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CompletedNCT01223170eRehabUpdated Dec 12, 2014

eRehab: Can Information and Communication Technology (ICT) Enhance Self-management of Cardiovascular Disease?

An interventional study of Tailored content and Generic Internet-based information in Cardiovascular Diseases, sponsored by University Hospital of North Norway. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-12-12.

Sponsored by University Hospital of North Norway · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Cardiovascular Diseases (CVD) according to the World Health Organization (WHO) are leading causes of death and represent 30% of all global deaths and 48% of the deaths in Europe. Moreover, the current trends predict increase in deaths caused by Cardiovascular Diseases over the next years. Secondary preventive efforts can decrease mortality risk as well as improve health among Cardiovascular Disease patients.

This study suggests an innovative approach in supporting the self-management of Cardiovascular Disease patients after rehabilitation. The implied Randomized Controlled Trial has two arms and aims to investigate the effectiveness of tailoring in an Information and Communication Technology (ICT) based intervention. The tailoring will be based on concepts derived from health psychology theories, and will contribute in their further development. More specifically:

  • Aim 1: To assess the needs of CVD rehabilitation patients that can potentially be met through the use of ICT.
  • Aim 2: To assess the effects of a tailored Internet-based intervention on maintenance of self-management behaviors after a rehabilitation stay. Hypothesis: The intervention group (tailored) will have higher adherence a) to the Internet-based intervention, and b) to self-management.
  • Aim 3: To assess the effect of mobile technology with activity sensors on physical activity. Hypothesis: There will be a relationship between the data collected from activity sensors and the self-reported physical activity levels.
Read the detailed description

A parallel group, cluster randomized controlled trial. The study population is adult participants of a cardiac rehabilitation programme in Norway with home Internet access and mobile phone, who in monthly clusters are randomized to the control or the intervention condition. Participants have access to a website with information regarding cardiac rehabilitation, an online discussion forum and an online activity calendar. Those randomized to the intervention condition, receive in addition tailored content based on models of health behaviour, through the website and mobile text messages. The objective is to assess the effect of the intervention on maintenance of self-management behaviours after the rehabilitation stay. Main outcome is the level of physical activity one month, three months and one year after the end of the cardiac rehabilitation programme. The randomization of clusters is based on a true random number online service, and participants, investigators and outcome assessor are blinded to the condition of the clusters.

The study suggests a theory-based intervention that combines models of health behaviour in an innovative way, in order to tailor the delivered content. The users have been actively involved in its design, and because of the use of Open-Source software, the intervention can easily and at low-cost be reproduced and expanded by others. Challenges are the recruitment in the elderly population and the possible underrepresentation of women in the study sample

02

Conditions studied

  • Cardiovascular Diseases

Keywords

  • Tailoring
  • Cardiac rehabilitation
  • Internet based intervention
  • Exercise
  • Cardiovascular Disease rehabilitation
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In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 920 are open to participants now.

This study's enrollment of 69 is below the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

University Hospital of North Norway is the lead sponsor of 150 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • History of cardiovascular disease
  • Admission to the collaborating rehabilitation center

Exclusion criteria

Exclusion Criteria:

  • Technological illiteracy
  • Inability to access internet at home
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    Enhanced Internet-based intervention

    Behavioral: Tailored content Behavioral: Generic Internet-based information Behavioral: Discussion forum Behavioral: Behavioral monitoring

    Behavioral: Tailored content · Behavioral: Generic Internet-based information · Behavioral: Discussion forum · Behavioral: Behavioral monitoring

  • Placebo comparator
    Control

    Behavioral: Generic Internet-based information Behavioral: Discussion forum

    Behavioral: Generic Internet-based information · Behavioral: Discussion forum

Interventions

  • BehavioralTailored content

    Participants will have access to content tailored for Stage of Change, Regulatory Focus and Self-Efficacy.

    Also known as: Internet based intervention

  • BehavioralGeneric Internet-based information

    Access to a website with general information about Cardiovascular Disease and self-management, including diet, physical activity, smoking and medications.

    Also known as: Internet based intervention

  • BehavioralDiscussion forum

    Access to a discussion forum for Cardiovascular Disease Rehabilitation.

    Also known as: Internet based intervention

  • BehavioralBehavioral monitoring

    Participants will be offered behavioral monitoring, based on data collected from online self-reports and from activity sensors built into mobile phones.

    Also known as: Internet based intervention

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What researchers measure

Primary outcomes

  1. Duration and Intensity of Physical Activity

    Time frame: 1 month, 3 months and 12 months after discharge

Secondary outcomes

  1. Use of online intervention

    Time frame: 1 month after discharge

  2. Use of online intervention

    Time frame: 3 months after discharge

  3. Use of online intervention

    Time frame: 12 months after discharge

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Study locations

1 site
  • Skibotn Rehabilitering
    Skibotn, Troms 9143, Norway
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References and documents

Publications

  • Antypas K, Wangberg SC. E-Rehabilitation - an Internet and mobile phone based tailored intervention to enhance self-management of cardiovascular disease: study protocol for a randomized controlled trial. BMC Cardiovasc Disord. 2012 Jul 9;12:50. doi: 10.1186/1471-2261-12-50. PubMed 22776554 ↗
  • Antypas K, Wangberg SC. An Internet- and mobile-based tailored intervention to enhance maintenance of physical activity after cardiac rehabilitation: short-term results of a randomized controlled trial. J Med Internet Res. 2014 Mar 11;16(3):e77. doi: 10.2196/jmir.3132. PubMed 24618349 ↗
  • Antypas K, Wangberg SC. Combining users' needs with health behavior models in designing an internet- and mobile-based intervention for physical activity in cardiac rehabilitation. JMIR Res Protoc. 2014 Jan 10;3(1):e4. doi: 10.2196/resprot.2725. PubMed 24413185 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01223170
Lead sponsor
University Hospital of North Norway
Collaborators
Helse Nord, LHL Helse
Responsible party
Sponsor
First posted
Oct 18, 2010
Start date
Jan 2012
Primary completion
Oct 2013
Completion
Dec 2014
Last update
Dec 12, 2014

Study contacts

Silje Camilla Wangberg, PhD
principal investigator · Kompetansesenter for Rus, Nord-Norge

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2014. You cannot join it, but the record below documents what was studied.

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