Cardiovascular DiseaseNCT05972850
Vivo Heart: Home-Based Virtual Exercise Program for Older Adults With Cardiovascular Disease
A study testing Vivo Heart in people with Cardiovascular Disease, run by Wake Forest University Health Sciences at 1 site in United States.
Trial summary
This pilot study will assess the feasibility and generate preliminary efficacy data of a novel, synchronous, home-based exercise training program for rural older adults with cardiovascular disease (CVD) using Vivo, an online, live, small group fitness program developed for older adults. Read more about this study
- Who is it for?
- Ages 60 to 80 years
- Conditions the study is for
- Cardiovascular Disease
- What is being tested?
- Vivo Heart
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 siteUnited States
- Study dates
- 19 Mar 2024to 16 May 2025
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 60 - 80 years
- Lives in a rural area based on established urban-rural definitions (e.g., RUCA codes, RUCC, UIC)
- A qualifying Cardio Vascular Disease (CVD) event or procedure
- Cognitively unimpaired Telephone Interview for Cognitive Status (TICS-m ≥32)
- No major depressive symptoms Patient Health Questionnaire (PHQ-8 <10)
- Ambulatory and community-dwelling
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- Less than 150 min per week of moderate-to-intensive aerobic or resistance exercise in the past month
- Medically cleared for exercise if event was within the last 6 months
- Access to a tablet or computer and internet/Wi-Fi in defined exercise space
- Able to provide own transportation to study visits
- Not participating in a clinical trial
- Willing to provide informed consent
Who cannot join
- <60 years or >80 years
- Lives in non-rural area
- No CVD or a qualifying event or procedure
- Dementia or severe cognitive impairment (TICS-m <32)
- Clinical depression (PHQ-8 ≥10)
- Non-ambulatory, institutionalized, or requires walker
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- Regular aerobic or resistance exercise (including current participation in a cardiac rehab program)
- Not medically cleared for exercise
- Advanced kidney disease requiring dialysis or dialysis anticipated within 6 months
- Insulin-dependent diabetes
- Use of any supplemental oxygen for COPD
- Significant impairment from a prior stroke
- Progressive neurologic disease (Parkinson's, ALS, multiple sclerosis, Alzheimer's disease, dementia)
- Severe arthritis, fracture, chronic injury, or other musculoskeletal disorder that prevents walking independently
- Cancer (not including non-melanoma skin cancers) requiring treatment with the past year
- Excessive alcohol consumption (>7/week alcoholic beverages for women and >14/week for men) in the past month
- Joint replacement or other orthopedic surgery in past 12 months or planned in next 6 months
- No computer, tablet or internet access
- No access to transportation for travel to study visits
- Current participation in a clinical trial
- Inability or unwillingness to comply with the study requirements
Trial locations and contacts
1 site in 1 country.
United States1 site
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
About this study
This pilot study will assess the feasibility and generate preliminary efficacy data of a novel, synchronous, home-based exercise training program for rural older adults with cardiovascular disease (CVD) using Vivo, an online, live, small group fitness program developed for older adults. It uses individually tailored dual-tasked (i.e., cognitive-motor) exercises to improve strength, endurance, balance, and cognition and incorporates social engagement. Certified trainers deliver instruction and coaching through an interactive session (45 min, 2-3 times/week) delivered over 12 weeks. Vivo Heart adapts this unique program to meet the cardiac rehabilitation needs of older adults with CVD. The specific aims are to evaluate the feasibility, acceptability, and uptake of Vivo Heart (Aim 1) and obtain pre- and post-intervention measures of exercise capacity, strength, lower-extremity physical function, cognition, quality of life, stress, fatigability, physical activity, and aging biomarkers (Aim 2).
- Conditions
- Cardiovascular Disease
- Being tested
- Vivo Heart
- Keywords
- home-based cardiac rehabilitation, mobile health technologies, strength and physical function, synchronous virtual exercise program
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vivo HeartBehavioural
Also called Vivo
Vivo is an online, live, small group fitness program developed for older adults that uses individually tailored dual-tasked (i.e., cognitive-motor) exercises to improve strength, endurance, balance, and cognition and incorporates social engagement. Certified trainers deliver instruction and coaching through an interactive session for 45 min, 2-3 times/week.
| Study group | Role | What they receive |
|---|---|---|
| Vivo Heart | Experimental | This virtual intervention will include weekly group exercise sessions with a Vivo trainer (2 times/week), weekly health education classes with a registered dietitian (RD) (1 time/week), and two individual meetings with the RD over the course of 12 weeks. Participants will also be asked to complete a weekly aerobic exercise session on their own (1 time/week). Receives: Behavioral: Vivo Heart |
What is being measured
The primary outcome is the main question the study is designed to answer.
Completion Rate
Completion rate will be determined by the percentage of enrolled participants who complete the exercise and nutrition classes with ≥80% compliance.
Measured: Week 12
Secondary outcomes (6)
Recruitment Rate
Recruitment rate will be determined by the total number of enrolled participants divided by the number of months recruitment occurred.
