Activity-based Training After Myocardial Infarction

NCT ID: NCT06564597

Last Updated: 2024-08-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-01
• Study Completion Date: 2023-12-20

Brief Summary

Cardiovascular diseases cause high morbidity and mortality, resulting in disability, medical complications and comorbidities. Patients who have MI experience motor, cognitive and sensory impairments, reduced quality of life and burdened the national economy. Cardiac rehabilitation aims to optimize patients' health services, reduce physical and psychological effects and increase activity return performance. The rehabilitation process includes physical activities and patient education starting in the early stages after MI. Psychosocial support and occupational therapy can accelerate patients' recovery and return to daily activities. Since there are inadequacies in the literature on this subject, this study aims to provide an effective educational intervention for patients who have MI and to examine a safe return to activity.

Conditions

Myocardial Ischemia; Activities of Daily Living

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Verbal education and two brochure handouts

The educational brochures are prepared to include clear, legible, realistic and up-to-date information. The context of the education includes the following topics:

• What is myocardial infarction?
• What are its clinical features?
• Risk factors
• Lifestyle changes
• What is cardiac rehabilitation?
• Stress and anxiety management
• Energy conservation techniques
• Progressive relaxation techniques

Group Type: EXPERIMENTAL

Patient education

Intervention Type: OTHER

Patient education and counseling are offered one-on-one at the bedside during discharge and are also provided in the second week after discharge in an outpatient clinic setting.

Verbal education, two brochure handouts and MET-based activity planning

The educational brochures are prepared to include clear, legible, realistic and up-to-date information. The context of the education includes the following topics:

• What is myocardial infarction?
• What are its clinical features?
• Risk factors
• Lifestyle changes
• What is cardiac rehabilitation?
• Return to activity and activity-based prescription (based on MET)
• What are the abnormal responses that may occur in activities?
• Stress and anxiety management
• Energy conservation techniques
• Progressive relaxation techniques

Group Type: EXPERIMENTAL

Patient education

Intervention Type: OTHER

Patient education and counseling are offered one-on-one at the bedside during discharge and are also provided in the second week after discharge in an outpatient clinic setting.

Interventions

Patient education

Patient education and counseling are offered one-on-one at the bedside during discharge and are also provided in the second week after discharge in an outpatient clinic setting.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosis of myocardial infarction (ST elevation or non-ST elevation)
• Ejection fraction > 40%

Exclusion Criteria

• Ejection fraction < 40%
• Presence of exercise-induced ischemia
• Presence of orthopedic or neurological disorder that will affect the current study
• Presence of pulmonary disease that will affect the current study (COPD, Asthma)
• Presence of visual impairment
• Presence of malignancy

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Pamukkale University

OTHER

Sponsor Role: lead

Responsible Party

HANDE USTA

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

ALI KITIS, Professor

Role: STUDY_CHAIR

Pamukkale University Faculty of Physiotherapy and Rehabilitation

Locations

Pamukkale University

Merkez, Deni̇zli̇, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Graham H, Prue-Owens K, Kirby J, Ramesh M. Systematic Review of Interventions Designed to Maintain or Increase Physical Activity Post-Cardiac Rehabilitation Phase II. Rehabil Process Outcome. 2020 Aug 25;9:1179572720941833. doi: 10.1177/1179572720941833. eCollection 2020.

Reference Type: BACKGROUND

PMID: 34497468 (View on PubMed)

CAIN HD, FRASHER WG Jr, STIVELMAN R. Graded activity program for safe return to self-care after myocardial infarction. JAMA. 1961 Jul 15;177:111-5. doi: 10.1001/jama.1961.03040280015005. No abstract available.

Reference Type: RESULT

PMID: 13689828 (View on PubMed)

Other Identifiers

E-60116787-020-205945

Identifier Type: -

Identifier Source: org_study_id