Related Experiment Video
Updated: Jul 5, 2025
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Rationale and Design of the mTECH-Rehab Randomized Controlled Trial: Impact of a Mobile Technology Enabled Corrie
Nino Isakadze1,2,3, Chang H Kim1,2,3, Francoise A Marvel1,2,3
1Division of Cardiology, Department of Medicine Johns Hopkins University School of Medicine Baltimore MD USA.
Insights
This study evaluated the Corrie Hybrid Cardiac Rehabilitation (CR) program, a technology-based approach, showing potential to improve functional status and cardiovascular health. The hybrid model aims to increase access to CR for diverse patient populations.
Area of Science:
- Cardiovascular Medicine
- Health Technology
- Rehabilitation Science
Background:
- Traditional in-center cardiac rehabilitation (CR) improves patient outcomes but faces access barriers, particularly for underrepresented racial and ethnic groups.
- Barriers include cost, scheduling, and transportation, limiting engagement with essential post-cardiac event care.
- The Corrie Hybrid CR program is a technology-based, health equity-focused intervention designed to address these limitations.
Purpose of the Study:
- To evaluate the Corrie Hybrid CR program as an alternative to traditional in-center CR.
- To compare the hybrid program's effectiveness against usual care alone in patients recovering from cardiac events, surgeries, or procedures.
- To assess the impact on functional capacity, cardiovascular health, and CR engagement.
Main Methods:
- A randomized controlled trial (mTECH-Rehab) involving 200 patients post-myocardial infarction or cardiac surgery/procedure.
- The intervention group received the Corrie Hybrid CR program (mobile app, smart devices, hybrid in-center/home sessions, clinician dashboard, virtual coaching) plus usual care.
- The control group received usual care CR alone. The primary outcome was the 6-minute walk test distance at 12 weeks.
Main Results:
- The primary outcome and key secondary outcomes are currently being collected and analyzed.
- Results will be published upon completion of data collection and analysis.
- The study is registered under NCT05238103.
Conclusions:
- The Corrie Hybrid CR program demonstrates potential to enhance functional status and cardiovascular health.
- It may improve engagement with cardiac rehabilitation services.
- The intervention is poised to advance health equity in accessing CR.
Background:
Cardiac rehabilitation (CR) is an evidence-based, guideline-recommended intervention for patients recovering from a cardiac event, surgery or procedure that improves morbidity, mortality, and functional status. CR is traditionally provided in-center, which limits access and engagement, most notably among underrepresented racial and ethnic groups due to barriers including cost, scheduling, and transportation access. This study is designed to evaluate the Corrie Hybrid CR, a technology-based, multicomponent health equity-focused intervention as an alternative to traditional in-center CR among patients recovering from a cardiac event, surgery, or procedure compared with usual care alone.
Methods:
The mTECH-Rehab (Impact of a Mobile Technology Enabled Corrie CR Program) trial will randomize 200 patients who either have diagnosis of myocardial infarction or who undergo coronary artery bypass grafting surgery, percutaneous coronary intervention, heart valve repair, or replacement presenting to 4 hospitals in a large academic health system in Maryland, United States, to the Corrie Hybrid CR program combined with usual care CR (intervention group) or usual care CR alone (control group) in a parallel arm, randomized controlled trial. The Corrie Hybrid CR program leverages 5 components: (1) a patient-facing mobile application that encourages behavior change, patient empowerment, and engagement with guideline-directed therapy; (2) Food and Drug Administration-approved smart devices that collect health metrics; (3) 2 upfront in-center CR sessions to facilitate personalization, self-efficacy, and evaluation for the safety of home exercise, followed by a combination of in-center and home-based sessions per participant preference; (4) a clinician dashboard to track health data; and (5) weekly virtual coaching sessions delivered over 12 weeks for education, encouragement, and risk factor modification. The primary outcome is the mean difference between the intervention versus control groups in distance walked on the 6-minute walk test (ie, functional capacity) at 12 weeks post randomization. Key secondary and exploratory outcomes include improvement in a composite cardiovascular health metric, CR engagement, quality of life, health factors (including low-density lipoprotein-cholesterol, hemoglobin A1c, weight, diet, smoking cessation, blood pressure), and psychosocial factors. Approval for the study was granted by the local institutional review board. Results of the trial will be published once data collection and analysis have been completed.
Conclusions:
The Corrie Hybrid CR program has the potential to improve functional status, cardiovascular health, and CR engagement and advance equity in access to cardiac rehabilitation.
Registration:
URL: https://www.clinicaltrials.gov; Unique identifier: NCT05238103.
More Related Videos
08:54Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
06:44Development of a Novel Task-oriented Rehabilitation Program using a Bimanual Exoskeleton Robotic Hand
Published on: May 20, 2020