Trial Outcomes & Findings for Telehealth-enhanced Hybrid Cardiac Rehabilitation Among Acute Coronary Syndrome Survivors (NCT NCT05328375)

NCT ID: NCT05328375

Last Updated: 2025-10-22

Results Overview

As a measure of enrollment feasibility, the investigator will assess the number of participants who completed recruitment activities and were successfully consented and enrolled into the pilot study per month.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

During enrollment, 11 months

Results posted on

2025-10-22

Participant Flow

Participant milestones

Participant milestones
Measure
Telehealth-enhanced Hybrid CR
Participants will receive a hybrid version of cardiac rehabilitation.
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Overall Study
STARTED
5
5
Overall Study
COMPLETED
5
4
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Telehealth-enhanced Hybrid CR
Participants will receive a hybrid version of cardiac rehabilitation.
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Telehealth-enhanced Hybrid Cardiac Rehabilitation Among Acute Coronary Syndrome Survivors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Telehealth-enhanced Hybrid CR
n=5 Participants
Participants will receive a hybrid version of cardiac rehabilitation.
Traditional CR
n=5 Participants
Participants will receive a standard of care version of cardiac rehabilitation.
Total
n=10 Participants
Total of all reporting groups
Age, Continuous
59.1 Years
STANDARD_DEVIATION 10.8 • n=5 Participants
63.2 Years
STANDARD_DEVIATION 12.6 • n=7 Participants
61.1 Years
STANDARD_DEVIATION 11.3 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Six Minute Walk Test Distance
501.7 meters
STANDARD_DEVIATION 113.7 • n=5 Participants
452.4 meters
STANDARD_DEVIATION 133.7 • n=7 Participants
477.0 meters
STANDARD_DEVIATION 119.8 • n=5 Participants
Health-related Quality of Life Score
78.0 score on a scale
STANDARD_DEVIATION 11.2 • n=5 Participants
81.3 score on a scale
STANDARD_DEVIATION 12.6 • n=7 Participants
79.7 score on a scale
STANDARD_DEVIATION 11.4 • n=5 Participants

PRIMARY outcome

Timeframe: During enrollment, 11 months

As a measure of enrollment feasibility, the investigator will assess the number of participants who completed recruitment activities and were successfully consented and enrolled into the pilot study per month.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=10 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Number of Participants Who Are Successfully Enrolled Into the Pilot Study Per Month
0.91 Participants enrolled per month
Standard Error 0.21

PRIMARY outcome

Timeframe: Assessed after enrollment (baseline) and until pilot study completion (approximately 12 weeks)

As a measure of THCR adherence, the investigator will assess the proportion of CR sessions completed by participants allocated to the THCR intervention, which includes 19 home-based + 5 clinic-based sessions.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Mean Proportion of CR Sessions Completed by Participants Allocated to the THCR Intervention
0.87 Proportion of CR Sessions Completed
Standard Error 0.13

SECONDARY outcome

Timeframe: During 12-week follow-up period (Up to 12 weeks)

This is to assess the feasibility of program initiation among participants allocated to each arm. Participants who attended more than 1 CR session will be tallied. Numerator = total number of participants randomized into each arm who attended at least 1 CR session. Denominator = total number of participants randomized into each arm.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
n=5 Participants
Participants will receive a standard of care version of cardiac rehabilitation.
Proportion of Participants That Attend ≥1 CR Session After Randomization in Each Arm
1.00 proportion of participants
1.00 proportion of participants

SECONDARY outcome

Timeframe: Assessed after enrollment (baseline) and until pilot study completion (approximately 12 weeks)

As a measure of traditional CR adherence, the investigator will assess the proportion of CR sessions completed by those allocated to the traditional CR intervention, which includes 24 clinic-based sessions.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Mean Proportion of CR Sessions Completed by Those Allocated to the Traditional CR Intervention
0.69 Proportion of CR Sessions Completed
Standard Error 0.19

SECONDARY outcome

Timeframe: At study completion (approximately 12 weeks)

This outcome assesses the proportion of participants in the THCR arm who report an average score ≥4 on the Feasibility of Intervention Measure (FIM), a 4-item scale evaluating patient-perceived feasibility of the intervention. Each item is rated on a 5-point Likert scale ranging from 1 ("strongly disagree") to 5 ("strongly agree"). Individual item scores are summed (possible range: 4 to 20) and averaged (possible range: 1 to 5). Participants with a mean score ≥4 ("agree" or "strongly agree" on average) are considered to perceive the intervention as adequately feasible. Higher scores indicate greater feasibility.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
Participants will receive a standard of care version of cardiac rehabilitation.
Proportion of Participants Who Report Adequate Feasibility of the THCR Intervention
1.00 Proportion of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and 3-month post program completion (Week 12)

Population: Excludes one Traditional CR participant who moved out of state and did not complete the post-program 6MWT.

This is to measure pre-to-post program change in functional capacity (using the six-minute walk test \[6MWT\]) among THCR and, separately, traditional CR participants. The 6MWT is a sub-maximal exercise test used to assess aerobic capacity and endurance. The total distance (meters) traveled over a time period of six minutes is used as the outcome by which to compare changes in performance capacity.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
n=4 Participants
Participants will receive a standard of care version of cardiac rehabilitation.
Change in Total Distance Traveled in 6MWT
27.12 distance traveled (meters)
Standard Error 8.13
71.10 distance traveled (meters)
Standard Error 10.30

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and 3-month post program completion (Week 12)

Population: Excludes two Traditional CR participants: one who moved out of state and did not complete the post-program in-clinic assessments, and one who did not complete the post-program HRQOL assessment.

This is to measure pre-to-post program change in health-related quality of life (Duke health profile questionnaire \[DUKE; physical, mental, social, and general health composite scores\]) among THCR and, separately, traditional CR participants (composite score). The DUKE is a 17-item self-report questionnaire for measuring generic health-related quality of life over a 1-week time period. Responses are scored to calculate physical health, mental health, and social health scores, which are then summed and divided by 3 to obtain a general health score. The general health score ranges from 0 - 100, with high scores indicating better health-related quality of life.

Outcome measures

Outcome measures
Measure
All Pilot Study Enrollments
n=5 Participants
All participants who successfully enrolled into the pilot study
Traditional CR
n=3 Participants
Participants will receive a standard of care version of cardiac rehabilitation.
Change in Health-related Quality of Life Score
1.3 score on a scale
Standard Error 3.4
7.8 score on a scale
Standard Error 1.1

Adverse Events

Telehealth-enhanced Hybrid CR

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Traditional CR

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Telehealth-enhanced Hybrid CR
n=5 participants at risk
Participants will receive a hybrid version of cardiac rehabilitation.
Traditional CR
n=5 participants at risk
Participants will receive a standard of care version of cardiac rehabilitation.
Investigations
Low hemoglobin level
20.0%
1/5 • Number of events 1 • Throughout study duration, approx 14 months
0.00%
0/5 • Throughout study duration, approx 14 months

Additional Information

Dr. Andrea T. Duran, Assistant Professor of Medical Sciences

Columbia University Irving Medical Center

Phone: 212.342.4491

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place