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

Primary Purpose

Coronary Artery Disease, Heart Failure

Status
Unknown status
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Intervention
Control
Sponsored by
American College of Cardiology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Coronary Artery Disease

Eligibility Criteria

70 Years - 100 Years (Older Adult)All SexesDoes not accept healthy volunteers

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.

Sites / Locations

  • Emory UniversityRecruiting
  • Boston Veterans AffairsRecruiting
  • Ann Arbor Veterans AffairsRecruiting
  • University of Michigan Health SystemRecruiting
  • Beaumont Health System/OakwoodRecruiting
  • St. Joseph Mercy HospitalRecruiting
  • Mayo ClinicRecruiting
  • New York Presbyterian Hospital/ColumbiaRecruiting
  • New York Presbyterian Hospital/CornellRecruiting
  • University of North CarolinaRecruiting
  • Duke UniversityRecruiting
  • Case Western Reserve University/University HospitalRecruiting
  • University of PittsburghRecruiting
  • University of WashingtonRecruiting
  • McGill UniversityRecruiting
  • Montreal Heart InstituteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Intervention Group

Control Group

Arm Description

frail elderly patients discharged from a cardiovascular hospitalization; provided with an actigraphy device that displays an adaptive personalized daily step count goal and audible alerts to increase physical activity

frail elderly patients discharged from a cardiovascular hospitalization; provided with a matching actigraphy device that has a blacked-out screen and does not display step count goals or provide audible alerts (functions in silent monitoring mode only)

Outcomes

Primary Outcome Measures

Steps taken per day
The primary outcome measure for this study is the average number of steps walked per day during the study period (excluding the run-in phase), as determined by the actigraphy device.

Secondary Outcome Measures

Quality of life
A secondary outcome for this study is quality of life, as determined by score on the EQ-5D questionnaire
Short physical performance battery
A secondary outcome for this study is physical performance, as determined by the change in Short Physical Performance Battery score from baseline to 30-days.

Full Information

First Posted
October 28, 2015
Last Updated
February 10, 2017
Sponsor
American College of Cardiology
Collaborators
Alliance for Academic Internal Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT02635477
Brief Title
Get Going: Accelerometer-Based Intervention to Promote Physical Activity in Frail Older Adults
Acronym
AAIMASP
Official Title
Get Going: Fellow-Led Trial of an Accelerometer-Based Intervention to Promote Physical Activity in Frail Older Adults Transitioning From a Cardiovascular Hospitalization to Home
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Unknown status
Study Start Date
January 2016 (undefined)
Primary Completion Date
October 2017 (Anticipated)
Study Completion Date
November 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
American College of Cardiology
Collaborators
Alliance for Academic Internal Medicine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.
Detailed Description
The transition from hospital to home is critical for older patients after a cardiovascular hospitalization, since 1 in 3 will suffer the fate of functional decline or repeat hospitalizations within the first 30 days. This has a tremendous impact on the patient, leading to a vicious cycle of worsening health status and disability, and the healthcare system, leading to an estimated $12 billion of preventable costs. At the policy level, preventing readmissions has become a national priority at the forefront of the medical agenda. Frailty, a geriatric syndrome characterized by subclinical impairments in multiple organs and decreased physiologic resiliency, is a major risk factor for unsuccessful transitions of care and adverse health outcomes. Thus, it has been suggested that interventions aimed at improving transitions of care should target frail patients. Frail individuals demonstrate a well-defined phenotype of muscle weakness and physical inactivity, readily measurable using various scales and instruments. To date, the most widely studied intervention to improve frailty and related outcomes has been physical activity. However, fewer than 50% of patients adhere to regular physical activity programs. Enrollment in cardiac rehabilitation programs is even lower owing to multiple barriers, including lack of payer reimbursement ≤ 30 days after a hospitalization, the highest risk period for readmissions. Scientific statements have called for augmented "self-care" to assure adequate physical activity in patients with heart failure and other forms of cardiovascular disease 10. Moreover, low-intensity home-based physical activity programs can be as efficacious as higher-intensity center-based programs, strengthening the rationale for self-care. The advent of small, portable, inexpensive accelerometer devices has emerged as a powerful tool to facilitate self-monitored physical activity. These devices are worn by patients and provide real-time feedback about the number of steps walked each day (as well as other functional parameters). This is in tune with a systematic review which found that feedback and goal setting improved adherence to physical activity in patients with heart failure. A few studies in the physical therapist literature have used accelerometers to demonstrate low baseline physical activity and boost total step counts in patients attending cardiac rehabilitation, but these patients were at least 30 days removed from their index hospitalization, and none enrolled patients in the critical post-discharge phase. Research question: Is a portable actigraphy-based intervention more effective than standard-of-care in promoting physical activity in the first 30 days after hospital discharge among frail older adults with cardiovascular disease?

