Impact of a Corrie Cardiac Rehabilitation Program (mTECH-Rehab)
Impact of a Mobile Technology Enabled Corrie Cardiac Rehabilitation Program on Functional Status and Cardiovascular Outcomes (mTECH-Rehab): A Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Chang Kim, MD, PhD
- Phone Number: 4105020469
- Email: ckim148@jhmi.edu
Study Contact Backup
- Name: Lena Mathews, MD, MHS
- Phone Number: 4105500856
- Email: lmathew6@jhmi.edu
Study Locations
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years or older
- Individuals admitted to the hospital for the following conditions or interventions during the index admission: Acute myocardial infarction (STEMI or NSTEMI type 1), Coronary artery bypass grafting (CABG), and Coronary artery angioplasty/stenting (PCI), Heart valve surgery, catheter-based aortic valve replacement (TAVR).
Exclusion Criteria
- Non-English speaking
- Symptomatic severe aortic stenosis or other severe valvular disease
- Physical disability that would preclude safe and adequate exercise performance
- Hypertrophic obstructive cardiomyopathy with peak resting left ventricular outflow gradient of >25 mmHg
- Known aortic dissection
- Severe resting arterial hypertension (Systolic blood pressure >200 mmHg or diastolic BP >110mmHg) at baseline assessment
- Mental impairment leading to inability to cooperate with study procedures
- Untreated high degree atrioventricular block
- Atrial fibrillation with uncontrolled ventricular rate (Heart rate >110 at rest) at baseline assessment
- History of cardiac arrest or sudden death
- Myocardial infarction or cardiac surgery complications with cardiogenic shock and/or congestive heart failure and/or signs/symptoms of post-procedure ischemia
- Left ventricular ejection fraction <40%
- History of Clinically significant depression
- Visual or hearing impairment which precludes the use of the intervention
- Presence of cardiac defibrillator
- Incomplete revascularization procedure
- History of one or more episodes of falls in the last year
Pregnancy
- If patients are deemed clinically unstable and unable to participate at the time of initial screening, the research team member may return at a later date to determine whether this status has changed.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Corrie Hybrid Cardiac Rehabilitation Program (Intervention Group)
Receives Corrie Virtual Cardiac Rehabilitation Program along with option to continue traditional, center-based cardiac rehabilitation.
|
The Corrie Hybrid Cardiac Rehabilitation Program is a multi-component intervention.
It consists of the Corrie smartphone app for cardiovascular health optimization which is paired with wristband device (Apple Watch or Fitbit), Bluetooth-enabled Omron blood pressure monitor and exercise resistance bands.
The program also includes individualized treatment plan development, setting health goals and communication with trained Corrie Health Coach.
Furthermore, the intervention includes motivational text messages sent to participants throughout the study to aid with risk factor modification.
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|
No Intervention: Facilitated Center-Based Cardiac Rehabilitation Program (Control Group)
Receives traditional, center-based cardiac rehabilitation.
The study team will help facilitate the logistics of receiving center-based cardiac rehabilitation, including proper referrals.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
6-minute Walking Distance (Meters)
Time Frame: 12 weeks after randomization
|
Mean difference in 6 minute walk distance, between Intervention and Control groups, as measured at final study visit occurring at 12 weeks after randomization.
|
12 weeks after randomization
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Composite Cardiovascular Health Metric for Secondary Prevention
Time Frame: 12 weeks after randomization
|
The cardiovascular health metric for secondary prevention (adapted from American Heart Association's Life Simple 7).
The score ranges from 0 to 14 with higher score indicating better cardiovascular health.
|
12 weeks after randomization
|
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Blood Pressure (mmHg)
Time Frame: 12 weeks after randomization
|
Systolic blood pressure and Diastolic blood pressure
|
12 weeks after randomization
|
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Low Density Lipoprotein - Cholesterol (LDL-C)
Time Frame: 12 weeks after randomization
|
LDL cholesterol level (in mg/dl) measured through blood sample drawn at 12 week follow up visit
|
12 weeks after randomization
|
|
Glycosylated Hemoglobin (HbA1c)
Time Frame: 12 weeks after randomization
|
Glycosylated hemoglobin (HbA1c) level (%) measured through blood sample drawn at 12 week follow up visit
|
12 weeks after randomization
|
|
Body Mass Index (kg/m^2)
Time Frame: 12 weeks after randomization
|
BMI = weight (kg) / height in meters squared (m^2).
Weight and height measured by study staff at study visit.
|
12 weeks after randomization
|
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Quality of Life as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health-10
Time Frame: 12 weeks after randomization
|
Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health-10: The 10-item patient-reported questionnaire administered at 12 weeks follow up in which the response options are presented as 5-point (as well as a single 11-point) rating scales.
The results of the questions are used to calculate two summary scores: a Global Physical Health Score and a Global Mental Health score.
These scores are then standardized to the general population, using the "T-Score".
The average "T-Score" for the United States population is 50 points, with a standard deviation of 10 points.
Higher scores indicate a healthier patient.
|
12 weeks after randomization
|
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Blood Pressure Control
Time Frame: 12 weeks after randomization
|
Blood pressure control (Cardiovascular secondary health metric component).
Ideal (SBP <130 mmHg and DBP <90 mmHg).
Intermediate (SBP 130-139 mmHg or DBP 80-89 mmHg).
Poor (SBP ≥140 mmHg or DBP ≥90 mmHg).
|
12 weeks after randomization
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Cholesterol (LDL-C) Control
Time Frame: 12 weeks after randomization
|
Cholesterol (LDL-C) control (Cardiovascular secondary health metric component).
