Rehabilitation in the Home Setting for Older Adults In the Early Period After Myocardial Infarction
| Status: | Recruiting |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 70 - Any |
| Updated: | 1/30/2019 |
| Start Date: | June 2016 |
| End Date: | June 2019 |
| Contact: | Cara Stefanacci |
| Email: | Cara.Stefanacci@nyumc.org |
This pilot feasibility study will test whether a home-based cardiac rehabilitation
intervention, using physical therapist visits combined with mobile health technology, will
prevent decline in high-risk patients post acute myocardial infarction (AMI). Participants
will be randomized to either an intervention arm (home-based physical therapy), or a control
(usual care) arm. Prior to discharge, participants in the intervention arm will receive a
1-hour educational session by a research physical therapist that includes information on
cardiac risk factor management, postoperative recovery, education on medication adherence,
and a prescription for home exercise that is tailored to each patient's baseline abilities
and limitations. Participants assigned to the control arm will receive a 30-minute counseling
session on risk factor modification prior to discharge, in addition to usual care post-AMI.
intervention, using physical therapist visits combined with mobile health technology, will
prevent decline in high-risk patients post acute myocardial infarction (AMI). Participants
will be randomized to either an intervention arm (home-based physical therapy), or a control
(usual care) arm. Prior to discharge, participants in the intervention arm will receive a
1-hour educational session by a research physical therapist that includes information on
cardiac risk factor management, postoperative recovery, education on medication adherence,
and a prescription for home exercise that is tailored to each patient's baseline abilities
and limitations. Participants assigned to the control arm will receive a 30-minute counseling
session on risk factor modification prior to discharge, in addition to usual care post-AMI.
All participants enrolled in this research study will receive the FDA-approved FitBit Flex, a
wearable activity monitoring device which will objectively measure physical activity and
sedentary behavior in the period post-hospital discharge. Daily activity monitoring will
include: number of steps, distance traveled, calories burned, number of active minutes.
wearable activity monitoring device which will objectively measure physical activity and
sedentary behavior in the period post-hospital discharge. Daily activity monitoring will
include: number of steps, distance traveled, calories burned, number of active minutes.
Inclusion Criteria:
- Clinical diagnosis of acute myocardial infarction (AMI).
Exclusion Criteria:
- moderate to severe cognitive impairment; non-ambulatory
- severe heart failure (NYHA Class IV); decisional impairment as assessed by the
University of California
- San Diego Brief Assessment of Capacity to Consent (UBACC) 22, if the RC questions
capacity; very limited life expectancy (e.g. anticipated discharge to hospice)
- non-English/non-Spanish speaking.
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: John Dodson, MD
New York University School of Medicine NYU School of Medicine has a proud history that...
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