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Enhancing Cardiac Rehabilitation Through Behavioral Nudges

2019-02-14 21:13:13 | BioPortfolio

Summary

Adherence to cardiac rehabilitation is poor, and worse for minorities, women, and those with lower levels of education. Patients less likely to be referred to and complete cardiac rehab are at highest risk of adverse outcomes and thus have the most to gain from participation in cardiac rehab. To improve participation, healthcare systems need to limit barriers to enrollment and promote adherence to rehabilitation.

Description

This study aims to (1) Iteratively develop and program a theoretically informed technology-based nudge message library for a diverse patient population using multiple and iterative N of 1 within subject studies. Investigators will also engage patient, provider and health systems stakeholders in designing and refining the messages; (2)Develop a one-page decision aid tool to present information designed with principles of shared decision making including pros and cons of hospital and home-based rehabilitation. Investigators will engage patients, providers, and health systems stakeholders to provide feedback on the information sheet (3) Conduct a 2x2 factorial design randomized trial of a) choice and b) nudge messaging to improve primary outcomes of CR/PR enrollment, adherence and completion. Secondary outcomes will include exercise capacity, patient engagement, quality of life, hospitalizations and healthcare utilization.Evaluate the intervention using a mixed methods approach and applying the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework.

Study Design

Conditions

Acute Myocardial Infarction

Intervention

Hospital-based CR + Movn Application, Choice of Hospital or home-based CR + Movn Application, Hospital-based CR + Movn Application + Nudge, Choice of Hospital or home-based CR + Movn Application + Nudge

Location

Denver Health and Hospital Authority
Denver
Colorado
United States
80204

Status

Not yet recruiting

Source

Denver Health and Hospital Authority

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-02-14T21:13:13-0500

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