Stepped Care vs Center-based Cardiopulmonary Rehabilitation for Older Frail Adults Living in Rural MA
NCT05562037 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 139
Last updated 2025-07-24
Summary
This feasibility trial will focus on older adults 60+ who are candidates for cardiac or pulmonary rehabilitation and who are vulnerable, mildly or moderately frail. The investigators will randomize older frail adults living in rural regions of the county to Treatment as usual (TAU) or Stepped care (SC). TAU refers to center-based rehabilitation (CBR). Patients randomized to SC will be enrolled in traditional CBR and based on prespecified non-response criteria, will step up to three services: 1) Transportation-subsidized CBR, 2) Home-based telerehabilitation (TR), and 3) Community health worker-(CHW) supported home-based TR.
Conditions
- Angina, Stable
- Congestive Heart Failure
- Chronic Obstructive Pulmonary Disease
Interventions
- OTHER
-
Stepped Care
Patients meeting a non-response criterion will be stepped up to the next step
Sponsors & Collaborators
-
Berkshire Medical Center
collaborator OTHER -
Peter Lindenauer, MD
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-08
- Primary Completion
- 2025-03-30
- Completion
- 2025-03-30
Countries
- United States
Study Locations
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