Effectiveness of a Cardiac Telerehabilitation Program in Chronic Heart Failure
NCT07023536 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 205
Last updated 2026-03-11
Summary
The goal of this observational study is to evaluate whether a home-based cardiac tele-rehabilitation program can improve functional capacity in adults (18 years and older) with chronic heart failure. The main questions it aims to answer are:
Does tele-rehabilitation improve peak oxygen uptake (VO₂ max) compared to standard in-hospital rehabilitation? Does it improve cardiac function, exercise tolerance, biochemical markers, and quality of life? Are functional gains maintained at 24 weeks? Researchers will compare patients who opt for tele-rehabilitation using wearable devices and a remote monitoring platform with those undergoing standard in-person rehabilitation. Participants will follow an 8-week individualized training program and undergo assessments at baseline, 4, 8, 16, and 24 weeks.
Conditions
Interventions
- BEHAVIORAL
-
TELEREHABILITATION-YES
This intervention consists of a structured 8-week cardiac rehabilitation program performed at the patient's home using a certified telemedicine platform. Sessions are delivered in synchronous mode with real-time supervision by a physiotherapist through secure video conferencing. Each session includes warm-up, endurance training, and cooldown exercises, with personalized intensity based on cardiopulmonary exercise testing. Patients are equipped with wearable medical devices for continuous monitoring of vital signs (ECG, heart rate, blood pressure, oxygen saturation) and motion sensors to assess exercise execution and adherence. All data are transmitted securely and stored automatically in the system's database. In addition to the exercise protocol, participants undergo baseline and follow-up assessments including blood biomarkers, echocardiography, cardiopulmonary exercise testing, and quality-of-life questionnaires.
- BEHAVIORAL
-
TELEREHABILITATION-NO
This intervention involves a traditional 8-week cardiac rehabilitation program carried out at a hospital-based outpatient facility. Patients attend sessions in person under the direct supervision of a physiotherapist. Each session includes warm-up, endurance training using a stationary bike, and cooldown. Vital signs (e.g., heart rate, blood pressure, oxygen saturation) are monitored manually by the physiotherapist, and exercise tolerance is assessed using standardized clinical scales (e.g., Borg and RPE). In addition to the exercise protocol, participants undergo baseline and follow-up assessments including blood biomarkers, echocardiography, cardiopulmonary exercise testing, and validated quality-of-life questionnaires. This group serves as the control for evaluating the effectiveness of the home-based telerehabilitation model.
Sponsors & Collaborators
-
Azienda Ospedaliera OO.RR. S. Giovanni di Dio e Ruggi D'Aragona
collaborator OTHER -
University of Salerno
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-10
- Primary Completion
- 2026-07-01
- Completion
- 2026-12-01
Countries
- Italy
Study Locations
More Related Trials
-
A Disease Management Study Targeted to Reduce Health Care Utilization for Patients With Congestive Heart Failure
NCT02251899 ·Status: UNKNOWN ·Phase: PHASE3
-
Patient-centred Home-based Management of Heart Failure
NCT03655496 ·Status: COMPLETED ·Phase: PHASE1
-
Feasibility and Acceptability of Three Component Intervention for the Heart Failure Care for Rural Dwelling Participants
NCT07103239 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Family Intervention for Improving Self-Care of Patients With Heart Failure
NCT00645489 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Prevention of Early Readmission in Elderly Congestive Heart Failure Patients
NCT00000475 ·Status: COMPLETED ·Phase: PHASE2
-
MOTIVATional intErviewing to Improve Self-care in Heart Failure Patients
NCT02894502 ·Status: COMPLETED ·Phase: NA
-
Telemedicine Home-based Management in Patients With CHF and Type 2 Diabetes
NCT05633784 ·Status: COMPLETED ·Phase: NA
-
Program Evaluation of Telehomecare: TeLeCare Study
NCT02311114 ·Status: UNKNOWN
-
Effectiveness of a Website and Telemonitoring in Patients With Heart Failure.
NCT01755988 ·Status: COMPLETED ·Phase: NA
-
AI-Based Monitoring System for Chronic Heart Failure With Advanced Wearable and Mini-Invasive Devices
NCT06909682 ·Status: RECRUITING
-
Future Patient - Telerehabilitation of Heart Failure Patients
NCT03388918 ·Status: COMPLETED ·Phase: NA
-
Remote Motivational Interviewing to Improve Self-care in Heart Failure Patients
NCT05205018 ·Status: UNKNOWN ·Phase: NA
-
Heart Failure and Therapeutic Education
NCT07006350 ·Status: COMPLETED
-
Teach Back Method in Individuals With Heart Failure
NCT06060223 ·Status: COMPLETED ·Phase: NA
-
Platform Therapeutic Education in Heart Failure and Coronary Disease
NCT01869452 ·Status: COMPLETED ·Phase: NA
-
Educational Program to Improve Heart Failure Outcomes in Adults Living in Rural Areas
NCT00415545 ·Status: COMPLETED ·Phase: PHASE3
-
Symptom Care at Home-Heart Failure
NCT04347759 ·Status: RECRUITING ·Phase: NA
-
Depression and Self-care in Heart Failure
NCT01028625 ·Status: COMPLETED ·Phase: NA
-
The Effect of Video Training o Symptom Management With Heart Failure
NCT06068725 ·Status: COMPLETED ·Phase: NA
-
Examining the Cognitive Benefits of Cardiac Rehabilitation in People With Heart Failure (The CHF CaRe Study)
NCT00871897 ·Status: UNKNOWN
-
Heart Failure Patient Self-Management Web Portal Pilot Study
NCT01009151 ·Status: COMPLETED ·Phase: NA
-
Advanced Telemonitoring of Patients With Heart Failure in Home Environment
NCT05268978 ·Status: COMPLETED
-
New Model of Care in Heart Failure
NCT03476590 ·Status: COMPLETED ·Phase: NA
-
The Cardio-share Telemedicine Cross-sector Collaboration Model for Managing Vulnerable Patients With Heart Failure
NCT06176131 ·Status: RECRUITING
-
Building Skill in Heart Failure Self-care: A Community Based Intervention
NCT01894750 ·Status: COMPLETED ·Phase: PHASE1/PHASE2