Rehabilitation Using Mobile Health for Older Adults With Ischemic Heart Disease in the Home Setting (RESILIENT): Protocol for a Randomized Controlled Trial

被引:8
作者
Dodson, John A. [1 ]
Schoenthaler, Antoinette [2 ]
Sweeney, Greg [3 ]
Fonceva, Ana [4 ]
Pierre, Alicia [3 ]
Whiteson, Jonathan [5 ]
George, Barbara [6 ]
Marzo, Kevin [6 ]
Drewes, Wendy [7 ]
Rerisi, Elizabeth [7 ]
Mathew, Reena [7 ]
Aljayyousi, Haneen [4 ]
Chaudhry, Sarwat, I [8 ]
Hajduk, Alexandra M. [9 ]
Gill, Thomas M. [9 ]
Estrin, Deborah [10 ]
Kovell, Lara [11 ]
Jennings, Lee A. [12 ]
Adhikari, Samrachana [13 ]
机构
[1] NYU, Leon H Charney Div Cardiol, Med & Populat Hlth, Geriatr Cardiol Program,Grossman Sch Med, 227 East 30th St, New York, NY 10016 USA
[2] NYU, Dept Populat Hlth, Dept Med, Grossman Sch Med, New York, NY USA
[3] NYU, Dept Rehabil Med, Grossman Sch Med, New York, NY USA
[4] NYU, Leon H Charney Div Cardiol, Grossman Sch Med, New York, NY USA
[5] NYU, Dept Rehabil Med, Dept Med, Grossman Sch Med, New York, NY USA
[6] NYU, Div Cardiol, Dept Med, Long Isl Sch Med, Mineola, NY USA
[7] NYU, Div Cardiol, Langone Hosp Long Isl, Mineola, NY USA
[8] Yale Univ, Sect Gen Med, Sch Med, New Haven, NY USA
[9] Yale Univ, Sch Med, New Haven, CT USA
[10] Cornell Tech & Weill Cornell Med, New York, NY USA
[11] Univ Massachusetts, UMass Mem Med Ctr, Dept Med, Med Sch, Worcester, MA USA
[12] Univ Oklahoma, Hlth Sci Ctr, Reynolds Sect Geriatr Med, Oklahoma City, OK USA
[13] NYU, Dept Populat Hlth, Grossman Sch Med, New York, NY USA
来源
JMIR RESEARCH PROTOCOLS | 2022年 / 11卷 / 03期
基金
美国国家卫生研究院;
关键词
mobile health; cardiac rehabilitation; clinical trial; rehabilitation; cardiology; heart disease; ambulatory care; mHealth; health outcomes; older adults; 6-MINUTE WALK TEST; CORONARY-ARTERY-DISEASE; QUALITY-OF-LIFE; CARDIAC REHABILITATION; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; PERFORMANCE-MEASURES; INTERVENTION; RESPONSIVENESS; CARE;
D O I
10.2196/32163
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Participation in ambulatory cardiac rehabilitation remains low, especially among older adults. Although mobile health cardiac rehabilitation (mHealth-CR) provides a novel opportunity to deliver care, age-specific impairments may limit older adults' uptake, and efficacy data are currently lacking. Objective: This study aims to describe the design of the rehabilitation using mobile health for older adults with ischemic heart disease in the home setting (RESILIENT) trial. Methods: RESILIENT is a multicenter randomized clinical trial that is enrolling patients aged >= 65 years with ischemic heart disease in a 3:1 ratio to either an intervention (mHealth-CR) or control (usual care) arm, with a target sample size of 400 participants. mHealth-CR consists of a commercially available mobile health software platform coupled with weekly exercise therapist sessions to review progress and set new activity goals. The primary outcome is a change in functional mobility (6-minute walk distance), which is measured at baseline and 3 months. Secondary outcomes are health status, goal attainment, hospital readmission, and mortality. Among intervention participants, engagement with the mHealth-CR platform will be analyzed to understand the characteristics that determine different patterns of use (eg, persistent high engagement and declining engagement). Results: As of December 2021, the RESILIENT trial had enrolled 116 participants. Enrollment is projected to continue until October 2023. The trial results are expected to be reported in 2024. Conclusions: The RESILIENT trial will generate important evidence about the efficacy of mHealth-CR among older adults in multiple domains and characteristics that determine the sustained use of mHealth-CR. These findings will help design future precision medicine approaches to mobile health implementation in older adults. This knowledge is especially important in light of the COVID-19 pandemic that has shifted much of health care to a remote, internet-based setting.
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页数:14
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