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Rehabilitation in the Home Setting for Older Adults In the Early Period After Myocardial Infarction (RESILIENT)

NYU Langone Health logo

NYU Langone Health

Status

Completed

Conditions

Acute Myocardial Infarction (AMI)

Treatments

Behavioral: Home-based physical therapy
Behavioral: Usual Care

Study type

Interventional

Funder types

Other

Identifiers

NCT02804906
16-00554

Details and patient eligibility

About

This pilot feasibility study will test whether a home-based cardiac rehabilitation intervention, using physical therapist visits combined with mobile health technology, will prevent decline in high-risk patients post acute myocardial infarction (AMI). Participants will be randomized to either an intervention arm (home-based physical therapy), or a control (usual care) arm. Prior to discharge, participants in the intervention arm will receive a 1-hour educational session by a research physical therapist that includes information on cardiac risk factor management, postoperative recovery, education on medication adherence, and a prescription for home exercise that is tailored to each patient's baseline abilities and limitations. Participants assigned to the control arm will receive a 30-minute counseling session on risk factor modification prior to discharge, in addition to usual care post-AMI.

Full description

All participants enrolled in this research study will receive the FDA-approved FitBit Flex, a wearable activity monitoring device which will objectively measure physical activity and sedentary behavior in the period post-hospital discharge. Daily activity monitoring will include: number of steps, distance traveled, calories burned, number of active minutes.

Enrollment

27 patients

Sex

All

Ages

70+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Clinical diagnosis of acute myocardial infarction (AMI).

Exclusion criteria

  • moderate to severe cognitive impairment; non-ambulatory
  • severe heart failure (NYHA Class IV); decisional impairment as assessed by the University of California
  • San Diego Brief Assessment of Capacity to Consent (UBACC) 22, if the RC questions capacity; very limited life expectancy (e.g. anticipated discharge to hospice)
  • non-English/non-Spanish speaking.

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

27 participants in 2 patient groups

Home-Based Physical Therapy
Experimental group
Treatment:
Behavioral: Home-based physical therapy
Control-30-minute counseling session
Active Comparator group
Description:
Participants in the control arm will be provided with a 30-minute counseling session on risk factor modification prior to discharge.
Treatment:
Behavioral: Usual Care

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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