September 8, 2026Journal of the American Geriatrics Society
Mobile Cardiac Rehabilitation for Older Adults With Ischemic Heart Disease: A 12‐Month Follow‐Up on Hospital Readmissions in the RESILIENT Trial
Key result
Mobile health cardiac rehabilitation shows no benefit over usual care for 12-month all-cause readmission.
- P=0.26
Why the study?
Does 3 months of mobile health cardiac rehabilitation (mHealth-CR) reduce time to first all-cause readmission over 12 months in older adults with ischemic heart disease?
Key Points
- Assess the effect of 3 months of mobile health cardiac rehabilitation compared with usual care on time to first all-cause hospital readmission over 12 months in older adults with ischemic heart disease.
- Older adults with ischemic heart disease were randomized to 3 months of mobile health cardiac rehabilitation (mHealth-CR) or usual care.
- Time to first all-cause hospital readmission was monitored over a 12-month follow-up period using Kaplan-Meier analysis.
- Time to first all-cause hospital readmission showed no significant difference between the mHealth-CR and usual care groups over 12 months (log-rank P = 0.26).
Structured PICO
Does 3 months of mobile health cardiac rehabilitation (mHealth-CR) reduce time to first all-cause readmission over 12 months in older adults with ischemic heart disease?
P
Population
Older adults with ischemic heart disease
I
Intervention
3 months of mobile health cardiac rehabilitation (mHealth-CR)
C
Comparator
Usual care
O
Outcome
Time to first all-cause readmission over 12 monthshard clinical
A 3-month mobile health cardiac rehabilitation program did not significantly reduce the time to first all-cause readmission over 12 months in older adults with ischemic heart disease compared to usual care.
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Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Our overall negative finding also suggests that more age-tailored mHealth strategies may be required to broadly improve functional outcomes for the older adult population.”
Implication
Does not support mHealth-CR to reduce readmissions in older IHD patients; challenges efficacy assumptions and extends null evidence on hard endpoints.
Abstract
Kaplan-Meier analysis of time to first all-cause readmission over 12 months among older adults with ischemic heart disease randomized to 3 months of mobile health cardiac rehabilitation (mHealth-CR) or usual care. There was no significant difference in time to first readmission between groups (log-rank P = 0.26).
Discussion
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Cite This Study
Jain et al. (2026) studied this question. Mobile health cardiac rehabilitation showed no significant difference in time to first all-cause readmission over 12 months versus usual care in older adults with ischemic heart disease (P=0.26).