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease, Heart Failure

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
frail elderly patients discharged from a cardiovascular hospitalization; provided with an actigraphy device that displays an adaptive personalized daily step count goal and audible alerts to increase physical activity
Arm Title
Control Group
Arm Type
Experimental
Arm Description
frail elderly patients discharged from a cardiovascular hospitalization; provided with a matching actigraphy device that has a blacked-out screen and does not display step count goals or provide audible alerts (functions in silent monitoring mode only)
Intervention Type
Behavioral
Intervention Name(s)
Intervention
Intervention Description
Behavioral: actigraphy device, adaptive step count algorithm
Intervention Type
Behavioral
Intervention Name(s)
Control
Intervention Description
Behavioral: actigraphy device, step count measurement only
Primary Outcome Measure Information:
Title
Steps taken per day
Description
The primary outcome measure for this study is the average number of steps walked per day during the study period (excluding the run-in phase), as determined by the actigraphy device.
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Quality of life
Description
A secondary outcome for this study is quality of life, as determined by score on the EQ-5D questionnaire
Time Frame
baseline, 30 days
Title
Short physical performance battery
Description
A secondary outcome for this study is physical performance, as determined by the change in Short Physical Performance Battery score from baseline to 30-days.
Time Frame
baseline, 30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
70 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 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. Exclusion Criteria: 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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Scott Hummell, MD
Phone
(734) 998-7991
Email
scothumm@med.umich.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Jonathan Afilalo, MD, MSc
Phone
(514) 340 - 8222
Ext
8693
Email
jonathan.afilalo@mcgill.ca
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Hummel, MD
Organizational Affiliation
University of Michigan Ann Arbor, Michigan, USA
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jonathan Afilalo, MD, MSc
Organizational Affiliation
Jewish General Hospital, McGill University, Montreal, Quebec, Canada
Official's Role
Principal Investigator
Facility Information:
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nanette Wenger, MD
Email
nwenger@emory.edu
First Name & Middle Initial & Last Name & Degree
Jane Titternington, MD
First Name & Middle Initial & Last Name & Degree
Nanette Wenger, MD
Facility Name
Boston Veterans Affairs
City
Boston
State/Province
Massachusetts
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ariela Orkaby, MD
Email
AORKABY@PARTNERS.ORG
First Name & Middle Initial & Last Name & Degree
Ariela Orkaby, MD
Facility Name
Ann Arbor Veterans Affairs
City
Ann Arbor
State/Province
Michigan
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Scott Hummel, MD
Email
scothumm@med.umich.edu
First Name & Middle Initial & Last Name & Degree
Craig Albert, MD
First Name & Middle Initial & Last Name & Degree
Scott Hummel, MD
Facility Name
University of Michigan Health System
City
Ann Arbor
State/Province
Michigan
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Scott Hummell, MD
Email
scothumm@med.umich.edu
First Name & Middle Initial & Last Name & Degree
Craig Alpert, MD
First Name & Middle Initial & Last Name & Degree
Scott Hummell, MD
Facility Name
Beaumont Health System/Oakwood
City
Dearborn
State/Province
Michigan
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Sengstock, MD
First Name & Middle Initial & Last Name & Degree
David Sengstock, MD
First Name & Middle Initial & Last Name & Degree
Hoda Butrous, MD
Facility Name
St. Joseph Mercy Hospital
City
Ypsilanti
State/Province
Michigan
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marlo Leonen, MD
Email
mleonen@michiganheart.com
First Name & Middle Initial & Last Name & Degree
Marlo Leonen, MD
First Name & Middle Initial & Last Name & Degree
Sairia Dass Ramcharan, MD
Facility Name
Mayo Clinic
City
Rochester
State/Province
New Hampshire
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jorge Brenes-Salazar, MD
Email
brenessalazar.jorge@mayo.edu
First Name & Middle Initial & Last Name & Degree
Jorge Brenes-Salazar, MD
First Name & Middle Initial & Last Name & Degree
Nkechi Ijioma, MD
Facility Name
New York Presbyterian Hospital/Columbia
City
New York
State/Province
New York
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Philip Green, MD
Email
pg2336@cumc.columbia.edu
First Name & Middle Initial & Last Name & Degree
Philip Green, MD
First Name & Middle Initial & Last Name & Degree
Christine Chung, MD
Facility Name
New York Presbyterian Hospital/Cornell
City
New York
State/Province
New York
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Evelyn Horn, MD
First Name & Middle Initial & Last Name & Degree
Evelyn Horn, MD
First Name & Middle Initial & Last Name & Degree
Parag Goyal, MD
Facility Name
University of North Carolina
City
Chapel Hill
State/Province
North Carolina
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xuming Dai, MD
Email
xuming_dai@med.unc.edu
First Name & Middle Initial & Last Name & Degree
Xuming Dai, MD
First Name & Middle Initial & Last Name & Degree
Sarah Ciccotto, MD
Facility Name
Duke University
City
Durham
State/Province
North Carolina
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Karen Alexander, MD
First Name & Middle Initial & Last Name & Degree
Karen Alexander, MD
First Name & Middle Initial & Last Name & Degree
Jacob Kelly, MD
Facility Name
Case Western Reserve University/University Hospital
City
Cleveland
State/Province
Ohio
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Richard Josephson, MD
First Name & Middle Initial & Last Name & Degree
Ahmad Younes, MD
First Name & Middle Initial & Last Name & Degree
Richard Josephson, MD
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniel Forman, MD
Email
formand@pitt.edu
First Name & Middle Initial & Last Name & Degree
Daniel Forman, MD
First Name & Middle Initial & Last Name & Degree
Aken Desai, MD
Facility Name
University of Washington
City
Seattle
State/Province
Washington
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Chen, MD
Email
michen@u.washington.edu
First Name & Middle Initial & Last Name & Degree
Michael Chen, MD
First Name & Middle Initial & Last Name & Degree
Sophia Airhart, MD
Facility Name
McGill University
City
Montreal
State/Province
Quebec
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christos Galatas, MD
Email
christos.galatas@mail.mcgill.ca
First Name & Middle Initial & Last Name & Degree
Jonanthan Afilalo, MD
First Name & Middle Initial & Last Name & Degree
Christos Galatas, MD
Facility Name
Montreal Heart Institute
City
Montreal
State/Province
Quebec
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marc Jolicoeur, MD
Email
jplicoeur@gmail.com
First Name & Middle Initial & Last Name & Degree
Maxime Tremblay-Gravel, MD
First Name & Middle Initial & Last Name & Degree
Marc Jolicoeur, MD

