Recruiting

VIRTUES Application

Sponsor:

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Code:

NCT05452356

Conditions

Heart Diseases

Arrhythmias, Cardiac

Atrial Fibrillation

Cardiovascular Diseases

Pathologic Processes

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Study Details

Brief summary:

Patients with various cardiac conditions (such as those who experience a heart attack) are increasing in Canada and are in need of appropriate cardiac rehabilitation and care. Many patients do not have access to local in-person cardiac clinics, particularly in rural regions of Canada. A user-friendly digital application with accessible educational resources and recommendations based on the most up to date clinical practice guidelines can help mitigate these issues. VIRTUES is a digital healthcare application that targets 11 modifiable modules as follows:

1. antithrombotic management
2. lipid management
3. rate and rhythm control for atrial fibrillation
4. heart failure care
5. post myocardial infarction care
6. blood sugar management
7. blood pressure management
8. physical activity
9. healthy eating
10. smoking cessation
11. alcohol reduction

Of the 11 total modules, the first 7 listed provide recommendations in VIRTUES. The remaining 4 (physical activity, healthy eating, smoking cessation and alcohol reduction) consist of simple referrals to existing recommendations (i.e., for healthy eating and physical exercise) and referrals to existing local programs (i.e., for smoking cessation and alcohol reduction). Thus, in this cohort study, the investigators will test the primary 7 modules with 200 patients per module for approximately one month each in order to obtain feedback on the usability of each module. The investigators will also conduct virtual focus group discussions to obtain open ended feedback on the application. This study will provide valuable feedback, which will be used to improve and adapt the VIRTUES platform.

Conditions

Heart Diseases

Arrhythmias, Cardiac

Atrial Fibrillation

Cardiovascular Diseases

Pathologic Processes

Study ID

NCT05452356

Start date

Apr 18, 2024

Status verified date

May, 2026

Completion date

Sep 30, 2028

Anticipated

Primary completion date

Sep 30, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Any patient with a cardiovascular condition.
  • Ability to provide informed consent.
  • Proficient in the English language.
  • Access to a device capable of running mobile application.
  • Used mobile technology within the past 3 months.

Exclusion Criteria:

  • Any medical condition making 1-month survival unlikely.

Study Design

Enrollment

2000 participants

Anticipated

Interventions and Outcome Measures

Primary outcome measure

  • Patient Application Utilization (success is treated as ≥80% on each of the sub-items). [ Time Frame: 1-Month. ]
  • Patient Access to Care (success is treated as ≥80% on each of the sub-items). [ Time Frame: 1-Month. ]
  • Patient Autonomy (success is treated as ≥80%). [ Time Frame: 1-Month. ]
  • Patient Recommendation Adherence (success is treated as ≥80%). [ Time Frame: 1-Month. ]
  • Patient Overall Satisfaction (success is treated as ≥80%). [ Time Frame: 1-Month. ]
  • Qualitative Outcomes from Focus Groups. [ Time Frame: 1-Month. ]

Central Contacts and Locations

Central contacts

Locations

London Health Sciences Centre Research Institute

Recruiting

London, Ontario, Canada, N6A5A5

Contacts

Allan Skanes, MD, FRCPC, FHRS

519-685-8500Allan.Skanes@lhsc.on.ca

More Information

Sponsor

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Last update posted

Aug 13, 2026

Last verified

May, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's on 2026-08-13.