Activity-based Training After Myocardial Infarction

NCT06564597 | Completed

• 1 other identifier: E-60116787-020-205945
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

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

Keywords

Myocardial Ischemia; Activities of Daily Living; Metabolic Equivalent

Outcome Measures

Primary Outcomes (3)

• Canadian Occupational Performance Measure

  The Canadian Occupational Performance Measure is an evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living, over time.

  The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.

• Katz Index of Independence in Activities of Daily Living

  The Katz Index of Independence in Activities of Daily Living, commonly referred to as the Katz ADL, is the most appropriate instrument to assess functional status as a measurement of the client's ability to perform activities of daily living independently.

  The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.

• Lawton Brody Instrumental Activities of Daily Living Scale

  The Lawton Instrumental Activities of Daily Living Scale (IADL) is an appropriate instrument to assess independent living skills. These skills are considered more complex than the basic activities of daily living as measured by the Katz Index of ADLs.

  The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.

Study Arms (2)

Verbal education and two brochure handouts

EXPERIMENTAL

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

Other: Patient education

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

EXPERIMENTAL

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

Other: Patient education

Interventions

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

Eligibility Criteria

• Age: 30 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Merkez, Denizli, Turkey (Türkiye)

Location

Related Publications (2)

• 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.

  PMID: 34497468 BACKGROUND

• 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.

  PMID: 13689828 RESULT

MeSH Terms

Conditions

Myocardial Ischemia

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Vascular Diseases

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• ALI KITIS, Professor

  Pamukkale University Faculty of Physiotherapy and Rehabilitation

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 19, 2024
• First Posted: August 21, 2024
• Study Start: April 29, 2022
• Primary Completion: April 29, 2025
• Study Completion: October 29, 2025
• Last Updated: April 13, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)