The Heart Health After Cardiac Treatment Study (HEART-ACT)

University of California San Francisco (UCSF)

Status: Enrolling

Conditions: Cardiac Rehabilitation

Treatments: Behavioral: Referral to an external cardiac rehabilitation program; Behavioral: Tailored cardiac rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT07158515

23-40216

Details and patient eligibility

About

The goal of this study is to determine whether participation in a tailored cardiac rehabilitation program delivered in a safety net setting, compared to usual care referral to an outside cardiac rehabilitation program, results in greater participation in cardiac rehabilitation.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age 18+

2. Referred for cardiac rehabilitation for a covered indication:

   1. Acute myocardial infarction
   2. Percutaneous coronary intervention
   3. Coronary artery bypass surgery
   4. Heart valve repair or replacement
   5. Heart transplant
   6. Chronic stable angina
   7. Chronic systolic heart failure (EF <=35%)

3. Able to communicate in English, Spanish, or Cantonese

4. Able to consent for self

Exclusion criteria

1. Currently enrolled in hospice.
2. Provider says patient may not be approached for participation in this study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Tailored cardiac rehabilitation in a safety net setting

Experimental group

Description:

A 12-week program of exercise training and health behavior counseling consisting of every other week group sessions (exercise and health behavior education) and every other week individual counseling sessions that address the cardiac rehabilitation core components.

Treatment:

Behavioral: Tailored cardiac rehabilitation

Referral to an outside cardiac rehabilitation program

Active Comparator group

Description:

Referral to a cardiac rehabilitation program outside of the safety net hospital setting.

Treatment:

Behavioral: Referral to an external cardiac rehabilitation program