An interventional study of Case Management in Cardiac Rehabilitation, sponsored by University of Vermont Medical Center. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.
Sponsored by University of Vermont Medical Center · Not applicable, Interventional, and Treatment
Outpatient cardiac rehabilitation (CR) is an exercise-based lifestyle program for patients who have experienced a myocardial infarction, systolic heart failure, percutaneous revascularization or cardiac surgery. CR plays a key role in secondary prevention, which is the prevention of subsequent cardiac events. CR has been shown to reduce both cardiovascular mortality and one year hospital readmissions as well as improve quality of life, exercise capacity, and physical function. Although the benefits have been clearly established for cardiac patients, women are much less likely to attend CR than men. Based upon our own preliminary data (and the medical literature), attendance at CR is determined by factors that vary in their importance between men and women. These findings demonstrate that older age and poor social support are particular barriers to CR participation in women. This information can guide efforts to increase CR participation and adherence in women, areas which have received little study.
Case management (CM) has been effective at reducing cardiovascular risk and reducing hospitalizations amongst cardiac patients. Further, CM has been effective at promoting attendance in a variety of health related programs (for example, diabetes treatment or cocaine dependence treatment). The primary aim in this randomized controlled trial is to examine the efficacy of early CM to promote participation and adherence in CR. The CM model can identify individualized determinants of health and social needs to identify potential barriers which may hinder CR enrollment. Additionally, the case manager will conduct a home visit and provide individual counseling to address lifestyle changes including physical activity. Thus, a component of CR and physical activity can be still be delivered for those unable to attend CR. The concept of CM to improve CR participation and adherence has not been specifically tested in women, a vulnerable patient population. This intervention, therefore, has the potential to increase utilization of CR and significantly improve health outcomes in female cardiac patients.
University of Vermont Medical Center is the lead sponsor of 41 studies on the registry; 19 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
-
Inclusion Criteria:
Exclusion Criteria:
Patient receives case management while in hospital.
Behavioral: Case Management
This control condition does not receive intervention of case management
a case manager is available by phone to assist patient with attending cardiac rehabilitation sessions as well as provide advice about cardiac symptoms and behavioral life style changes
Attendance at CR
Did the participant attend at least one session of CR within 4 months
Time frame: Within 4 months of discharge
Number of CR Sessions Attended
Number of CR sessions completed within the 4 months
Time frame: Within 4 months
Patients were enrolled at UVMMC Medical Center and Outpatient Cardiology Clinic
| Milestone | Case Management Intervention | Usual Care |
|---|---|---|
| Started | 57 | 57 |
| Completed | 53 | 56 |
| Not completed | 4 | 1 |
Did the participant attend at least one session of CR within 4 months
| Participants | Intervention | Usual Care |
|---|---|---|
| Attendance at CR | 41 | 43 |
Number of CR sessions completed within the 4 months
| Number of sessions | Intervention | Usual Care |
|---|---|---|
| Number of CR Sessions Attended | 20.2 ± 16.0 | 17.3 ± 15.0 |
Collected over 4 months, during the duration of cardiac rehabilitation participation. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Case Management | 0/53 (0%) | 0/53 (0%) | 0/53 (0%) |
| Usual Care | 0/56 (0%) | 0/56 (0%) | 0/56 (0%) |
| Age, Continuous(Years) | Intervention | Usual Care | Total |
|---|---|---|---|
| Mean | 68.4 ± 10.16 | 67.4 ± 10.53 | 68.4 ± 10.3 |
| Sex: Female, Male(Participants) | Intervention | Usual Care | Total |
|---|---|---|---|
| Female | 53 | 56 | 109 |
| Male | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Intervention | Usual Care | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 1 | 2 |
| Asian | 1 | 2 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 48 | 52 | 100 |
| More than one race | 3 | 1 | 4 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | Intervention | Usual Care | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 3 | 4 |
| Not Hispanic or Latino | 52 | 53 | 105 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Intervention | Usual Care | Total |
|---|---|---|---|
| United States | 53 | 56 | 109 |
| Current smoking(Participants) | Intervention | Usual Care | Total |
|---|---|---|---|
| Count of participants | 12 | 6 | 18 |
| Fitness (METS)(METS) | Intervention | Usual Care | Total |
|---|---|---|---|
| Mean | 5.7 ± 2.3 | 5.5 ± 2.8 | 5.6 ± 2.6 |
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Plan to share: No
This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.
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University of Vermont Medical Center