At a glance
ClinicalIndex Comparison Record- ✓Age 65 years or older
- ✓Underwent transcatheter aortic valve replacement
- ✓Lives within 20-mile radius of recruiting site
- ✓Plan to be discharged home
- ✕History of stroke or other medical disease that precludes exercise participation
- ✕Severe cognitive impairment (Mini-Mental State Examination < 15)
- ✕Current enrollment in another clinical trial
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Home-Based Exercise Program For Recovery After Transcatheter Aortic Valve Replacement: A Pilot Study
In Brief
A clinical study evaluating Exercise, Cognitive behavioral interventions, and 1 other intervention for Aortic Valve Stenosis. Completed, enrolled 64 participants across 3 sites.
Detailed Summary
Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for older adults with severe symptomatic aortic stenosis who are considered high risk for surgical aortic valve replacement. Despite symptomatic and survival benefits, many patients experience functional decline after TAVR. This pilot study aims to test the feasibility of a home-based exercise intervention targeting endurance, strength, and balance as well as cognitive behavioral intervention to improve physical functioning and disability after TAVR.
Study Details
Timeline
Interventions
Exercises will target balance, flexibility, strength, and endurance (source: https://go4life.nia.nih.gov/). Home visits will take place twice a week for week 1 and 2; once a week for week 3 and 4; every other week for week for week 5 through week 8. Participants are instructed to do prescribed exercises for 30 minutes daily. The duration of this intervention is about 40 mins.
The following cognitive-behavioral strategies will be employed: 1) enhance positive beliefs about exercise through discussion of benefits of exercise; 2) discussion of barriers to exercise; 3) individualized goal setting and self-monitoring progress using exercise calendar; 4) develop a detailed exercise plan on how, what, when, and where to conduct exercise; 5) $10 rewards for exercising ≥30 mins per day for ≥5 of 7 days. The duration of this intervention is about 20 mins.
A health care professional will call the participant weekly for a period of 8 weeks to teach general tips about exercise and diet (source: https://go4life.nia.nih.gov/). No recommendations for a specific exercise program will be made, except for walking 30 minutes daily or as tolerated. Each telephone session will cover 4 exercise tips and 4 healthy eating tips. The duration of the intervention is about 30 minutes.