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CompletedNCT02743143LEXUSUpdated Oct 3, 2019

Long-Term Exercise Training Therapy Versus Usual Care in Patients With Schizophrenia

An interventional study of Exercise therapy and Follow-up care as usual in Schizophrenia, sponsored by St. Olavs Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-03.

Sponsored by St. Olavs Hospital · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Patients with schizophrenia have disabling symptoms and cognitive deficits that limit motivation, drive, social- and occupational performance, quality of life and self-efficacy. Schizophrenia also leads to a high risk of dying from cardiovascular disease. Explanatory trials suggest that exercise improves cognitive functioning, symptoms, and quality of life, and reduces the risk of cardiovascular disease. However, due to this illness, the participation in regular exercise is challenging. In this study it will be tested if patients with schizophrenia can participate in long-term exercise therapy, and whether long-term supervised exercise therapy is more beneficial than today's usual care.

02

Conditions studied

  • Schizophrenia

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Keywords

  • Exercise therapy
  • Cardiovascular disease
  • Risk
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 48 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

St. Olavs Hospital is the lead sponsor of 165 studies on the registry; 30 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • International Classification of Diseases (ICD-10) schizophrenia, schizotypal or delusional disorders (F20 to F29)
  • able to carry out long-term exercise.
  • capable of giving informed consent.

Exclusion criteria

Exclusion Criteria:

  • contra-indication for exercise training and testing according to the American College of Sports Medicine (ACSM) specifications (life threatening or terminal medical conditions; not able to carry out intervention or test procedures; current pregnancy; mothers less than 6 months post-partum).
  • patients under admittance to an acute psychiatric ward.
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Exercise therapy

    High aerobic intensity training and maximal strength training 2 times per week in 1 year at the Hospital's Exercise Training Clinic. Patients receive comprehensive support from Trondheim municipal administration to facilitate adherence.

    Behavioral: Exercise therapy

  • Active comparator
    Follow-up care as usual

    The usual care (UC) group will receive the usual physical activity offered by the primary health care system. UC includes the traditional physical activity advice from the Health Directorate. The UC group are invited to supervised exercise at the exercise training Clinic after 1 year.

    Other: Follow-up care as usual

Interventions

  • BehavioralExercise therapy
  • OtherFollow-up care as usual
06

What researchers measure

Primary outcomes

  1. Change in peak oxygen uptake.

    Peak oxygen uptake after the training period subtracted Peak oxygen uptake at baseline.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

Secondary outcomes

  1. Change in physical activity.

    Activity counts measured by Actigraph after the training period subtracted Actigraph measurements at baseline.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  2. Changes in walking economy.

    Walking economy (oxygen uptake at a standard workload) after the training period subtracted walking economy at baseline.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  3. Real world functional behavior

    Specific levels of functioning scale (SLOF).

    Time frame: Baseline, 1 year, 2 years.

  4. Functional competence

    University of California San Diego Performance-Based Skills Assessments (UPSA-Brief).

    Time frame: Baseline,1 year, 2 years.

  5. Hospital stays and contact with health care providers.

    Registrations from patient journals

    Time frame: Baseline, 1 year, 2 years.

  6. Balance

    Single leg stance. Measured in seconds.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  7. Sit-to-stand test

    30-second sit-to-stand test. Number of full stands in 30 seconds.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  8. Walking performance

    6-minute walk test. Performance measured in meters.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  9. Stair performance

    Stair test. Participants are instructed to ascend and descend 18 steps 3 consecutive times. Performance measured in seconds.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  10. Clinical symptoms.

    Positive and Negative Syndrome Scale (PANSS).

    Time frame: Baseline, 1 year, 2 years.

  11. Global functioning

    Global Assessment of Functioning Scale (GAFs and GAFf)

    Time frame: Baseline, 1 year, 2 years.

  12. Quality of life.

    SF-36® Health Survey (SF-36)

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  13. Quality-adjusted life year

    EuroQol five dimensions questionnaire (EQ-5D)

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  14. Morning fasting blood levels.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  15. Tobacco

    Tobacco use measured by Fagerströms.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  16. Alcohol and substance abuse

    Substance abuse are measured by the Alcohol and Drug Use Disorder Identification test (AUDIT and DUDIT).

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  17. Motivation

    Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2).

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  18. Readiness/confidence to change

    Rulers (0-10 scale: readiness, importance, confidence).

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  19. Client Satisfaction

    Client Satisfaction Questionnaire (CSQ-8).

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  20. Changes in maximal strength.

    Maximal strength (measures as 1 repetition maximum (1RM)) after the training period subtracted 1RM at baseline.

    Time frame: Baseline, 12 weeks, 1 year, 2 years.

  21. Patient activation

    Patient Activation Measure (PAM-13 GH)

    Time frame: Baseline, 1 week, 12 weeks, 6 months, 1 year, 2 years

  22. Patient activation

    Patient Activation Measure (PAM-13 MH)

    Time frame: Baseline, 1 week, 12 weeks, 6 months, 1 year, 2 years

07

Study locations

1 site
  • St. Olavs University Hospital, Division of Psychiatry, Department of Østmarka
    Trondheim, Norway
08

References and documents

Publications

  • Brobakken MF, Nygard M, Guzey IC, Morken G, Reitan SK, Heggelund J, Wang E, Vedul-Kjelsaas E. Aerobic interval training in standard treatment of out-patients with schizophrenia: a randomized controlled trial. Acta Psychiatr Scand. 2019 Dec;140(6):498-507. doi: 10.1111/acps.13105. Epub 2019 Oct 16. PubMed 31565796 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02743143
Lead sponsor
St. Olavs Hospital
Collaborators
Trondheim Kommune, Norwegian University of Science and Technology
Responsible party
Sponsor
First posted
Apr 19, 2016
Start date
Dec 2015
Primary completion
Jun 2018
Completion
Jun 2018
Last update
Oct 3, 2019

Study contacts

Gunnar Morken, PhD
study director · St. Olavs University Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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