Ideal (LDL-C <70mg/dL).
Intermediate (LDL-C 70-99 mg/dL).
Poor (LDL-C ≥100mg/dL)
|
12 weeks after randomization
|
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Diabetes Control
Time Frame: 12 weeks after randomization
|
Diabetes (HbA1c) control (Cardiovascular secondary health metric component).
Ideal (HbA1c <7% for diabetic, <5.7% for non-diabetic).
Intermediate (HbA1c 7.0-7.9%
for diabetic, 5.0-5.9% for non-diabetic).
Poor (HbA1c ≥8% for diabetic, ≥6.5% for non-diabetic).
|
12 weeks after randomization
|
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Weight (BMI) Categories
Time Frame: 12 weeks after randomization
|
Weight (BMI) categories (Cardiovascular secondary health metric component).
Ideal (BMI <25 kg/m^2).
Intermediate (BMI 25-29 kg/m^2).
Poor (BMI ≥ 30 kg/m^2).
|
12 weeks after randomization
|
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Physical Activity Categories
Time Frame: 12 weeks after randomization
|
Physical activity categories (Cardiovascular secondary health metric component).
Ideal (≥150 min/wk moderate physical activity, ≥75 min/wk vigorous physical activity).
Intermediate (1-149 min/wk moderate physical activity, 1-74 min/wk vigorous physical activity).
Poor (No regular exercise).
|
12 weeks after randomization
|
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Diet Categories
Time Frame: 12 weeks after randomization
|
Diet categories (Cardiovascular secondary health metric component).
Ideal (Rate Your Plate score 64-81).
Intermediate (Rate Your Plate score 46-63).
Poor (Rate Your Plate score 27-45).
|
12 weeks after randomization
|
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Tobacco Use
Time Frame: 12 weeks after randomization
|
Tobacco use categories (Cardiovascular secondary health metric component).
Ideal (never).
Intermediate (Former smoker).
Poor (Recent/Current smoker).
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12 weeks after randomization
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Cardiac Rehabilitation Engagement
Time Frame: 12 weeks after randomization
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Cardiac rehabilitation engagement as measured by number of participants who attended the sessions per category.
Grouped by Healthcare Effectiveness Data and Information Set (HEDIS) categories: Initiation (0-12 sessions attended), Engagement 1 (13-24 sessions attended), Engagement 2 (25-36 sessions attended).
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12 weeks after randomization
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Depression as Assessed by the Patient Health Questionnaire 8
Time Frame: 12 weeks after randomization
|
The difference in depressive symptoms as measured by Patient Health Questionnaire 8 (PHQ 8): The 8 item questionnaire administered at 12 weeks with the following scoring system: Score range 0-24. A score of 10 or greater is considered major depression, 20 or more is severe major depression. Note, as an exploratory outcome, only a subgroup of participants responded to this survey request. |
12 weeks after randomization
|
|
Anxiety as Assessed by the Generalized Anxiety Disorder 7
Time Frame: 12 weeks after randomization
|
The difference in anxiety level as measured by Generalized Anxiety Disorder 7 (GAD 7): The 7-item questionnaire administered at 12 weeks follow up with the following scoring system.
Each item is assigned scores of 0, 1, 2, and 3 to the response categories.
GAD-7 total score for the seven items ranges from 0 to 21. 0-4: minimal anxiety 5-9: mild anxiety 10-14: moderate anxiety 15-21: severe anxiety.
|
12 weeks after randomization
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Stress as Assessed by the Perceived Stress Scale-10
Time Frame: 12 weeks after randomization
|
The difference in stress level as measured by Perceived Stress Scale (PSS -10): The 10 item questionnaire administered at 12 weeks follow up.
Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
|
12 weeks after randomization
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Health Literacy as Assessed by the (e) Health Literacy Scale (eHEALS)
Time Frame: 12 weeks after randomization
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The difference in Health Literacy as measured by The (e) Health Literacy Scale (eHEALS): The 8 item scale administered at 12 weeks follow up.
Total scores of the eHEALS range from 8 to 40, with higher scores representing higher self-perceived (e) Health literacy.
|
12 weeks after randomization
|
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Patient Activation as Assessed by the Patient Activation Measure 10
Time Frame: 12 weeks after randomization
|
The difference in patient activation as measured by Patient Activation Measure 10 (PAM 10): The 10-item five-point Likert scale for assessing patient activation at 12 weeks follow up, indicating whether the patient possesses the necessary knowledge, skills, and confidence needed for self-care.
The total score reference range is from 0 to 100, where higher scores indicate greater patient activation and ability for self-care.
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12 weeks after randomization
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User Engagement as Assessed by the Number of App Interactions (Intervention Group Only)
Time Frame: 12 weeks after randomization
|
Number of interactions in the smartphone app per participant, collected via the Corrie Health Platform User Analytics at 12 weeks follow up (only assessed in intervention arm).
|
12 weeks after randomization
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Lena Mathews, MD, MHS, Johns Hopkins University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Pathologic Processes
- Heart Diseases
- Infarction
- Necrosis
- Arteriosclerosis
- Arterial Occlusive Diseases
- Coronary Disease
- Ischemia
- Pathological Conditions, Signs and Symptoms
- Coronary Artery Disease
- Myocardial Ischemia
- Myocardial Infarction
- Heart Valve Diseases
- Coronary Occlusion
Other Study ID Numbers
Other Study ID Numbers
- IRB00308410
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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