Get Going: Accelerometer-Based Intervention to Promote Physical Activity in Frail Older Adults

Status unconfirmed · Not applicable

Conditions studied: Coronary Artery Disease, Heart Failure

In brief

A multicenter prospective randomized clinical trial testing the hypothesis that a patient-centered actigraphy intervention will result in increased physical activity for frail older adults increase during the critical first 30 days after a cardiovascular hospitalization.

Key facts

Study ID

NCT02635477

Run by

American College of Cardiology

People needed

150

Starts

2016-01-01

Expected to finish

2017-11-01

Last updated by the study team

2017-02-13

Who can join

Age: 70 and older, up to 100. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• older adults aged ≥70 years,
• at least one criteria positive on the FRAIL scale,
• hospital discharge to an independent residence,
• primary final discharge diagnosis of coronary disease or heart failure but not requiring cardiac surgery or TAVR during the index hospitalization,
• able to stand and walk without assistance from another person,
• able to carry out basic activities of daily living without assistance as per Clinical Frailty Scale rating ≤5,
• signed informed consent from the patients, and
• approval from the treating physician that the patient is safe and appropriate to participate in this trial.

You may not qualify if…

• cognitive impairment defined by a positive mini-cog test or known moderate or severe dementia,
• more than one fall in the past six months, or a fall in the past three months prior to hospitalization,
• high-risk for falls or unsteady for mobilization according to a clinical physical therapist's assessment (if performed) or as assessed during functional testing,
• non-revascularized acute myocardial infarction within the past month (unless revascularization was not indicated) or uncorrected severe symptomatic aortic stenosis,
• active severe symptoms of angina, dyspnea, or claudication at rest or with minimal activity (Canadian Cardiovascular Society class 4, New York Heart Association class 4, or Fontaine class 3-4, respectively),
• referral to a structured cardiac rehabilitation program in the first 30 days after hospital discharge (not counting home-based physical therapy),
• unable to return for follow-up visit, and
• poor comprehension of the actigraphy device.

Where it is running

• Emory University — Atlanta, Georgia, United States (enrolling)
• Boston Veterans Affairs — Boston, Massachusetts, United States (enrolling)
• Ann Arbor Veterans Affairs — Ann Arbor, Michigan, United States (enrolling)
• University of Michigan Health System — Ann Arbor, Michigan, United States (enrolling)
• Beaumont Health System/Oakwood — Dearborn, Michigan, United States (enrolling)
• St. Joseph Mercy Hospital — Ypsilanti, Michigan, United States (enrolling)
• Mayo Clinic — Rochester, New Hampshire, United States (enrolling)
• New York Presbyterian Hospital/Columbia — New York, New York, United States (enrolling)
• New York Presbyterian Hospital/Cornell — New York, New York, United States (enrolling)
• University of North Carolina — Chapel Hill, North Carolina, United States (enrolling)
• Duke University — Durham, North Carolina, United States (enrolling)
• Case Western Reserve University/University Hospital — Cleveland, Ohio, United States (enrolling)
• University of Pittsburgh — Pittsburgh, Pennsylvania, United States (enrolling)
• University of Washington — Seattle, Washington, United States (enrolling)
• McGill University — Montreal, Quebec, Canada (enrolling)
• Montreal Heart Institute — Montreal, Quebec, Canada (enrolling)

Full record on ClinicalTrials.gov

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