randomised controlled clinical trial with adaptive "sample size re-estimation" design. Hungarian population over the age of 60 years without confirmed COVID-19 will be approached to participate in a telephone health assessment and lifestyle counselling voluntarily. Volunteers will be randomised into two groups: (A) general health education and (B) personalised health education. Participants will go through questioning and recommendation in 5 fields: (1) mental health, (2) smoking habits, (3) physical activity, (4) dietary habits, and (5) alcohol consumption. Both groups A and B will receive the same line of questioning to assess habits concerning these topics. Assessment will be done weekly during the first month, every second week in the second month, then monthly. The composite primary endpoint will include the rate of ICU admission, hospital admission (longer than 48 h), and mortality in COVID-19-positive cases. The estimated sample size is 3788 subjects per study arm. The planned duration of the follow-up is a minimum of 1 year. These interventions may boost the body's cardiovascular and pulmonary reserve capacities, leading to improved resistance against the damage caused by COVID-19. Consequently, lifestyle changes can reduce the incidence of life-threatening conditions and attenuate the detrimental effects of the pandemic seriously affecting the older population. The study has been approved by the Scientific and Research Ethics Committee of the Hungarian Medical Research Council (IV/2428- 2 /2020/EKU) and has been registered at clinicaltrials.gov ( NCT04321928 ) on 25 March 2020.

Sections du résumé

BACKGROUND BACKGROUND
Early reports indicate that COVID-19 may require intensive care unit (ICU) admission in 5-26% and overall mortality can rise to 11% of the recognised cases, particularly affecting the elderly. There is a lack of evidence-based targeted pharmacological therapy for its prevention and treatment. We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19.
METHODS METHODS
PROACTIVE-19 is a pragmatic, randomised controlled clinical trial with adaptive "sample size re-estimation" design. Hungarian population over the age of 60 years without confirmed COVID-19 will be approached to participate in a telephone health assessment and lifestyle counselling voluntarily. Volunteers will be randomised into two groups: (A) general health education and (B) personalised health education. Participants will go through questioning and recommendation in 5 fields: (1) mental health, (2) smoking habits, (3) physical activity, (4) dietary habits, and (5) alcohol consumption. Both groups A and B will receive the same line of questioning to assess habits concerning these topics. Assessment will be done weekly during the first month, every second week in the second month, then monthly. The composite primary endpoint will include the rate of ICU admission, hospital admission (longer than 48 h), and mortality in COVID-19-positive cases. The estimated sample size is 3788 subjects per study arm. The planned duration of the follow-up is a minimum of 1 year.
DISCUSSION CONCLUSIONS
These interventions may boost the body's cardiovascular and pulmonary reserve capacities, leading to improved resistance against the damage caused by COVID-19. Consequently, lifestyle changes can reduce the incidence of life-threatening conditions and attenuate the detrimental effects of the pandemic seriously affecting the older population.
TRIAL REGISTRATION BACKGROUND
The study has been approved by the Scientific and Research Ethics Committee of the Hungarian Medical Research Council (IV/2428- 2 /2020/EKU) and has been registered at clinicaltrials.gov ( NCT04321928 ) on 25 March 2020.

Identifiants

pubmed: 32993779
doi: 10.1186/s13063-020-04733-0
pii: 10.1186/s13063-020-04733-0
pmc: PMC7522906
doi:

Banques de données

ClinicalTrials.gov
['NCT04321928']

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

809

Subventions

Organisme : European Regional Development Fund
ID : EFOP 3.6.2-16-2017-00006 - LIVE LONGER

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Auteurs

Bálint Erőss (B)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Translational Medicine Foundation, Szeged, Hungary.

Zsolt Molnár (Z)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Department of Anaesthesiology and Intensive Therapy, Poznan University for Medical Sciences, Poznan, Poland.

Zsolt Szakács (Z)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Noémi Zádori (N)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Lajos Szakó (L)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Szilárd Váncsa (S)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Márk Félix Juhász (MF)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Klementina Ocskay (K)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Nóra Vörhendi (N)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Katalin Márta (K)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Andrea Szentesi (A)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Translational Medicine Foundation, Szeged, Hungary.
Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.

Andrea Párniczky (A)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Heim Pál National Pediatric Institute, Budapest, Hungary.

Péter J Hegyi (PJ)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Szabolcs Kiss (S)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.
Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary.

Mária Földi (M)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.
Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary.

Fanni Dembrovszky (F)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.

Anna Kanjo (A)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Heim Pál National Pediatric Institute, Budapest, Hungary.

Piroska Pázmány (P)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Heim Pál National Pediatric Institute, Budapest, Hungary.

András Varró (A)

Department of Pharmacology and Pharmacotherapy, University of Szeged, Szeged, Hungary.

Árpád Csathó (Á)

Department of Behavioral Sciences, Medical School, University of Pécs, Pécs, Hungary.

Zsuzsanna Helyes (Z)

János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, Hungary.

Zoltán Péterfi (Z)

Division of Infectious Diseases, 1st Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.

László Czopf (L)

Division of Cardiology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.

István Kiss (I)

Department of Public Health, Medical School, University of Pécs, Pécs, Hungary.

Antal Zemplényi (A)

Health Technology Assessment Center, University of Pécs, Pécs, Hungary.
Division of Pharmacoeconomics, Department of Pharmaceutics, Faculty of Pharmacy, University of Pécs, Pécs, Hungary.

Dóra Czapári (D)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Eszter Hegyi (E)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Faculty of Law, University of Szeged, Szeged, Hungary.

Dalma Dobszai (D)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Emőke Miklós (E)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Attila Márta (A)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Dominika Tóth (D)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Richard Farkas (R)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.

Nelli Farkas (N)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.
Institute Bioanalysis, Medical School, University of Pécs, Pécs, Hungary.

Béla Birkás (B)

Department of Behavioral Sciences, Medical School, University of Pécs, Pécs, Hungary.

Erika Pintér (E)

János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, Hungary.

Gábor Pethő (G)

János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, Hungary.

Borbála Zsigmond (B)

Heim Pál National Pediatric Institute, Budapest, Hungary.

Andrea Sárközi (A)

Heim Pál National Pediatric Institute, Budapest, Hungary.

Anikó Nagy (A)

Heim Pál National Pediatric Institute, Budapest, Hungary.

Péter Hegyi (P)

Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary. p.hegyi@tm-centre.org.
Translational Medicine Foundation, Szeged, Hungary. p.hegyi@tm-centre.org.
János Szentágothai Research Centre, University of Pécs, Pécs, Hungary. p.hegyi@tm-centre.org.
Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary. p.hegyi@tm-centre.org.

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