12. IPD Sharing Statement

Citations:
PubMed Identifier
25257643
Citation
Goldwater DS. Geriatric cardiology: a fellow's perspective. J Am Coll Cardiol. 2014 Sep 30;64(13):1401-3. doi: 10.1016/j.jacc.2014.08.009. No abstract available.
Results Reference
result
PubMed Identifier
23410547
Citation
Martin SS, Ou FS, Newby LK, Sutton V, Adams P, Felker GM, Wang TY. Patient- and trial-specific barriers to participation in cardiovascular randomized clinical trials. J Am Coll Cardiol. 2013 Feb 19;61(7):762-9. doi: 10.1016/j.jacc.2012.10.046.
Results Reference
result
PubMed Identifier
24847706
Citation
Gurwitz JH. The exclusion of older people from participation in cardiovascular trials. Virtual Mentor. 2014 May 1;16(5):365-8. doi: 10.1001/virtualmentor.2014.16.05.pfor1-1405. No abstract available.
Results Reference
result
PubMed Identifier
21050978
Citation
Afilalo J, Eisenberg MJ, Morin JF, Bergman H, Monette J, Noiseux N, Perrault LP, Alexander KP, Langlois Y, Dendukuri N, Chamoun P, Kasparian G, Robichaud S, Gharacholou SM, Boivin JF. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol. 2010 Nov 9;56(20):1668-76. doi: 10.1016/j.jacc.2010.06.039.
Results Reference
result
PubMed Identifier
21205966
Citation
Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, Brach J, Chandler J, Cawthon P, Connor EB, Nevitt M, Visser M, Kritchevsky S, Badinelli S, Harris T, Newman AB, Cauley J, Ferrucci L, Guralnik J. Gait speed and survival in older adults. JAMA. 2011 Jan 5;305(1):50-8. doi: 10.1001/jama.2010.1923.
Results Reference
result
PubMed Identifier
24954571
Citation
Lindman BR, Alexander KP, O'Gara PT, Afilalo J. Futility, benefit, and transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2014 Jul;7(7):707-16. doi: 10.1016/j.jcin.2014.01.167. Epub 2014 Jun 18.
Results Reference
result
PubMed Identifier
24291279
Citation
Afilalo J, Alexander KP, Mack MJ, Maurer MS, Green P, Allen LA, Popma JJ, Ferrucci L, Forman DE. Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol. 2014 Mar 4;63(8):747-62. doi: 10.1016/j.jacc.2013.09.070. Epub 2013 Nov 27.
Results Reference
result
PubMed Identifier
21527153
Citation
Forman DE, Rich MW, Alexander KP, Zieman S, Maurer MS, Najjar SS, Cleveland JC Jr, Krumholz HM, Wenger NK. Cardiac care for older adults. Time for a new paradigm. J Am Coll Cardiol. 2011 May 3;57(18):1801-10. doi: 10.1016/j.jacc.2011.02.014. No abstract available.
Results Reference
result
PubMed Identifier
19720935
Citation
Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL, Gurvitz MZ, Havranek EP, Lee CS, Lindenfeld J, Peterson PN, Pressler SJ, Schocken DD, Whellan DJ; American Heart Association Council on Cardiovascular Nursing; American Heart Association Council on Cardiovascular Nursing; American Heart Association Council on Clinical Cardiology; American Heart Association Council on Nutrition, Physical Activity, and Metabolism; American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research. State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association. Circulation. 2009 Sep 22;120(12):1141-63. doi: 10.1161/CIRCULATIONAHA.109.192628. Epub 2009 Aug 31. No abstract available.
Results Reference
result
PubMed Identifier
1880885
Citation
