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Congenital Heart Disease in ChildrenRemote-CaReNCT06015191

Remote Cardiac Rehab for Adolescents With Congenital Heart Disease

A study testing Remote Cardiac Rehabilitation in people with Congenital Heart Disease in Children, run by Children's Mercy Hospital Kansas City at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this randomized controlled trial is to evaluate the effectiveness of video conferencing for the delivery of live-supervised, real-time cardiac rehabilitation (CR) exercise training to groups of adolescents with congenital heart disease (CHD) in their homes. Read more about this study

Who is it for?
Ages 12 to 19 years
Conditions the study is for
Congenital Heart Disease in Children
What is being tested?
Remote Cardiac Rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
1 siteUnited States
Study dates
31 Aug 2023to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 12 to 19 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age 12-19 years old
  • Male or Female
  • Diagnosed with one of three congenital heart diseases:
  • Univentricular heart with Fontan Palliation Tetralogy of Fallot with transannular patch Dextro-transposition of the great arteries with arterial switch operation
  • Primary Cardiology clearance for exercise participation
  • Internet access in their homes
Show all 9Show fewer
  • Available for in-home exercise between 4-7pm on at least 3 days of the Monday-Friday work week
  • English Speaking
  • Achieving maximal effort on a cardiopulmonary exercise test, defined as RER ≥1.1 and/or in the judgement of the supervising exercise physiologist, a maximal effort was achieved but exercise capacity is limited by musculoskeletal deconditioning.

Who cannot join

  • Physically or developmentally unable to perform outcomes assessments or participate in moderate-to-vigorous intensity physical activity
  • Participating in > 15 MET-hours per week (mean weekly average over the past 12-months) of organized athletic/exercise activity (not including school physical education class).
  • Height less than 132cm
  • Pregnancy or planned surgery or procedure (excluding outpatient, non-cardiac procedures) within the 12-week study period.
  • Meeting at least 1 exercise test safety or screening criteria on most recent exercise test (pre-study) or baseline outcomes visit exercise test
  • Presence of significant cardiac dysfunction that would impair safe participation in moderate-to-vigorous intensity exercise
Show all 14Show fewer
  • Significant changes baseline echocardiogram or most recent clinical echocardiogram (from past clinical echocardiogram) such as decrease in ventricular and/or valvar function, new obstruction, or any new structural abnormalities
  • Uncontrolled or poorly controlled asthma
  • Presence of implanted cardioverter-defibrillator
  • Pacemaker with rate-responsive function initiated
  • Reliance on ventricular assist device
  • Prescribed milrinone medication
  • Listed for heart transplantation
  • Active engagement in hormone replacement for gender transition

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Madeline Donnelli, BS contact

816-764-5605

Remotecare@cmh.edu

David Cloutier, MS, MBA contact

816-302-3636

dacloutier@cmh.edu

United States1 site, 1 recruiting
  • Children's Mercy Kansas City

    Kansas City, Missouri, 64108

    David A White, PhD, 8167317478, dawhite@cmh.edu

    Dara Watkins, MA

    Recruiting

Other trials in United States

About this study

Official title: Remotely Delivered Cardiac Rehabilitation for Adolescents With Congenital Heart Disease

The goal of this randomized controlled trial is to evaluate the effectiveness of video conferencing for the delivery of live-supervised, real-time cardiac rehabilitation (CR) exercise training to groups of adolescents with congenital heart disease (CHD) in their homes. Participants will be randomized to either the remote cardiac rehab (RCR) group or active control group. The RCR group will participate in live, group-based exercise training (3-5 participants per exercise session), in their homes 3 days per week for 45 minutes over 12-weeks. Exercise sessions will be led and supervised by a live health coach via telehealth video technology. The active control group will be provided informational handouts on health exercise for their cardiac diagnosis. The primary aim is to compare between group changes (0-12-weeks) in cardiorespiratory fitness (VO2peak). Secondary aims are to compare between group changes (0-12-weeks) in cardiac function (echocardiography), lean body mass, and physical frailty. Exploratory aims will compare between group changes (0-12-weeks) in physical function, quality of life, skeletal muscle function, and physical activity self-efficacy. Additionally, exploratory aims will explore the impact of demographic characteristics, program participation, program satisfaction, and daily physical activity on changes in cardiorespiratory fitness.

