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

NCT07363447 | Completed

• 1 other identifier: 2017-KAEK-189_2024.02.23_01
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

Brief 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 (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.

Conditions

Hypertension; Arterial Hypertension; Systemic Hypertension

Keywords

telerehabilitation; cardiac rehabilitation; Aerobic exercise; synchronous; asynchronous

Outcome Measures

Primary Outcomes (2)

• 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.

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

• 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.

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

Secondary Outcomes (14)

• Blood Pressure Levels

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

• Cardiac Functions

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

• Self-Care Levels

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

• Postural Stability and Upper Extremity Function

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

• Lower Extremity Muscle Function

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

Study Arms (2)

Synchronous Telerehabilitation (STR)

ACTIVE COMPARATOR

8-week aerobic-based calisthenics (3 sessions/week, 45 min/session) under real-time physiotherapist supervision via videoconferencing.

Behavioral: Synchronous Cardiac Telerehabilitation

Asynchronous Telerehabilitation (ATR)

ACTIVE COMPARATOR

8-week aerobic-based calisthenics (3 sessions/week, 45 min/session) delivered via pre-recorded videos and exercise diaries.

Behavioral: Asynchronous Cardiac Telerehabilitation

Interventions

Synchronous Cardiac Telerehabilitation BEHAVIORAL

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.

Also known as: Home-based Exercise Training, aerobic exercise training

Synchronous Telerehabilitation (STR)

Asynchronous Cardiac Telerehabilitation BEHAVIORAL

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.

Also known as: Home-based Exercise Training, aerobic exercise training

Asynchronous Telerehabilitation (ATR)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Hacettepe University: lead
• Bozok University: collaborator

Study Sites (1)

Hacettepe University

Ankara, Turkey (Türkiye)

Location

Related Publications (1)

• 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.

  PMID: 38085505 RESULT

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Student

Model Details: 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.

Study Record Dates

• First Submitted: January 3, 2026
• First Posted: January 23, 2026
• Study Start: February 28, 2024
• Primary Completion: July 30, 2024
• Study Completion: November 30, 2024
• Last Updated: January 23, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)