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CompletedNCT05568511Updated Mar 18, 2026Results posted

Home-based Digital Exercise Training Program to Improve Physical Function of Older Sepsis Survivors - HEAL Sepsis Trial

An interventional study of App-based exercise program and Standard of Care in Exercise Program and Standard Care Control, sponsored by University of Florida. Completed at 1 site in United States. Open to participants aged 55 Years to 105 Years. Per ClinicalTrials.gov, last updated 2026-03-18.

Sponsored by University of Florida · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
55 Years to 105 Years
Sex
All
01

Study summary

Older sepsis survivors have poor physical function and need post-sepsis physical rehabilitation. Often times, sepsis survivors live far from research facilities and do not have access to rehabilitation services. Remotely delivered exercise intervention could be the key to improve physical function in this population. Therefore, the study proposes to recruit older sepsis survivors at discharge from the hospital to home and assign them to either exercise training or standard care.

Read the detailed description

The proposed research will use a multi-disciplinary expertise of the University of Florida Sepsis and Critical Illness Research Center (SCIRC). For this project, the investigators will take advantage of the SCIRC's ongoing recruitment and monitoring of sepsis patients into an observational 1-year follow-up study. For this pilot, the investigators will approach and screen older sepsis survivors who get discharged from hospital to home. Potential participants will be approached within 5 days before discharge. The study will enroll 40 low-functioning (SPPB \<6) older sepsis patients (≥55 years old). The enrolled subjects will be randomized to either digitally delivered and home-based exercise training program or standard care control group. All participants will receive tablets with the Blue Marble Health Platform (BMHP) app. For the control group, the app will be enabled only for the physical function assessments and for the rest of the time, only a health diary for logging daily activities will be available. Both groups will receive weekly phone calls from our research staff member to ask about their health and remind them of weekly charging of their tablets. The intervention group will receive daily reminders by text to perform the exercises for 30 min daily 5 days/week. Participants will be given wrist fitness tracking watches with step-counting and heart rate to measure adherence to an exercise intervention. At baseline and 12-week follow-up visits physical function assessments will be app-guided using the BMHP-validated physical function test similar to SPPB, with a blinded coordinator present via a video call to assist a participant with answering questions about the tests. The interventionists who will be calling the participants will be trained to maintain the same level of rapport to not jeopardize the study conditions.

02

Conditions studied

  • Exercise Program
  • Standard Care Control
03

In context

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

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

04

Who can participate

Ages eligible
55 Years to 105 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Able to perform lower and upper-body movements
  • Sepsis survivor
  • Age 55 years and older
  • SPPB ≤ 6
  • Being discharged to home from the hospital after surviving sepsis
  • Willingness to be randomized to either treatment or control group
  • Willingness to participate in all study procedures
  • Willingness to use the devices and technology in the study

Exclusion criteria

Exclusion Criteria:

  • Failure to provide informed consent
  • Pregnant
  • Discharge to a long-term facility
  • Involvement in a structured rehabilitation program
  • Inability to perform lower or upper-body exercises (e.g. being in wheelchair)
  • Severe cardiac disease, including NYHA Class III or IV congestive heart failure, clinically significant aortic stenosis, history of cardiac arrest, use of a cardiac defibrillator, or uncontrolled angina
  • Significant cognitive impairment, including known dementia diagnosis or a Mini-Mental State Examination exam score \< 24
  • Progressive, degenerative neurologic disease, e.g., Parkinson's Disease, multiple sclerosis
  • Severe pulmonary disease, requiring either steroid pills or injections or the use of supplemental oxygen
  • Simultaneous participation in another intervention trial
  • Poor or no cellular internet service at the primary place of living.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Home-based, digitally delivered exercise training program

    Other: App-based exercise program

  • Active comparator
    Standard care control group

    Other: Standard of Care

Interventions

  • OtherApp-based exercise program

    Remotely-controlled, app-guided exercise program

  • OtherStandard of Care

    These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.

06

What researchers measure

Primary outcomes

  1. Exercise Adherence

    Assessment of adherence to exercise intervention - percentage of performed exercise sessions.

    Time frame: Baseline to 3 months

  2. Safety (Number of Adverse Events)

    Recording a number of adverse events during the study period.

    Time frame: Baseline to 3 months

Secondary outcomes

  1. 30-second Sit-to-Stand Test

    Application-guided physical function testing. The 30-second sit-to-stand test assesses lower-body strength and functional mobility by measuring the number of times a participant can rise from a seated position to a full stand and return to sitting within 30 seconds.

    Time frame: Change between Baseline and 3 months

  2. 4-Stage Balance Test

    Application-guided physical function testing. The 4-stage balance test assesses static balance by evaluating a participant's ability to maintain four progressively challenging standing positions for up to 10 seconds each. Successful completion of more advanced stages indicates better balance and postural control.

    Time frame: Change between Baseline and 3 months

07

Results

Posted Mar 18, 2026

Participant flow

Participant flow — Overall Study
MilestoneExercise InterventionStandard Care Control Group
Started1011
Completed911
Not completed10

Outcome measures

PrimaryExercise Adherence

Assessment of adherence to exercise intervention - percentage of performed exercise sessions.