Read the detailed description

This randomized controlled trial will evaluate the effectiveness of live, in-home, group-based cardiac rehabilitation (CR) exercise training compared to standard care (active) control. Participants will include adolescents (age 12-19 years) with one of three congenital heart disease (CHD) diagnoses: Fontan (single ventricle) circulation, Tetralogy of Fallot, or dextro-transposition of the great vessels. Following baseline outcomes testing, participants will be computer randomized (with equal stratification by CHD diagnosis and biologic sex) to either the remote cardiac rehab (RCR) group (n=~37) or the active control group (n=~37). Participants randomized to the RCR group will participate in 12-weeks of live-supervised exercise training (36 sessions total) from their respective homes led by a trained health coach via telehealth video technology. RCR participants will initially engage in a 2-week ramp-up period (1-1 or small groups, 6-sessions total) with a live health coach, followed by 10-weeks of group-based (3-5 participants, 30 sessions total) exercise training where participants will be able to interact with the health coach and other participants. Participants in the RCR group will be asked to attend and participate in exercise sessions 3 days per week for 45-minutes. Exercise session intensity will be consistent with a heart rate of 60-75% of their VO2peak, will consist of a mix of flexibility, aerobic, and anaerobic exercise, and will be facilitated by a small set of exercise equipment (e.g., resistance bands, cones, medicine balls) provided to participants. Participants randomized to the active control group will be provided handouts that describe exercises consistent with the physical activity recommendations for youth. The total intervention period for both groups will be 12-weeks. Primary, secondary, and exploratory outcomes will be measured at baseline and 12-13-weeks following randomization. Additionally, participants in both groups will be provided a consumer grade wrist-worn physical activity monitor, where participants will be encouraged to wear throughout the 12-week intervention period and beyond for a minimum of 6-months. Participants randomized to the active control group will be provided the opportunity to participate in the RCR exercise training once enrollment goals are met.

Being tested
Remote Cardiac Rehabilitation, Active Control
Keywords
Exercise, Cardiac Rehabilitation, Physical Activity, Telehealth
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Remote Cardiac RehabilitationBehavioural

    Also called RCR

    Participants will engage in a ramp-up period (weeks 0-2) where participants will attend 1-on-1 live, remote in-home exercise sessions (20-35 min./session, 3-days/wk.) delivered by a health coach via telehealth video conferencing. Participants will be provided a tablet computer and a small set of equipment. Following the ramp-up period, participants will be asked to attend live, in-home, group-based exercise sessions (weeks 3-12, 3-5 participants/group, 45-min, 3-days/wk. minimum). Sessions will be offered 4-days/wk. in the afternoons and early evenings allowing participants to select the most convenient 3 days per week to attend. Sessions will include a variety of dynamic aerobic and anaerobic (resistance) exercises with a target heart rate corresponding to 60-75% of VO2peak. In the group-based exercise sessions, participants will be able to see, hear, and verbally interact with the health coach and the other participants, allowing for supervision and encouraging social support.

  • Active ControlBehavioural

    Participants will receive a handout describing physical activities appropriate for their congenital heart disease diagnosis and providing recommendations consistent with the physical activity recommendations for children and adolescents.

Study groups in NCT06015191
Study groupRoleWhat they receive
Remote Cardiac RehabilitationExperimentalFollowing a 2-week ramp-up period, participants will attend group exercise sessions, remotely delivered in their homes, 3 days per week for 45-minutes over 12-weeks led by a live-interactive health coach. There are 4 exercise session types with different modalities: Session A: 75% aerobic, 25% resistance; Session B: 25% aerobic, 75% resistance; Session C: 50% aerobic, 50% resistance; and Session D: Exercise games (mix of modalities). Each participant will rotate through a 5-week set of exercise sessions (20 sessions) twice over the 10-weeks of group exercise period.
Receives: Behavioral: Remote Cardiac Rehabilitation
Active ControlActive comparatorParticipants will receive a handout describing physical activities appropriate for their congenital heart disease diagnosis and providing recommendations consistent with the physical activity recommendations for children and adolescents.
Receives: Behavioral: Active Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Peak Cardiorespiratory Fitness

    Cardiorespiratory fitness will be assessed using a peak cardiopulmonary exercise stress test (VO2peak) on a cycle ergometer using a ramping cycle protocol.

