Cardiopulmonary Outpatient Rehabilitation Using Mobile Technology

Study Overview
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Brief Summary
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This is a randomized controlled trial of the feasibility and utility of implementing a smartphone application (MVN) to maintain compliance with a Heart Healthy lifestyle after discharge from a cardiac outpatient rehabilitation program. Patients will be randomized into one of two groups: usual care (control: UC) or Movn mobile application (intervention: MVN). This study will improve and strengthen data collection from this at-risk patient population by recording baseline clinical and psycho social measures while gaining insight into self-reporting of physical activity and frequency between the UC and MVN groups.

Official Title
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Empowering Individuals Post-Cardiopulmonary Outpatient Rehabilitation to Continue to Live a Heart Healthy Lifestyle: Utilizing Mobile Health Technology

Conditions
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Cardiac Disease, Pulmonary Disease, Cardiopulmonary Disease

Intervention / Treatment
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* Behavioral: Usual Care
* Behavioral: Movn application (MVN)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Current participants in The Joan and Joel Smilow Cardiac Rehabilitation and Prevention Center (JJCRPC) of Rusk Rehabilitation Patient within two weeks of completing outpatient cardiac rehabilitation Clinically stable: moderate to low risk strata by standardized clinical assessment Clinically stable: moderate to low risk strata by standardized clinical assessment no infections no unstable arrhythmias, aortic stenosis, thrombophlebitis, dissecting aneurysm or symptomatic anemia controlled blood pressure-resting diastolic <100 mmHg, systolic <180mmHg no uncompensated heart failure NYHA Class 3-4 stable angina (no chest pain for month) no 2nd or 3rd degree heart block no uncontrolled high grade exercise induced ventricular ectopy-hemodynamically stable Own an iPhone (version 3 or above), an iPad, or an iPod touch (version 4 or higher) or Android phone or tablet Ability to use and comfortable with using mobile health technology to monitor physical and psychosocial health Is comfortable using mobile applications English language fluency Ability to provide informed consent Exclusion Criteria: Patients who do not fulfill all inclusion criteria stated above.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Usual Care (UC)<br> | Behavioral: Usual Care<br>* Discharge packet of Heart Healthy instructions, with self-report health status, quality of life and psychosocial questionnaires, as well as other educational handouts, exit interview to review exercise progress, receive referrals to additional medical services they might need after discharge from the program, with physician.<br>|
| Active Comparator: Movn application (MVN)<br> | Behavioral: Movn application (MVN)<br>* Intervention participants will receive the same discharge packet as the UC group along with their exit interview and will receive the following: Participant individualized Heart Healthy instructions for post-cardiac rehabilitation will be integrated into the MVN application including daily medication reminders, physical activity prompts, educational materials, and patient-reported outcome assessment of behavior and psychosocial status. Text messages will be used on an ad hoc basis to provide positive feedback to the participant; two-way messaging between the participant and the research coordinator will be available to provide opportunities to answer specific questions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in rate of exercise compliance in standard post cardiac rehabilitation compared to the increased rates of exercise compliance observed with the help of smartphone applications |  | 6 Months | 
| Difference in Diastolic blood pressure in subjects who have received andard post cardiac rehabilitation compared to of exercise compliance observed with the help of smartphone applications |  | 6 Months |