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July 16, 2021Open Access

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

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Key result

The RESILIENT trial is an ongoing randomized protocol aiming to enroll 400 older adults with ischemic heart disease to evaluate the efficacy of mobile health cardiac rehabilitation on functional mobility.

Why the study?

Participation in cardiac rehabilitation remains low among older adults, and efficacy data for mobile health cardiac rehabilitation are currently lacking.

Does mobile health cardiac rehabilitation improve functional mobility in older adults with ischemic heart disease?

Population

Target 400 patients aged ≥65 years with ischemic heart disease

Comparison

mHealth-CR vs usual care

Design

Multicenter 3:1 randomized clinical trial protocol

Follow-up

3 months

Authors

John A. DodsonJohn A. DodsonCross-Cutting CardiologyASAntoinette SchoenthalerGeneral / Preventive / LipidsGSGreg SweeneyNYU Langone Health

Discussion

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Implication

Tests mHealth-CR feasibility in older adults with IHD where uptake is low; RCT will deliver first efficacy data to guide adoption.

Study Design

Type

RCT (n=400)

Randomization

3:1

Multicenter

Yes

Structured PICO

Does mobile health cardiac rehabilitation improve functional mobility in older adults with ischemic heart disease?

P
Population
400 older adults (aged ≥65 years) with ischemic heart disease randomized to mobile health cardiac rehabilitation or usual care, with a 3-month follow-up.
I
Intervention
Mobile health cardiac rehabilitation (mHealth-CR) consisting of a commercially available mobile health software platform coupled with weekly exercise therapist sessions
C
Comparator
Usual care
O
Outcome
Change in functional mobility (6-minute walk distance) measured at baseline and 3 monthssurrogate

The RESILIENT trial protocol outlines a study to evaluate the efficacy of a mobile health cardiac rehabilitation program on functional mobility in older adults with ischemic heart disease.

Cite This Study

Dodson et al. (2021) conducted an RCT in Ischemic heart disease (n=400). Mobile health cardiac rehabilitation (mHealth-CR) vs. Usual care was evaluated on Change in functional mobility (6-minute walk distance). The RESILIENT trial is an ongoing randomized protocol aiming to enroll 400 older adults with ischemic heart disease to evaluate the efficacy of mobile health cardiac rehabilitation on functional mobility.

synapsesocial.com/papers/6a6f4f5c26a7f98052dc02c0https://doi.org/10.2196/preprints.32163
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A pilot randomized controlled trial to evaluate the benefit of the cardiac rehabilitation paradigm for the non-acute ischaemic stroke population2008 · 187 citations
  2. 2A Case-Management System for Coronary Risk Factor Modification after Acute Myocardial Infarction1994 · 746 citations
  3. 3A 12-Item Short-Form Health Survey1996 · 17,610 citations
  4. 4The 6-minute walk test in outpatient cardiac rehabilitation: validity, reliability and responsiveness—a systematic review2012 · 332 citations
  5. 5AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services2007 · 141 citations