    Measured: Change from baseline to 12-weeks

Secondary outcomes (13)
  1. Echocardiogram with global longitudinal strain (Fontan)

    Cardiac Function for the participant with Fontan diagnosis will be assessed with echocardiogram using greyscale 2-dimensional images obtained of the single left ventricle, right ventricle or the entirety of the biventricular morphology. Global longitudinal strain analysis will be performed by averaging the apical 4, 3, or 2 images using GE EchoPAC BT13 software following American Society of Echocardiography guidelines.

    Measured: Change from baseline to 12-weeks

  2. Echocardiogram with global longitudinal strain (Tetralogy of Fallot and d-transposition of the great vessels)

    Cardiac Function for the participant with Tetralogy of Fallot and d-transposition of the great vessels diagnosis will be assessed with echocardiogram using greyscale 2-dimensional images obtained on the ventricles. Global longitudinal strain analysis will be performed by averaging the apical 4, 3, and 2 images using GE EchoPAC BT13 software following American Society of Echocardiography guidelines.

    Measured: Change from baseline to 12-weeks

  3. Lean Body Mass

    Body composition will be assessed using whole-body dual energy X-ray absorptiometry (DXA)

    Measured: Change from baseline to 12-weeks

  4. Frailty (slowness)

    Slowness will be assessed using a 6-minute walk test

    Measured: Change from baseline to 12-weeks

  5. Frailty (weakness)

    Weakness will be assessed using handgrip strength dynamometry.

    Measured: Change from baseline to 12-weeks

  6. Frailty (fatigue)

    Fatigue will be assessed using the Pediatric quality of life inventory (PedsQL) Multidimensional Fatigue Scale (Range: 0 (high fatigue) - 100 (low fatigue))

    Measured: Change from baseline to 12-weeks

  7. Frailty (energy expenditure/physical activity)

    Physical activity / energy expenditure will be assessed using the self-report, past-week Physical Activity Questionnaire for Adolescents (PAQ-A) (Range: 1 (inactive) - 5 (highly active))

    Measured: Change from baseline to 12-weeks

  8. Functional Movement

    Functional Movement / gross motor proficiency will be assessed with the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) (Range: -3SD (well-below average) - +4SD (well-above average)) SD = Standard deviations

    Measured: Change from baseline to 12-weeks

  9. Quality of Life Generic Core Scale

    Quality of life (QoL) will be assessed with the Pediatric Quality of Life inventory (PedsQL) Generic Core Scale (Range: 0 (low QoL) - 100 (high QoL))

    Measured: Change from baseline to 12-weeks

  10. Quality of Life Cardiac Module

    Cardiac specific quality of life (QoL) will be assessed with the Pediatric Quality of Life inventory (PedsQL) Cardiac Module (Range: 0 (low QoL) - 100 (high QoL))

    Measured: Change from baseline to 12-weeks

  11. Physical Activity Self-Efficacy

    Physical activity (PA) self-efficacy will be assessed using the Domain-Specific Physical Activity Efficacy Questionnaire (mean score of 0 (low PA self-efficacy) - 100 (high PA self-efficacy)

    Measured: Change from baseline to 12-weeks

  12. Exercise session adherence (Remote Cardiac Rehab Group)

    Exercise session adherence will be assessed using a wrist-worn Fitbit Versa 4 or Garmin Vivoactive 5 activity monitor. The Fitbit Versa 4 or Garmin Vivoactive 5 will be used to asses exercise heart rates during the exercise sessions.

    Measured: Baseline to 12-weeks

  13. Lifestyle Physical Activity

    Physical activity will be assessed using a wrist-worn Fitbit Versa 4 or Garmin Vivoactive 5 activity monitor. The Fitbit Versa 4 or Garmin Vivoactive 5 will be used to determine the volume of physical activity participation in free-living conditions.

    Measured: Change from baseline to 12-weeks and change from 12-weeks to 6-months post intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Aug 2023
  2. Study start31 Aug 2023
  3. Primary completionJun 2027 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized Controlled Trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
74 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06015191
Sponsor's protocol ID
STUDY00000990
Other IDs
K23HL159325-01A1
Acronym
Remote-CaRe
Status last verified
Apr 2026
First submitted
5 May 2023
Last updated
4 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Remote Cardiac Rehabilitation in people with Congenital Heart Disease in Children, run by Children's Mercy Hospital Kansas City 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 9 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 4 May 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Madeline Donnelli, BS (816-764-5605, Remotecare@cmh.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Peak Cardiorespiratory Fitness (time frame: Change from baseline to 12-weeks). 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 4 May 2026.

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