Time frame:
Baseline to 3 months
Reported as:
Mean · Percentage
Exercise Adherence
PercentageExercise Intervention
Exercise Adherence76 ± 18.6
PrimarySafety (Number of Adverse Events)

Recording a number of adverse events during the study period.

Time frame:
Baseline to 3 months
Reported as:
Number · number of events
Safety (Number of Adverse Events)
number of eventsExercise InterventionStandard Care Control Group
Safety (Number of Adverse Events)1116
Secondary30-second Sit-to-Stand Test

Application-guided physical function testing. The 30-second sit-to-stand test assesses lower-body strength and functional mobility by measuring the number of times a participant can rise from a seated position to a full stand and return to sitting within 30 seconds.

Time frame:
Change between Baseline and 3 months
Reported as:
Mean · repetitions
30-second Sit-to-Stand Test
repetitionsExercise InterventionStandard Care Control Group
30-second Sit-to-Stand Test1.14 ± 2.91-0.88 ± 0.99
Secondary4-Stage Balance Test

Application-guided physical function testing. The 4-stage balance test assesses static balance by evaluating a participant's ability to maintain four progressively challenging standing positions for up to 10 seconds each. Successful completion of more advanced stages indicates better balance and postural control.

Time frame:
Change between Baseline and 3 months
Reported as:
Mean · seconds
4-Stage Balance Test
secondsExercise InterventionStandard Care Control Group
4-Stage Balance Test5.07 ± 4.750.01 ± 4.38

Adverse events

Collected over From enrollment until the end of 12-week follow-up. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Exercise Intervention1/10 (10%)1/10 (10%)6/10 (60%)
Standard Care Control Group0/11 (0%)1/11 (9.1%)7/11 (63.6%)
Most frequent serious events
Most frequent serious events
EventExercise InterventionStandard Care Control Group
DeathGeneral disorders1/100/11
HospitalizationRenal and urinary disorders0/101/11
Most frequent other events
Most frequent other events
EventExercise InterventionStandard Care Control Group
Musculoskeletal pain or associated issuesMusculoskeletal and connective tissue disorders2/104/11
Fatigue/malaise/dizziness/nauseaGeneral disorders2/100/11
Urinary tract or kidney associated issuesRenal and urinary disorders0/102/11
Respiratory issuesRespiratory, thoracic and mediastinal disorders1/101/11
Cardiac issuesCardiac disorders1/101/11
Infections (non-UTI/respiratory)Infections and infestations1/101/11
Falls or injuriesInjury, poisoning and procedural complications1/101/11
Eye disordersEye disorders0/101/11

Baseline characteristics

Age, Continuous
Age, Continuous(years old)Exercise InterventionStandard Care Control GroupTotal
Mean69.6 ± 8.572.3 ± 7.971 ± 8.1
Sex: Female, Male
Sex: Female, Male(Participants)Exercise InterventionStandard Care Control GroupTotal
Female459
Male6612
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Exercise InterventionStandard Care Control GroupTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American112
White9918
More than one race000
Unknown or Not Reported011
Total Sequential Organ Failure Assessment (SOFA) score
Total Sequential Organ Failure Assessment (SOFA) score(scores on a scale)Exercise InterventionStandard Care Control GroupTotal
Mean3.1 ± 0.72.7 ± 1.12.9 ± 0.9
08

Study locations

1 site
  • UF Clinical and Translational Research Building
    Gainesville, Florida 32611, United States
09

References and documents

Publications

  • Lin Y, Zeidan RS, Ghaderpanah R, Ohama MK, Jung MH, Baskaran N, Delgado JS, Anton SD, Smith BK, Leeuwenburgh C, Hsu FC, Efron PA, Buford TW, Flynn S, Guirgis FW, Mankowski RT. Feasibility of home-based, remotely delivered exercise training to improve physical function in older sepsis survivors: a pilot randomized controlled trial. Geroscience. 2026 May 21. doi: 10.1007/s11357-026-02328-2. Online ahead of print. PubMed 42168725 ↗
  • Zeidan RS, Ohama MK, Evripidou N, Anton SD, Hamed LL, Lin Y, Leeuwenburgh C, Guirguis FW, Efron PA, Flynn S, Smith B, Bacher R, Bakarasan N, Sarmiento Delgado J, Mankowski RT. Home-Based Digital Exercise Training Program to Improve Physical Function of Older Sepsis Survivors: Protocol of the HEAL Sepsis Randomized Clinical Trial. JMIR Res Protoc. 2024 Oct 17;13:e60270. doi: 10.2196/60270. PubMed 39418096 ↗

Study documents

  • Study protocol · May 29, 2024
  • Statistical analysis plan · Aug 31, 2025
  • Informed consent form · Jan 7, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05568511
Lead sponsor
University of Florida
Collaborators
National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Oct 5, 2022
Start date
Mar 29, 2023
Primary completion
Jul 29, 2025
Completion
Jul 29, 2025
Results posted
Mar 18, 2026
Last update
Mar 18, 2026

Study contacts

Robert Mankowski, PhD
principal investigator · University of Florida

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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