Measured: Year 1
Recruitment Yield
Recruitment yield will be determined based on the number of participants randomized relative to the total number of recruitment letters sent to potentially eligible participants
Measured: Year 1
Compliance Rate
Compliance will be determined based on adherence to the prescribed intervention. Compliance metrics will include attendance at the exercise and nutrition classes.
Measured: Week 12
Retention Rate
Retention will be determined by the percentage of enrolled participations who complete follow-up testing.
Measured: Week 12
Number of Participants Satisfied With Intervention
Acceptability will be assessed at the end of the study using a program satisfaction survey.
Measured: Week 12
Continuation Rate
Continuation rate will be determined by the number of participants who continue in the Vivo program after the study is over.
Measured: Year 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2023
- Study start19 Mar 2024
- Primary completion16 May 2025
- Study completion16 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Cardiovascular DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- 40 rural-living older adults (60-80 years) with a history of cardiovascular disease (prior myocardial infarction, angina, or coronary procedure) who are medically cleared for exercise by their cardiologist.
- Masking
- None (open label)
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Wake Forest University Health Sciences
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Sponsor
- Investigators
- Tina E Brinkley, PhD, Principal investigator, Wake Forest University Health Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05972850
- Sponsor's protocol ID
- IRB00094007
- Other IDs
- P30AG021332
- Status last verified
- Jul 2026
- First submitted
- 25 Jul 2023
- Last updated
- 11 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Vivo Heart: Home-Based Virtual Exercise Program for Older Adults With Cardiovascular Disease
- ClinicalTrials.gov ID
- NCT05972850
- Acronym / sponsor ID
- IRB00094007
- Conditions
- Cardiovascular Disease
- Keywords
- home-based cardiac rehabilitation, mobile health technologies, strength and physical function, synchronous virtual exercise program
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Wake Forest University Health SciencesUniversity, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Study start
- 19 Mar 2024 (actual)
- Primary completion
- 16 May 2025 (actual)
- Study completion
- 16 May 2025 (actual)
- First posted
- 2 Aug 2023 (actual)
- Results
- Posted 4 Aug 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This pilot study will assess the feasibility and generate preliminary efficacy data of a novel, synchronous, home-based exercise training program for rural older adults with cardiovascular disease (CVD) using Vivo, an online, live, small group fitness program developed for older adults. It uses individually tailored dual-tasked (i.e., cognitive-motor) exercises to improve strength, endurance, balance, and cognition and incorporates social engagement. Certified trainers deliver instruction and coaching through an interactive session (45 min, 2-3 times/week) delivered over 12 weeks. Vivo Heart adapts this unique program to meet the cardiac rehabilitation needs of older adults with CVD. The specific aims are to evaluate the feasibility, acceptability, and uptake of Vivo Heart (Aim 1) and obtain pre- and post-intervention measures of exercise capacity, strength, lower-extremity physical function, cognition, quality of life, stress, fatigability, physical activity, and aging biomarkers (Aim 2).
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- 40 rural-living older adults (60-80 years) with a history of cardiovascular disease (prior myocardial infarction, angina, or coronary procedure) who are medically cleared for exercise by their cardiologist.
| Arm | Type | Receives |
|---|---|---|
| Vivo Heart | Experimental | Behavioral: Vivo HeartThis virtual intervention will include weekly group exercise sessions with a Vivo trainer (2 times/week), weekly health education classes with a registered dietitian (RD) (1 time/week), and two individual meetings with the RD over the course of 12 weeks. Participants will also be asked to complete a weekly aerobic exercise session on their own (1 time/week). |
Who may qualify
- Ages
- 60 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- 60 - 80 years
- Lives in a rural area based on established urban-rural definitions (e.g., RUCA codes, RUCC, UIC)
- A qualifying Cardio Vascular Disease (CVD) event or procedure
- Cognitively unimpaired Telephone Interview for Cognitive Status (TICS-m ≥32)
- No major depressive symptoms Patient Health Questionnaire (PHQ-8 <10)
Key exclusion criteria (21 listed)
- <60 years or >80 years
- Lives in non-rural area
- No CVD or a qualifying event or procedure
- Dementia or severe cognitive impairment (TICS-m <32)
- Clinical depression (PHQ-8 ≥10)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vivo HeartAlso: VivoVivo is an online, live, small group fitness program developed for older adults that uses individually tailored dual-tasked (i.e., cognitive-motor) exercises to improve strength, endurance, balance, and cognition and incorporates social engagement. Certified trainers deliver instruction and coaching through an interactive session for 45 min, 2-3 times/week. | Behavioural | Vivo Heart |
Primary outcome
Completion Rate
Time frame: Week 12
Completion rate will be determined by the percentage of enrolled participants who complete the exercise and nutrition classes with ≥80% compliance.
6 secondary outcomes
Recruitment Rate
Time frame: Year 1
Recruitment Yield
Time frame: Year 1
Compliance Rate
Time frame: Week 12
Retention Rate
Time frame: Week 12
Number of Participants Satisfied With Intervention
Time frame: Week 12
Continuation Rate
Time frame: Year 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tina E Brinkley, PhD principal investigator
Wake Forest University Health Sciences
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Vivo Heart in people with Cardiovascular Disease, run by Wake Forest University Health Sciences at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 4 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Completion Rate (time frame: Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2026.