Improving Cardiac Rehabilitation Outcomes Through Mobile Case Management (iCARE) (iCARE)
Acute Myocardial Infarction, Acute Coronary Syndrome, Stable Angina Pectoris
About this trial
This is an interventional supportive care trial for Acute Myocardial Infarction focused on measuring Cardiac Rehabilitation
Eligibility Criteria
Inclusion Criteria:
- Own or have reliable access to a smartphone or desktop computer with internet access
- Have an email address
- Patients who have a history of one of the following; acute myocardial infarction/acute coronary syndrome, stable angina pectoris, percutaneous coronary intervention, or heart failure.
- Patients who have undergone a surgical procedure which includes an indication for cardiac rehabilitation (coronary artery bypass surgery, heart valve repair/replacement, or heart transplant)
Exclusion Criteria:
- Patients referred to cardiac rehab with ventricular assist devices.
Sites / Locations
- University of Minnesota
- Mayo ClinicRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Conventional Center-Based Cardiac Rehab (CON)
Conventional Center-Based Cardiac Rehab + mHealth (CON+)
Home-Based Cardiac Rehab + mHealth (HOM+)
Participants will be prescribed 36 sessions of center-based CR. This includes supervised exercise sessions, cooking demonstrations, didactic lectures, video presentations, group support, and stress management education. During sessions, participants have direct access to the medical director, case manager, registered nurse, exercise physiologist, and stress management specialists.
Participants will be prescribed 36 sessions of center-based CR as noted above. In addition, participants will be provided access to the mHealth platform which provides "e-Learning modules" with factsheets, videos, quizzes, and questionnaires (coinciding with activities being conducted during the CON program), a Social Network Module will allow patients to communicate via secure network with other patients who are part of their invited network. The Social Network Module also allows for secure two-way interaction with healthcare providers in the event that patients are experiencing signs or symptoms suggestive of worsening condition. This platform also contains a Personal Health Record Module allowing patients to upload, archive, and retrieve personal health data (e.g. fitness tracker data, heart rate monitor data, blood pressure recordings, etc.) and record vital signs, symptoms, treatments, and medical history.
Participants will be provided paper copies of educational content at the time of event/discharge. In addition, these participants will be provided access to the same mHealth platform as the CON+ group. Participants in this group will be encouraged to exercise three days per week while also completing the additional questionnaires and educational content provided by the mHealth platform in accordance with the CR program. Participation will be tracked using web/internet analytics.