Physical Activity Telehealth Intervention After Percutaneous Coronary Procedures

University of Nebraska

Status: Completed

Conditions: Physical Activity

Treatments: Behavioral: Physical Activity Promotion Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01673100

5P20NR011404-03 (U.S. NIH Grant/Contract)

0178-09-FB

Details and patient eligibility

About

The purpose of this study is to test the feasibility of using targeted daily cell phone interaction to facilitate behavior change for physical activity in previously-sedentary individuals who have recently undergone a percutaneous coronary intervention (PCI).

Full description

Regular physical activity is important in the maintenance of cardiovascular health, and is especially critical for previously sedentary individuals who have undergone percutaneous coronary intervention (PCI) procedures. Changing behavior to adopt and maintain recommended physical activity levels in this population is difficult. Interventions to accomplish behavior change will not work unless they can be adopted into a person's busy lifestyle. This proposed study fills a gap by testing the feasibility of an innovative, targeted intervention (Physical Activity Promotion Telehealth Intervention), delivered by a practical and feasible platform (cell phone). The asynchronous targeted daily interaction will consist of 5-6 text, picture, and/or video messages delivered to the subject's cell phone each day. Upon successful completion of this study, it is believed that these feasibility findings will provide a foundation for the testing of a larger clinical trial to promote physical activity in this population.

Enrollment: 50 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First-time PCI cardiac revascularization
• Age of 19 years or older
• Residing in a rural community
• Previously sedentary
• Physician approval to participate in this study
• Oriented to person, place, and time
• Able to see and hear (able to read the screen of a cell phone, and hear audio over a cell phone)
• Able to speak and read English.

Exclusion criteria

• Residing in area of Nebraska that does not have cell phone transmission
• Physical impairments limiting participation in physical activity and exercise following PCI
• Evaluated by their physician to be TOO HIGH RISK for moderate physical activity as proposed in this study

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Physical Activity Promotion Intervention

Experimental group

Description:

Subjects in the experimental group (Physical Activity Promotion Telehealth Intervention) will receive messages on the study cell phone - approximately 2 to 3 messages every day. These messages will be tips to help them engage in physical activity and also to help them keep the physical activity appropriate. Walking will be primarily the suggested mode of activity.

Treatment:

Behavioral: Physical Activity Promotion Intervention

Atttention Control

No Intervention group

Description:

Subjects in the attention control group will receive only general health messages on their study cell phone (not physical activity promoting messages). They also will receive any usual post-PCI procedure care that all get.