King AC, Haskell WL, Taylor CB, Kraemer HC, DeBusk RF. Group- vs home-based exercise training in healthy older men and women. A community-based clinical trial. JAMA. 1991 Sep 18;266(11):1535-42.
Results Reference
result
PubMed Identifier
20054288
Citation
Hwang R, Marwick T. Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis. Eur J Cardiovasc Prev Rehabil. 2009 Oct;16(5):527-35. doi: 10.1097/HJR.0b013e32832e097f.
Results Reference
result
PubMed Identifier
21567221
Citation
Tierney S, Mamas M, Woods S, Rutter MK, Gibson M, Neyses L, Deaton C. What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies. Heart Fail Rev. 2012 Jan;17(1):107-15. doi: 10.1007/s10741-011-9252-4.
Results Reference
result
PubMed Identifier
19008690
Citation
Savage PD, Ades PA. Pedometer step counts predict cardiac risk factors at entry to cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2008 Nov-Dec;28(6):370-7; quiz 378-9. doi: 10.1097/HCR.0b013e31818c3b6d.
Results Reference
result
PubMed Identifier
22750166
Citation
Izawa KP, Watanabe S, Hiraki K, Morio Y, Kasahara Y, Takeichi N, Oka K, Osada N, Omiya K. Determination of the effectiveness of accelerometer use in the promotion of physical activity in cardiac patients: a randomized controlled trial. Arch Phys Med Rehabil. 2012 Nov;93(11):1896-902. doi: 10.1016/j.apmr.2012.06.015. Epub 2012 Jun 28.
Results Reference
result
PubMed Identifier
18029834
Citation
Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, Stave CD, Olkin I, Sirard JR. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007 Nov 21;298(19):2296-304. doi: 10.1001/jama.298.19.2296.
Results Reference
result
PubMed Identifier
23952917
Citation
Vaes AW, Cheung A, Atakhorrami M, Groenen MT, Amft O, Franssen FM, Wouters EF, Spruit MA. Effect of 'activity monitor-based' counseling on physical activity and health-related outcomes in patients with chronic diseases: A systematic review and meta-analysis. Ann Med. 2013 Sep;45(5-6):397-412. doi: 10.3109/07853890.2013.810891. Epub 2013 Jul 3.
Results Reference
result
PubMed Identifier
23540653
Citation
Izawa KP, Watanabe S, Oka K, Hiraki K, Morio Y, Kasahara Y, Brubaker PH, Osada N, Omiya K, Shimizu H. Usefulness of step counts to predict mortality in Japanese patients with heart failure. Am J Cardiol. 2013 Jun 15;111(12):1767-71. doi: 10.1016/j.amjcard.2013.02.034. Epub 2013 Mar 27.
Results Reference
result
PubMed Identifier
14767241
Citation
Cyarto EV, Myers A, Tudor-Locke C. Pedometer accuracy in nursing home and community-dwelling older adults. Med Sci Sports Exerc. 2004 Feb;36(2):205-9. doi: 10.1249/01.MSS.0000113476.62469.98.
Results Reference
result
PubMed Identifier
22772084
Citation
Nguyen HQ, Steele BG, Dougherty CM, Burr RL. Physical activity patterns of patients with cardiopulmonary illnesses. Arch Phys Med Rehabil. 2012 Dec;93(12):2360-6. doi: 10.1016/j.apmr.2012.06.022. Epub 2012 Jul 5.
Results Reference
result
PubMed Identifier
24315467
Citation
Leidy NK, Kimel M, Ajagbe L, Kim K, Hamilton A, Becker K. Designing trials of behavioral interventions to increase physical activity in patients with COPD: insights from the chronic disease literature. Respir Med. 2014 Mar;108(3):472-81. doi: 10.1016/j.rmed.2013.11.011. Epub 2013 Nov 20.
Results Reference
result

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

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