Cardiac Rehabilitation Mobile-Health Fall Risk Prevention Intervention

Launched by MAYO CLINIC · Apr 12, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at whether a special exercise program can help people who are in cardiac rehabilitation. The program focuses on improving balance and muscle strength and can be done at home. Researchers want to see if this structured exercise plan helps participants feel more confident in their balance, perform everyday physical tasks more easily, and improve their overall quality of life.

To participate in this study, you need to be between the ages of 65 and 74 and have been referred for outpatient cardiac rehabilitation. It's important that you have access to a smartphone or tablet. Unfortunately, individuals with advanced dementia, those who use a wheelchair, or those with certain recent surgeries won't be eligible. If you join the trial, you'll be randomly placed in one of two groups: one will follow the standard rehab program, and the other will follow the rehab program along with the home-based exercise training. Throughout the program, you will be assessed on your balance and strength, and your overall well-being will be evaluated before and after the trial. This study aims to help improve safety and health for those recovering from heart issues.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • All patients referred to and who undergo early outpatient CR irrespective of diagnosis will be eligible for the study.
• • All participants must have access to a smart mobile device.
• Exclusion Criteria:
• • Advanced dementia.
• • Wheelchair bound.
• • Vision loss.
• * Patients that underwent sternotomy within 12-weeks will be excluded from the upper body muscular strength/power assessment and associated upper body training. At the time of enrollment into CR, balance, upper body muscular fitness, and lower body muscular fitness will be assessed in each subject before they are randomized at a 1:1 allocation ratio into one of two parallel groups:
• • Standard early outpatient center-based supervised CR only (control; CR); or
• • Early outpatient center-based supervised CR plus individualized, home-based, m-Health delivered physical function training (experimental group; CR+PFt). Balance, upper body muscular fitness, and lower body muscular fitness and gait will be reassessed in each participant after 5-to-6 weeks of CR and again upon completion of the CR program. Patient reported measures of fall risk will be measured at baseline with the Stop Elderly Accidents, Deaths, and Injuries (STEADI) tool kit. Balance confidence, health-related quality of life, physical activity level, and functional capacity will be evaluated before and after CR and CR+PFt using the Activities-Specific Balance Confidence (ABC) Scale, the Dartmouth Primary Care Cooperative Information Project (COOP) charts, and the Duke Activity Status Index (DASI).