[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100639548":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":53,"collaborators":55,"id":60,"slug":61,"hasResults":62,"nctId":63,"briefTitle":64,"officialTitle":65,"acronym":26,"eligibilityCriteria":66,"healthyVolunteers":62,"sex":67,"minAge":68,"maxAge":69,"enrollmentInfo":70,"targetDuration":26,"studyType":73,"phases":74,"briefSummary":76,"conditions":77,"keywords":80,"overallStatus":82,"whyStopped":26,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"The Children's Hospital of Zhejiang University School of Medicine","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Adaptive Digital Rehabilitation (JITAI-Based) Group","EXPERIMENTAL","Participants will receive the JITAI-based adaptive digital exercise rehabilitation program supported by wearable monitoring devices and the digital rehabilitation platform.",[13],"Behavioral: JITAI-Based Digital Exercise Rehabilitation Program",{"label":15,"type":16,"description":17,"interventionNames":18},"Standard Rehabilitation Care Group","ACTIVE_COMPARATOR","Participants will receive standard postoperative exercise rehabilitation according to current clinical guidelines, without adaptive digital adjustments.",[19],"Behavioral: Standard Exercise Rehabilitation Program",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","JITAI-Based Digital Exercise Rehabilitation Program","This behavioral intervention uses a Just-in-Time Adaptive Intervention (JITAI)-based digital rehabilitation program to provide individualized exercise guidance for children recovering from congenital heart disease (CHD) surgery. The program integrates wearable monitoring devices with a digital rehabilitation platform to deliver real-time exercise prompts, adaptive training intensity adjustments, and continuous feedback based on physiological signals and exercise performance. During the intervention, participants receive structured postoperative exercise training that includes daily activity guidance, monitoring of heart rate and oxygen saturation, safety alerts, and automated recommendations to support adherence and optimize training effectiveness. The system aims to improve cardiopulmonary endurance, functional capacity, and recovery-related behaviors while ensuring safety through real-time monitoring and adaptive adjustments.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Standard Exercise Rehabilitation Program","A conventional post-operative exercise rehabilitation program based on existing pediatric cardiac rehabilitation guidelines. The program includes routine breathing training, early mobilization, and graded activity exercises supervised by clinical staff. No adaptive algorithm or real-time system-driven adjustments are used. Wearable devices may be used for data collection only, without influencing the intervention.",[15],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"hua ji Zhu","CONTACT","+86 13588326715","jihuazhu@zju.edu.cn",[38],{"facility":39,"status":26,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Zhejiang University School of Medicine Children's Hospital","Hangzhou","Zhejiang","31000","China","CN",{"type":46,"coordinates":47},"Point",[48,49],120.16142,30.29365,{"lat":49,"lon":48},[52],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},{"type":54,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR",[56,58],{"name":57,"class":6},"Children's Hospital of Nanjing Medical University",{"name":59,"class":6},"Beijing Children's Hospital","100639548","adaptive-digital-exercise-rehabilitation-for-children-after-chd-surgery-100639548",false,"NCT07574463","Adaptive Digital Exercise Rehabilitation for Children After CHD Surgery","Development and Evaluation of a Just-in-Time Adaptive Digital Exercise Rehabilitation Program for Children After Congenital Heart Disease Surgery","Inclusion Criteria:\n\n* Children aged 6 to 12 years\n* Diagnosed with congenital heart disease (CHD) and have undergone cardiac surgery\n* Clinically stable after transfer to the general ward, with stable circulatory, respiratory, musculoskeletal, and neurological status, and assessed by the clinician as suitable to begin active exercise rehabilitation\n* Able to understand and cooperate with basic exercise training requirements\n* Written informed consent provided by the child and the legally authorized guardian\n\nExclusion Criteria:\n\n* Absolute contraindications to exercise rehabilitation, including uncontrolled arrhythmia, acute heart failure, hemodynamic instability, severe aortic stenosis, acute myocarditis, or acute pericarditis\n* Severe comorbid conditions that could interfere with rehabilitation, including severe hepatic or renal dysfunction, malignancy, or acute infection\n* Musculoskeletal or neuromuscular disorders that would prevent participation in or completion of the rehabilitation training","ALL","6 Years","12 Years",{"count":71,"type":72},130,"ESTIMATED","INTERVENTIONAL",[75],"NA","The goal of this clinical trial is to evaluate whether a Just-in-Time Adaptive Intervention (JITAI)-based digital exercise rehabilitation program can improve postoperative recovery in children after congenital heart disease (CHD) surgery. The study will examine whether this system can:\n\nImprove cardiopulmonary endurance, cardiac function, and muscle strength Increase rehabilitation adherence and enhance training experience while reducing exercise-related fear Researchers will compare children receiving the adaptive digital exercise rehabilitation program with those receiving standard postoperative rehabilitation to determine whether the digital program provides additional clinical and behavioral benefits.\n\nParticipants will:\n\nWear non-invasive monitoring devices to collect real-time physiological data Engage in daily structured exercise rehabilitation sessions guided by the digital system Receive adaptive adjustments in exercise intensity based on real-time physiological feedback Complete questionnaires on recovery, emotional status, and rehabilitation experience",[78,79],"Congenital Heart Disease (CHD)","Congenital Heart Disease in Children",[81],"Just-in-Time Adaptive Intervention","NOT_YET_RECRUITING","2026-05-05",{"date":85,"type":86},"2026-05-08","ACTUAL",{"date":88,"type":72},"2026-12-30",{"date":90,"type":72},"2029-02-28",{"name":5,"class":6},1]