Rehabilitation in the Home Setting for Older Adults In the Early Period After Myocardial Infarction (RESILIENT)
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|ClinicalTrials.gov Identifier: NCT02804906|
Recruitment Status : Completed
First Posted : June 17, 2016
Last Update Posted : January 22, 2020
|Condition or disease||Intervention/treatment||Phase|
|Acute Myocardial Infarction (AMI)||Behavioral: Home-based physical therapy Behavioral: Usual Care||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||27 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Investigator)|
|Primary Purpose:||Supportive Care|
|Official Title:||Rehabilitation in the Home Setting for Older Adults In the Early Period After Myocardial Infarction|
|Actual Study Start Date :||June 2016|
|Actual Primary Completion Date :||December 14, 2018|
|Actual Study Completion Date :||January 14, 2019|
|Experimental: Home-Based Physical Therapy||
Behavioral: Home-based physical therapy
Participants will be visited by a physical therapist 3 times a week for approximately 1 hour each day, for a duration of 4 weeks. These visits will serve to encourage adherence to the intervention, reinforce activities recommended at discharge, monitor safety under direct supervision, and adjust the exercise prescription if/as needed (e.g. advance recommended activity level) if necessary. Patients will also be provided with a tablet computer device installed with software, Moving Analytics, that will reinforce the cardiac rehabilitation program through daily reminders and easily accessible visual activity plans. This program will be updated by the physical therapist during home visits as the program advances. Daily patient-reported health status ("Your Activities of Daily Living") 26 will be ascertained on the same tablet device by participants three times per week using open source software designed.
Active Comparator: Control-30-minute counseling session
Participants in the control arm will be provided with a 30-minute counseling session on risk factor modification prior to discharge.
Behavioral: Usual Care
Participants in the control arm will be provided with a 30-minute counseling session on risk factor modification prior to discharge. Participants will be provided with a tablet computer device to complete patient-reported health status ("Your Activities of Daily Living") 26 three times per week using open source software designed. Participants will be visited by the Research Coordinator or member of the study team at one month post-hospital discharge to perform a follow-up assessment that will include ADLs, IADLs, SF-12 PCS, frailty measures, and questions on healthcare utilization (hospital readmissions).
- Activities of Daily Living (ADL) Decline [ Time Frame: 5 Weeks ]Assessment of the functional dependence or independence in carrying out activities of daily living, including bathing, dressing, toileting, transferring, continence, and feeding.
- Decline in self-perceived physical health (measured by SF-12 PCS) [ Time Frame: 5 Weeks ]Health status measure that addresses both physical and mental health.
- Mean time spent in sedentary activity [ Time Frame: 5 Weeks ]
- Mortality Rate [ Time Frame: 5 Weeks ]
- Hospital readmission rate [ Time Frame: 5 Weeks ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02804906
|United States, New York|
|New York University School of Medicine|
|New York, New York, United States, 10016|
|Principal Investigator:||John Dodson, MD||New York University Medical School|