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HypertensionTELE-HTNCT07363447

Effects of Different Telerehabilitation Methods In Patients With Hypertension (TELE-HT)

A study testing Synchronous Cardiac Telerehabilitation and Asynchronous Cardiac Telerehabilitation in people with Hypertension and Arterial Hypertension, run by Hacettepe University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to compare two different ways of providing exercise therapy to people with high blood pressure (hypertension) through digital technology. Participants are divided into two groups: one group performs exercises at home while being watched and guided by a physiotherapist in real-time through video calls… Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Synchronous Cardiac Telerehabilitation and Asynchronous Cardiac Telerehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
1 siteTurkey (Türkiye)
Study dates
28 Feb 2024to 30 Nov 2024
Phase
Interventional
Are there results?
None posted in the registry

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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of systemic hypertension.
  • Age between 18 and 65 years.
  • Access to the internet.
  • Ownership of a mobile device suitable for telerehabilitation participation.

Who cannot join

  • Presence of comorbid cardiovascular and/or pulmonary diseases.
  • Unstable metabolic conditions.
  • History of cerebrovascular and/or cardiovascular disease events within the past three months.
  • Mental disorders that interfere with exercise cooperation.
  • Balance or fall-related problems.
  • Orthopedic or neurological conditions that compromise the safety of exercise.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Hacettepe University

    Ankara

Other trials in Turkey (Türkiye)

About this study

Official title: The Role of Supervision: Effects of Different Telerehabilitation Methods In Patients With Hypertension

This study aims to compare two different ways of providing exercise therapy to people with high blood pressure (hypertension) through digital technology. Participants are divided into two groups: one group performs exercises at home while being watched and guided by a physiotherapist in real-time through video calls (synchronous). The other group performs the same exercises by watching pre-recorded videos on their own (asynchronous). The study measures how these two methods affect the patients' exercise capacity, daily blood pressure levels, heart functions, and their ability to manage their own health over an 8-week period.

Read the detailed description

In this randomized, controlled, single-blinded study, 35 hypertensive individuals are assigned to either a synchronous telerehabilitation (STR) or an asynchronous telerehabilitation (ATR) group. Both groups perform an 8-week aerobic-based calisthenics program consisting of 24 sessions (3 sessions per week, 45 minutes each). The STR group exercises under the live supervision of a physiotherapist via videoconferencing. The ATR group uses pre-recorded video content and maintains an exercise diary. During all sessions, heart rate is monitored in real-time using wearable smartbands to maintain a submaximal intensity (70-85% of age-predicted maximum heart rate). Assessments performed at baseline and at the 8th week include ambulatory blood pressure monitoring (ABPM), transthoracic echocardiography (TTE), maximal stress tests, self-care inventories, physical activity and body composition.

Being tested
Synchronous Cardiac Telerehabilitation, Asynchronous Cardiac Telerehabilitation
Keywords
telerehabilitation, cardiac rehabilitation, Aerobic exercise, synchronous, asynchronous
Medical subject headings
Hypertension

What participants receive

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

  • Synchronous Cardiac TelerehabilitationBehavioural

    Also called Home-based Exercise Training, aerobic exercise training

    An 8-week aerobic-based calisthenics program consisting of 24 sessions (3 sessions/week, 45 minutes each).

    Exercises are performed in real-time under the live supervision of a physiotherapist via videoconferencing (WhatsApp).

    Intensity is maintained at 70-85% of age-predicted maximum heart rate, monitored in real-time using a wearable smartband.

    Exercises include high knees, knee-to-elbow, side jacks, and other calisthenics.

  • Asynchronous Cardiac TelerehabilitationBehavioural

    Also called Home-based Exercise Training, aerobic exercise training

    The same 8-week aerobic-based calisthenics program (24 sessions, 3 sessions/week) as the STR group.

    Exercises are performed independently by participants using pre-recorded video content.

    Participants maintain an exercise diary to record heart rate and blood pressure levels, which are reviewed weekly by a physiotherapist.

    Exercise intensity is adjusted weekly based on data from the participant's wearable smartband.

Study groups in NCT07363447
Study groupRoleWhat they receive
Synchronous Telerehabilitation (STR)Active comparator8-week aerobic-based calisthenics (3 sessions/week, 45 min/session) under real-time physiotherapist supervision via videoconferencing.
Receives: Behavioral: Synchronous Cardiac Telerehabilitation
Asynchronous Telerehabilitation (ATR)Active comparator8-week aerobic-based calisthenics (3 sessions/week, 45 min/session) delivered via pre-recorded videos and exercise diaries.
Receives: Behavioral: Asynchronous Cardiac Telerehabilitation

What is being measured

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

  1. Exercise Capacity

    Change in Functional Exercise Capacity (6-Minute Stepper Test); The number of steps completed within six minutes using a stepper device. Higher step counts indicate better functional capacity.

