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Clinical Trial Summary

Adherence to cardiac rehabilitation is poor, and worse for minorities, women, and those with lower levels of education. Patients less likely to be referred to and complete cardiac rehab are at highest risk of adverse outcomes and thus have the most to gain from participation in cardiac rehab. To improve participation, healthcare systems need to limit barriers to enrollment and promote adherence to rehabilitation.


Clinical Trial Description

This study aims to (1) Iteratively develop and program a theoretically informed technology-based nudge message library for a diverse patient population using multiple and iterative N of 1 within subject studies. Investigators will also engage patient, provider and health systems stakeholders in designing and refining the messages; (2)Develop a one-page decision aid tool to present information designed with principles of shared decision making including pros and cons of hospital and home-based rehabilitation. Investigators will engage patients, providers, and health systems stakeholders to provide feedback on the information sheet (3) Conduct a 2x2 factorial design randomized trial of a) choice and b) nudge messaging to improve primary outcomes of CR/PR enrollment, adherence and completion. Secondary outcomes will include exercise capacity, patient engagement, quality of life, hospitalizations and healthcare utilization.Evaluate the intervention using a mixed methods approach and applying the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03834155
Study type Interventional
Source Denver Health and Hospital Authority
Contact Sarah E Leslie, MPH
Phone 303-602-3805
Email sarah.leslie@dhha.org
Status Not yet recruiting
Phase N/A
Start date April 1, 2019
Completion date September 30, 2023

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