The JUMPSTART Program: Encouraging Early Mobilization and Optimizing Recovery of TAVR Patients' Post-hospital Discharge

Hamilton Health Sciences (HHS)

Status: Enrolling

Conditions: Transcatheter Aortic Valve Replacement; Aortic Valve Stenosis

Treatments: Behavioral: JUMPSTART exercise program

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT06040398

15474

Details and patient eligibility

About

A virtual, self-directed, and tailored early mobilization program called JUMPSTART, that aims to bridge cardiac rehabilitation intake for post-TAVR patients has been developed at the Hamilton General Hospital. The program includes a series of exercise videos at varying levels of intensity, designed for patients to follow at home, post-discharge. JUMPSTART is currently being offered as part of clinical care. In this new pilot study, the study team plans to develop and test new strategies to optimize recruitment and participation, develop additional JUMPSTART materials and evaluate outcomes through follow-up surveys and registry/administrative data at Hamilton General Hospital.

Full description

Post-TAVR patients who have successfully completed a pre-discharge ambulation assessment and are deemed eligible for discharge will be eligible to participate. Potential participants will be introduced to the study in the pre-TAVR clinic by the nurse practitioner or their delegate. Participants who agree to be contacted for research purposes will provide written consent in the pre-TAVR clinic when they meet with the nurse practitioner. Confirmation of eligibility for the research study will be conducted post-TAVR by the nurse practitioner. The JUMPSTART program will be offered to all eligible patients as part of standard clinical care, regardless of their consent to participate in the research study. No data will be collected for the purposes of the research study from patients who do not provide consent. The primary outcomes will be adoption (the number of eligible post-TAVR patients who participate in the JUMPSTART early mobilization program), and a preliminary comparison of quality of life (measured using the Toronto Aortic Stenosis Quality of Life Questionnaire) between people who do and do not participate in the JUMPSTART program.

Enrollment: 150 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Outpatients who have undergone a TAVR procedure at the Hamilton General Hospital
• Patients who are managed through the overnight-model pathway
• Patients who successfully completed ambulation assessment
• Patients who are deemed eligible for discharge

Exclusion criteria

• Patients who are hospitalized after the procedure (inpatients)
• Patients who had an axillary approach for TAVR
• Patients who had a pacemaker temporarily left in at the end of case, and
• Patients who received a permanent pacemaker in the last month

Trial design

150 participants in 1 patient group

TAVR Patients

Description:

All outpatients undergoing TAVR and managed through the overnight-model pathway at the Hamilton General Hospital will be eligible for participation.

Treatment:

Behavioral: JUMPSTART exercise program