300 Participants Needed

Smartphone-Based Cardiac Rehab for Cardiovascular Disease

AS
Overseen ByAmit Shah, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Emory University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of this study is to determine if a remote cardiac or pulmonary rehabilitation program delivered via a smartphone application and regular telephone calls will lead to improved delivery of cardiac rehabilitation compared to usual care. This includes increased adherence for eligible veterans, increased program completion, improved patient outcomes as measured by functional capacity, improved patient compliance in monitoring symptoms, improved self-efficacy and knowledge in managing disease and, a decreased rate of hospitalization and re-admissions.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

Is smartphone-based cardiac rehabilitation safe for humans?

Research on smartphone-based cardiac rehabilitation shows it is generally safe for humans, with studies indicating high levels of patient satisfaction and improvements in health measures like blood pressure and exercise capacity.12345

How does the smartphone-based cardiac rehab treatment differ from other treatments for cardiovascular disease?

The smartphone-based cardiac rehab treatment is unique because it allows patients to participate in rehabilitation from home using a mobile app, which provides daily exercise reminders, vital logging, and educational materials. This approach offers a convenient alternative to traditional hospital-based programs, potentially increasing patient engagement and satisfaction.23467

What data supports the effectiveness of the treatment Movn Pulmonary Rehabilitation, MULTIFIT Cardiac Rehabilitation, and Standard of Care Cardiac Rehabilitation for cardiovascular disease?

Research shows that using mobile technology in cardiac rehabilitation can improve heart function, exercise tolerance, and quality of life for heart failure patients. Virtual healthcare solutions, including mobile apps and wearable devices, have been found to enhance adherence to cardiac rehabilitation and improve physical activity and quality of life.12458

Who Is on the Research Team?

AJ

Amit J Shah, MD

Principal Investigator

Emory University

Are You a Good Fit for This Trial?

This trial is for veterans who've had a heart attack in the last year, stable chest pain, heart surgery like bypass or valve replacement, angioplasty or stenting, heart transplants, or other specific heart conditions. They must be eligible for cardiac rehab and not have uncontrolled health issues like severe diabetes or high blood pressure.

Inclusion Criteria

I have had a heart or heart-lung transplant.
My chest pain is stable and not worsening.
You have a diagnosis from a specific doctor referred for this study.
See 5 more

Exclusion Criteria

I do not have a fever or any sudden illness.
I have symptoms of heart failure that affect my daily activities.
I have a condition that affects blood flow to my limbs and prevents me from exercising.
See 12 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a smartphone-delivered in-home cardiac or pulmonary rehabilitation program

12 weeks
Regular telephone calls and app-based interactions

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks
In-person visits at Week 12 and Week 24

What Are the Treatments Tested in This Trial?

Interventions

  • Movn Pulmonary Rehabilitation
  • MULTIFIT Cardiac Rehabilitation
  • Standard of Care Cardiac Rehabilitation
Trial Overview The study tests if a smartphone app and phone calls can help deliver better cardiac rehabilitation at home compared to usual care. It looks at whether patients stick with the program better, manage their symptoms well, learn more about their condition, and if it reduces hospital visits.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: Pulmonary Rehabilitation - Movn ProgramExperimental Treatment1 Intervention
Participants with stable chronic obstructive pulmonary disease (COPD) or hospitalized with an acute exacerbation of COPD will undergo an in-home pulmonary rehabilitation program.
Group II: Cardiac Rehabilitation - Movn ProgramExperimental Treatment1 Intervention
Participants with coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD) who are eligible for cardiac rehabilitation will undergo an in-home program.
Group III: Traditional Cardiac RehabilitationActive Control1 Intervention
Participants enrolled in a facility's traditional cardiac rehabilitation program will be seen at baseline and during a 12 and 24 week follow-up visit.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Emory University

Lead Sponsor

Trials
1,735
Recruited
2,605,000+

Atlanta VA Medical Center

Collaborator

Trials
28
Recruited
69,700+

Published Research Related to This Trial

A study involving 60 heart failure patients showed that those receiving home cardiac rehabilitation guided by mobile Internet technology had significantly better outcomes in exercise tolerance and quality of life after 12 weeks compared to those receiving standard rehabilitation.
The observation group demonstrated improved cardiac function, as indicated by better results in the 6-minute walking test and other cardiac health metrics, highlighting the efficacy of mobile technology in enhancing patient compliance and rehabilitation outcomes.
Effect of Mobile Internet Technology in Health Management of Heart Failure Patients Guiding Cardiac Rehabilitation.Liu, T., Liu, M.[2023]
Mobile technologies, including wearable activity monitors and virtual rehabilitation solutions, have the potential to enhance adherence to cardiac rehabilitation, which is crucial for improving quality of life and reducing hospitalizations.
The review of 113 studies showed mixed results regarding the efficacy of virtual cardiac rehabilitation compared to traditional methods, but highlighted the importance of user adherence and long-term engagement as key benefits of these technologies.
Virtual healthcare solutions for cardiac rehabilitation: a literature review.Lee, KCS., Breznen, B., Ukhova, A., et al.[2023]
This review aims to evaluate how effective activity-monitoring devices and mobile applications are in improving physical activity and health outcomes for patients with cardiovascular disease undergoing cardiac rehabilitation, highlighting their potential role in supporting long-term exercise habits.
The review will analyze systematic reviews and meta-analyses of randomized controlled trials, ensuring a comprehensive assessment of the impact of these technologies on patient outcomes, with a focus on varying effectiveness based on patient characteristics and rehabilitation stages.
Effectiveness of activity-monitoring devices in patients with cardiovascular disease participating in cardiac rehabilitation programs: an umbrella review protocol.Dafny, HA., Champion, S., Gebremichael, LG., et al.[2023]

Citations

Effect of Mobile Internet Technology in Health Management of Heart Failure Patients Guiding Cardiac Rehabilitation. [2023]
Virtual healthcare solutions for cardiac rehabilitation: a literature review. [2023]
Effectiveness of activity-monitoring devices in patients with cardiovascular disease participating in cardiac rehabilitation programs: an umbrella review protocol. [2023]
Long-term follow-up with a smartphone application improves exercise capacity post cardiac rehabilitation: A randomized controlled trial. [2023]
A Structured Review of Commercially Available Cardiac Rehabilitation mHealth Applications Using the Mobile Application Rating Scale. [2023]
Feasibility of a Smartphone-enabled Cardiac Rehabilitation Program in Male Veterans With Previous Clinical Evidence of Coronary Heart Disease. [2023]
Effectiveness of smartphone-assisted cardiac rehabilitation: a systematic review and meta-analysis. [2023]
Efficacy of Smartphone-Based Secondary Preventive Strategies in Coronary Artery Disease. [2022]
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