132 Participants Needed

Telehealth Exercise Program for Cardiometabolic Health

(CHIME Trial)

JW
Overseen ByJereme Wilroy, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Alabama at Birmingham
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I have to stop taking my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Telehealth Exercise Program for Cardiometabolic Health is an effective treatment?

The available research shows that a home-based telehealth exercise program can be effective for people with cardiometabolic conditions. One study found that a 12-week tele-exercise program improved cardiorespiratory fitness and heart rate recovery, which are important for heart health. Another study highlighted that participants who completed a supervised exercise phase showed significant improvements in fitness indicators like weight, body mass index, and blood pressure. These findings suggest that telehealth exercise programs can help improve health outcomes for those with cardiometabolic issues.12345

What safety data exists for telehealth exercise programs for cardiometabolic health?

The safety data for exercise programs, including telehealth formats, indicates a low prevalence of adverse cardiometabolic responses when programs are evidence-based and individualized. High-intensity interval exercise (HIIE) shows a higher rate of adverse responses compared to moderate-intensity exercise, but with appropriate supervision and monitoring, it can be safe for clinically stable patients. Cardiovascular complications during exercise are rare, especially in medically supervised settings. Screening and gradual intensity increase are recommended to minimize risks. Overall, exercise programs, including virtual ones, are generally safe with proper precautions.678910

Is the Instructor-led, one-on-one exercise group a promising treatment for cardiometabolic health?

Yes, the Instructor-led, one-on-one exercise group is a promising treatment for cardiometabolic health. Research shows that exercise programs delivered through telehealth can improve fitness and health-related quality of life for people with cardiometabolic conditions. These programs are effective in increasing cardiorespiratory fitness and can be easily accessed from home, making them a convenient option for many people.1231112

What is the purpose of this trial?

The study aims to test the benefits of a 24-week, cardio-emphasized Movement-to-Music exercise program for reversing cardiometabolic health risk factors compared to asynchronous, standard exercise programs among 132 adult wheelchair users. The targeted cardiometabolic health factors are waist circumference, triglycerides, "good" cholesterol, glucose, and blood pressure. Additionally, a 12-week follow-up phase (weeks 25-36) is included to see whether the gains are maintained.

Research Team

JW

Jereme Wilroy, PhD

Principal Investigator

The University of Alabama at Birmingham

Eligibility Criteria

Adult wheelchair users with at least two cardiometabolic risk factors, who can exercise using their arms and have not been in a structured exercise program recently. They must speak English, get less than 90 minutes of moderate exercise weekly, and have internet access. Those with high-level tetraplegia or medical instability for home exercises are excluded.

Inclusion Criteria

I can use my arms to exercise.
No contraindication to exercise as informed by the Physical Activity Readiness Questionnaire (PAR-Q) (any contraindication will be reviewed by the participant's physician as a secondary approval method)
I mainly use a wheelchair or electric scooter to get around.
See 4 more

Exclusion Criteria

I have severe paralysis and cannot use my arms for exercise.
Medically unstable to perform home exercise as determined by their physician
No internet access determined via self-report and internet speed test

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Baseline Assessment

Participants complete baseline assessments including physical tests and questionnaires

1 week
1 visit (in-person) and online questionnaires

Treatment

Participants engage in a 24-week exercise program, either instructor-led or self-guided

24 weeks
3 sessions per week (combination of in-person and virtual)

Follow-up

Participants are monitored for maintenance of health improvements post-treatment

12 weeks
Assessments at 12 and 24 weeks, additional surveys at 36 weeks

Treatment Details

Interventions

  • Instructor-led, one-on-one exercise group
  • Self-guided control with virtual fitness membership
Trial Overview The trial is testing a 24-week live telehealth exercise training to improve heart health risks in wheelchair users. It compares self-guided workouts with virtual fitness memberships against instructor-led sessions. A follow-up phase checks if the online program helps maintain activity levels.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Group 1Experimental Treatment1 Intervention
Instructor-led, one-on-one M2M exercise group
Group II: Group 2Active Control1 Intervention
Self-guided control with pre-recorded standard exercise videos

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Alabama at Birmingham

Lead Sponsor

Trials
1,677
Recruited
2,458,000+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials
2,103
Recruited
2,760,000+

Findings from Research

A 12-week home-based telehealth exercise training program significantly increased physical activity levels and exercise capacity in patients with cardiometabolic multimorbidity, as shown by a randomized controlled trial involving 50 participants.
The program also improved health-related quality of life, particularly in physical function, indicating that telehealth exercise interventions can be effective and beneficial for patients managing multiple cardiometabolic conditions.
Effectiveness of a Home-Based Telehealth Exercise Training Program for Patients With Cardiometabolic Multimorbidity: A Randomized Controlled Trial.Chiang, SL., Shen, CL., Chen, LC., et al.[2021]
A 12-week tele-exercise training program significantly improved physical activity levels and cardiorespiratory fitness in patients with cardiometabolic multimorbidity, with 68 out of 83 participants completing the study.
Participants in the tele-exercise group showed enhanced heart rate recovery and increased measures of fitness, such as VO2peak and workload, compared to those receiving usual care, indicating the program's effectiveness in managing cardiometabolic health.
Effectiveness of a 12-week tele-exercise training program on cardiorespiratory fitness and heart rate recovery in patients with cardiometabolic multimorbidity.Chiang, SL., Shen, CL., Lee, MS., et al.[2023]
The home telehealth intervention, which included telephone counseling and video support, did not significantly impact weight maintenance among 88 obese or overweight African-American women after a weight loss program, with both groups showing minimal weight change.
Low usage of the digital video recorders (DVRs) suggests that the video content may not have been effectively utilized, indicating a potential barrier to the success of the telehealth intervention.
Video telehealth for weight maintenance of African-American women.Gerber, BS., Schiffer, L., Brown, AA., et al.[2022]

References

Effectiveness of a Home-Based Telehealth Exercise Training Program for Patients With Cardiometabolic Multimorbidity: A Randomized Controlled Trial. [2021]
Effectiveness of a 12-week tele-exercise training program on cardiorespiratory fitness and heart rate recovery in patients with cardiometabolic multimorbidity. [2023]
Video telehealth for weight maintenance of African-American women. [2022]
Impact of an exercise program on adherence and fitness indicators. [2017]
Development and a pilot test of an internet-based cardiovascular risk reduction program for Korean male workers with metabolic syndrome. [2022]
Cardiovascular complications during exercise training of cardiac patients. [2019]
The prevalence of adverse cardiometabolic responses to exercise training with evidence-based practice is low. [2020]
What Doesn't Kill You Makes You Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases. [2022]
Screening, safety, and adverse events in physical activity interventions: collaborative experiences from the behavior change consortium. [2022]
High-Intensity Interval Training for Patients With Cardiovascular Disease-Is It Safe? A Systematic Review. [2021]
11.United Statespubmed.ncbi.nlm.nih.gov
Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial. [2023]
12.United Statespubmed.ncbi.nlm.nih.gov
Providing Rural Veterans With Access to Exercise Through Gerofit. [2020]
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