CI

At a glance

ClinicalIndex Comparison Record
N/ACompleted· 139 enrolled
Drug / intervention
Stepped Careother
Likely dose
Not stated in record
Structured eligibility isn't available for this trial yet — see the full criteria in the Eligibility tab below.

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT05562037
NCT05562037N/ACompleted
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Stepped Care vs Center-based Cardiopulmonary Rehabilitation for Older Frail Adults Living in Rural MA

Peter Lindenauer, MD·interventional·Posted Sep 30, 2022·Updated Jul 24, 2025

In Brief

A clinical study evaluating Stepped Care for Angina, Stable and 2 related conditions. Completed, enrolled 139 participants across 2 sites.

Detailed Summary

This feasibility trial will focus on older adults 60+ who are candidates for cardiac or pulmonary rehabilitation and who are vulnerable, mildly or moderately frail. The investigators will randomize older frail adults living in rural regions of the county to Treatment as usual (TAU) or Stepped care (SC). TAU refers to center-based rehabilitation (CBR). Patients randomized to SC will be enrolled in traditional CBR and based on prespecified non-response criteria, will step up to three services: 1) Transportation-subsidized CBR, 2) Home-based telerehabilitation (TR), and 3) Community health worker-(CHW) supported home-based TR.

Study Details

Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
ConditionsAngina, Stable, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease
CountriesUnited States
CollaboratorsBerkshire Medical Center

Timeline

N/ACompletedFinished
2023202420252026
First PostedSep 30, 2022
Enrollment StartSep 8, 2022
Primary CompletionMar 30, 2025
TodayJul 2, 2026
Enrollment to primary: 2.6 yearsPosted 3.8 years ago

Interventions

Stepped Careother

Patients meeting a non-response criterion will be stepped up to the next step