    Measured: Before and after the training (0 and 8th Week)

  2. Exercise Capacity

    Predicted maximal oxygen uptake; Calculated from the duration of the maximal stress test (Bruce protocol) using validated formulas for men and women. It represents maximal aerobic capacity in mL/kg/min.

    Measured: Before and after the training (0 and 8th weeks)

Secondary outcomes (14)

  1. Blood Pressure Levels

    Ambulatory Blood Pressure Monitoring (ABPM) Parameters; Mean 24-hour, daytime, and nighttime systolic (SBP) and diastolic blood pressure (DBP) levels measured in mmHg.

    Measured: Before and after the training (0 and 8th weeks)

  2. Cardiac Functions

    Systolic functions assessed with echocardiography expressed by ejection fraction (EF, %) and diastolic functions E and A waves measured via transthoracic echocardiography (TTE). E wave represents early diastolic velocity, and A wave represents late diastolic velocity.

    Measured: Before and after the training (0 and 8th weeks)

  3. Self-Care Levels

    Self-Care of Hypertension Inventory (SC-HI V3.0) Score; A 23-item Likert-type scale with maintenance, monitoring, and management subscales. Each subscale is scored from 0 to 100, where higher scores indicate better self-care.

    Measured: Before and after the training (0 and 8th weeks)

  4. Postural Stability and Upper Extremity Function

    Plank test duration (in seconds)

    Measured: Before and after the training (0 and 8th weeks)

  5. Lower Extremity Muscle Function

    Numbers of Squat

    Measured: Before and after the trainining (0 and 8th weeks)

  6. Objective Physical Activity Level

    Average daily and weekly total step counts and weekly exercise duration were recorded using a wearable smart wristband

    Measured: Before and after the training (0 and 8th weeks)

  7. Subjective Physical Activity Levels

    Self-reported PA levels according to the International Physical Activity Questionnaire (IPAQ) score. IPAQ includes vigorous, moderate and walking activities during the last seven days and higher scores reflect higher physical activity levels.

    Measured: Before and after the training (0 and 8th weeks)

  8. Body Mass Index

    Body weight/ (height*height) (kg/m2)

    Measured: Before and after the training (0 and 8th weeks)

  9. Body Composition-Anthropometric Measure

    Weight to height ratio (kg/cm)

    Measured: Before and after the training (0 and 8th weeks)

  10. Body Fat Percantage

    body fat percentage (%) assessed by bioelectrical impedance analysis

    Measured: Before and after the training (0 and 8th weeks)

  11. Fat Free Mass

    Fat Free Mass assessed by bioelectrical impedance analysis

    Measured: Before and after the training (0 and 8th weeks)

  12. Lipid Profile

    Measured via blood samples including low-density lipoprotein (LDL) and high-density lipoprotein (HDL) levels in mg/dL.

    Measured: Before and after the training (0 and 8th weeks)

  13. Cardiovascular Disease (CVD) Risk Profile

    Cardiovascular Disease (CVD) Risk Profile; Estimated using the SCORE-TR risk chart, which calculates the 10-year risk of fatal cardiovascular disease based on age, gender, smoking status, systolic blood pressure, and total cholesterol.

    Measured: Before and after the training (0 and 8the weeks)

  14. Waist Circumference

    Waist Circumference in cm

    Measured: Before and after the training (0 and 8th weeks)

Timeline

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

  1. First posted23 Jan 2026
  2. Study start28 Feb 2024
  3. Primary completion30 Jul 2024
  4. Study completion30 Nov 2024

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Allocation and Sequence: Participants are initially randomly assigned to either the Synchronous Telerehabilitation (STR) or Asynchronous Telerehabilitation (ATR) group using a computer-supported simple randomization procedure.
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07363447
Sponsor's protocol ID
2017-KAEK-189_2024.02.23_01
Acronym
TELE-HT
Status last verified
Jan 2026
First submitted
3 Jan 2026
Last updated
23 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The individual participant data will not be shared due to ethical restrictions, institutional policies, and national legal regulations (such as KVKK) regarding the protection of sensitive personal health data in Turkey. The informed consent obtained from participants does not include permission for the public sharing of their raw clinical and diagnostic data.

Publications

  • Brouwers RWM, Scherrenberg M, Kemps HMC, Dendale P, Snoek JA. Cardiac telerehabilitation: current status and future perspectives. Neth Heart J. 2024 Jan;32(1):31-37. doi: 10.1007/s12471-023-01833-9. Epub 2023 Dec 12.

    PubMed 38085505

Questions about this trial

What is this clinical trial studying?

A study testing Synchronous Cardiac Telerehabilitation and Asynchronous Cardiac Telerehabilitation in people with Hypertension and Arterial Hypertension, run by Hacettepe University at 1 site in Turkey (Türkiye).

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 4 inclusion and 6 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 23 Jan 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 Turkey (Türkiye). 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Exercise Capacity (time frame: Before and after the training (0 and 8th Week)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07363447, which also lists 1 linked publication.

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 23 Jan 2026.

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