Activity-based Training After Myocardial Infarction

Not Applicable

Completed

• Conditions: Activities of Daily Living; Myocardial Ischemia
• Interventions: Other: Patient education

• Registration Number: NCT06564597
• Lead Sponsor: Pamukkale University

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-01
• Primary Completion: 2023-12-01
• Study Completion: 2023-12-20
• Status Verified: 2024-08
• Study First Submitted: 2024-08-19
• Study First Submitted QC: 2024-08-19
• Last Update Submitted: 2024-08-19
• Study First Posted: 2024-08-21
• Last Update Posted: 2024-08-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

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

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Verbal education and two brochure handouts	Patient education	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
Verbal education, two brochure handouts and MET-based activity planning	Patient education	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

Primary Outcome Measures

Name	Time	Method
Katz Index of Independence in Activities of Daily Living	The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.	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.
Canadian Occupational Performance Measure	The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.	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.
Lawton Brody Instrumental Activities of Daily Living Scale	The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.	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.

Trial Locations

Locations (1)

Pamukkale University; 🇹🇷 Merkez, Deni̇zli̇, Turkey