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CTRI Number  CTRI/2025/11/097267 [Registered on: 12/11/2025] Trial Registered Prospectively
Last Modified On: 11/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Impact of a Structured Patient Education Program on Cardiac Rehabilitation Among Patients With Cardiovascular Disease 
Scientific Title of Study   Impact of a Structured Patient Education Program on Cardiac Rehabilitation Enrolment Rate Among Patients With Cardiovascular Disease 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vaishnavi E 
Designation  Post Graduate Student 
Affiliation  Ramaiah College of Physiotherapy 
Address  Ramaiah College of Physiotherapy M S Ramaiah Nagara, MSRIT Post, Banglore-560054

Bangalore
KARNATAKA
560054
India 
Phone  09739185643  
Fax    
Email  vyshnavigoud18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Veena Kiran Nambiar 
Designation  Professor, M S Ramaiah College of Physiotherapy 
Affiliation  Ramaiah College of Physiotherapy 
Address  Ramaiah College of Physiotherapy M S Ramaiah Nagara, MSRIT Post, Banglore-560054


KARNATAKA
560054
India 
Phone  9880575407  
Fax    
Email  veenakn.rcp@msruas.ac.in  
 
Details of Contact Person
Public Query
 
Name  Vaishnavi E 
Designation  Post Graduate Student 
Affiliation  Ramaiah College of Physiotherapy 
Address  Ramaiah College of Physiotherapy M S Ramaiah Nagara, MSRIT Post, Banglore-560054


KARNATAKA
560054
India 
Phone  09739185643  
Fax    
Email  vyshnavigoud18@gmail.com  
 
Source of Monetary or Material Support  
M S Ramaiah Memorial Hospital, M S Ramaiah Nagara, MSRIT Post, Bangalore- 560054 
 
Primary Sponsor  
Name  M S Ramaiah Medical College Hospitals 
Address  Ramaiah College of Physiotherapy M S Ramaiah Nagara, MSRIT Post, Bangalore- 560054 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Vaishnavi E  M S Ramaiah Memorial Hospital  Ramaiah College of Physiotherapy M S Ramaiah Nagara, MSRIT Post, Banglore-560054
Bangalore
KARNATAKA 
09739185643

vyshnavigoud18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee M S Ramaiah Medial College and Hospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I219||Acute myocardial infarction, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Patient Educataion  Patients in the control group will receive routine discharge education as currently practiced in the hospital. This includes brief verbal instructions regarding medication adherence, follow-up care, lifestyle modification, and home-based activity progression. Additionally, a printed informational pamphlet with general cardiac rehabilitation advice will be provided. No structured counseling sessions or CR familiarisation visit will be given. 
Intervention  Structured Patient Education Program  Participants in the intervention group will receive a Structured Patient Education Program during hospital stay before discharge. The program will be delivered over three consecutive days: Day 1: One-to-one counselling session on the purpose, benefits, and components of Cardiac Rehabilitation. A printed educational pamphlet will be provided. The session may take 30-40 minutes. Day 2: Video-based education covering lifestyle modification, exercise safety, and commonly asked questions about CR. The session may take 30-40 minutes. Day 3: Cardiac Rehabilitation familiarisation visit, including guided orientation to the CR facility and introduction to the rehabilitation team. Each session will last approximately 30 to 40 minutes which is 90-100 minutes divided into 3 sessions. Follow-up will be conducted 15 days post-discharge to assess CR enrolment and perceived barriers. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients aged 18 years and above diagnosed with cardiovascular disease (e.g., post-MI, post-angioplasty, post-CABG, valvular heart disease, or heart failure).
2. Medically stable and cleared for participation in cardiac rehabilitation education.
3. Able to understand and provide informed consent.
4. Willing to participate in the education sessions and follow-up after discharge. 
 
ExclusionCriteria 
Details  1. Patients with unstable cardiac conditions (e.g., ongoing chest pain, arrhythmia, or hemodynamic instability).
2. Those with cognitive impairment, psychiatric illness, or communication difficulties that limit understanding of education sessions.
3. Patients with severe comorbidities (e.g., advanced renal, hepatic, or respiratory failure) that prevent participation.
4. Patients unwilling to participate or unable to provide informed consent.
5. Patients discharged to other facilities where follow-up within 15 days is not feasible. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of patients who enroll into Cardiac Rehabilitation after discharge(intervention vs Control)  Cardiac rehabilitation enrolment rate at 15 days post-discharge 
 
Secondary Outcome  
Outcome  TimePoints 
Perceived barriers to Cr participation assessed using the Cardiac Rehabilitation Barriers Scale at 15 days post-discharge.  15 days post-discharge 
 
Target Sample Size   Total Sample Size="220"
Sample Size from India="220" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Cardiac Rehabilitation (CR) is an effective secondary prevention program for patients with cardiovascular diseases, but its enrollment rate remains low in many settings. Patients often express willingness to attend CR while in the hospital, yet do not follow through after discharge. One major reason is lack of structured and reinforced patient education.
This study aims to determine whether a Structured Patient Education Program delivered before hospital discharge can improve CR enrollment rates among eligible cardiac patients.

The study will be a randomized, parallel-group, active-controlled trial. A total of 220 patients meeting the inclusion criteria will be randomly assigned to either the intervention group or the control group.

The intervention group will receive a Structured Patient Education Program over three days, including one-to-one counseling, video-based education, and a familiarisation visit to the CR facility. The control group will receive routine discharge advice and pamphlet information.

CR enrollment status and perceived barriers will be assessed 15 days post-discharge using the Cardiac Rehabilitation Barriers Scale (CRBS). The primary outcome is the rate of CR enrollment. The study will help determine whether structured education can improve participation in CR programs.
 
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