Effects of Home-based Exercise Rehabilitation on Healthcare Utilization in HeartMate 3 Patients (MOVE-LVAD)

University of Rochester

Status

Completed

Conditions

Heart Failure

Left Ventricular Dysfunction

Treatments

Behavioral: Usual Care

Behavioral: Home-based Exercise Rehabilitation.

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT04942353

STUDY00004656

Details and patient eligibility

About

To demonstrate that home-based exercise rehabilitation (HER) compared to usual care (UC) results in a significant reduction in healthcare utilization in HeartMate 3 (HM3) left ventricular assist device (LVAD) patients.(defined as rehospitalization, VAD Clinic visits, and ER visits during the 1st year after index discharge following LVAD implantation).

Full description

HER Subjects:

Get Garmin activity watch (has its own smartphone app to be activated)*, Datos app Get resistance bands and light weights Exercise prescription: Initially by physical therapist prior to discharge home & updated every month.

UC Subjects:

Get Garmin activity watch (has its own smartphone app to be activated), Datos app Exercise prescription: Try to get to 30 min of exercise 5 days a week

Enrollment

20 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

≥ 18 years of age on the date of randomization
Patient implanted with a new HeartMate 3 LVAD at URMC
Patients enrolling in the study at the time of index discharge home following new HM3 LVAD implantation will be evaluated by a HF cardiologist and physical therapist and will need to demonstrate ability to ambulate independently. Patients enrolling in the study after their index discharge home following HM3 LVAD implantation will be evaluated by a HF cardiologist or VAD Coordinator and will need to demonstrate ability to ambulate independently.
Patient willing to participate in HER.
Patient owns a smartphone with Internet connection.

Exclusion criteria

Major comorbidities or limitations that may interfere with exercise training (including significant orthopedic/neurologic limitations, decompensated HF, uncontrolled arrhythmias, unstable angina).
Patient with a life expectancy <12 months.
Patient unwilling to sign the consent for participation.
Patient unwilling or unable to cooperate with the study protocol
Patient who does not anticipate being a resident of the area for the scheduled duration of the research study
Pregnancy