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

Overview

About this study

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.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

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

Exclusion Criteria:

  1. cognitive impairment defined by a positive mini-cog test or known moderate or severe dementia,
  2. more than one fall in the past six months, or a fall in the past three months prior to hospitalization,
  3. high-risk for falls or unsteady for mobilization according to a clinical physical therapist's assessment (if performed) or as assessed during functional testing,
  4. non-revascularized acute myocardial infarction within the past month (unless revascularization was not indicated) or uncorrected severe symptomatic aortic stenosis,
  5. 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),
  6. referral to a structured cardiac rehabilitation program in the first 30 days after hospital discharge (not counting home-based physical therapy),
  7. unable to return for follow-up visit, and
  8. poor comprehension of the actigraphy device.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Shahyar Gharacholou, M.D.

Closed for enrollment

La Crosse, Wis.

Mayo Clinic principal investigator

Shahyar Gharacholou, M.D.

Closed for enrollment

More information

Publications

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Study Results Summary

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Supplemental Study Information

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Additional contact information

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