💬In plain words
What the trial is, and whether it could suit you
The goal of this clinical trial is to determine if a behavioral intervention can increase attendance at cardiac rehabilitation (CR) after secondary/type 2 myocardial infarction in adult patients. The main question it aims to answer is:
* Does the ATTEND-CR intervention increase attendance at ≥1 CR exercise session within 140 days of randomization?
* Does the intervention increase completion of ≥12 CR exercise sessions within 140 days of randomization?
Researchers will compare participants receiving the ATTEND-CR intervention (clinician notifications and a motivational interviewing participant phone call) to usual care to see if attendance and completion of CR improve.
Participants:
* Clinicians will receive informational messaging regarding CR and the referral process
* Participate in a motivational interviewing phone call (intervention group only)
* Have follow-up assessments via te
Sign in to get the eligibility rules as simple questions to take to your doctor.
📋 Eligibility rules (as published)
Inclusion Criteria:
* Age ≥ 18 years
* Inpatient at MGH with an index likely or confirmed secondary MI
* Primary care provider (PCP) within the Mass General Brigham (MGB) network with at least one visit in the past 2 years
* Anticipated ability to ambulate independently without walking aids or supplemental ambulatory oxygen at discharge
* Ability to provide informed consent
Exclusion Criteria:
* Known severe untreated valvular heart disease or severe prosthetic valve dysfunction
* Known hypertrophic obstructive cardiomyopathy
* End-stage heart failure (VAD, transplant patient, or undergoing evaluation for VAD or transplant)
* Hemodynamic instability at the time of pre-screening
* Terminal illness with life expectancy \< 1 year
* Severe anemia (hemoglobin \< 8 g/dL) at the time of pre-screening
* Active, unstable cancer (excluding non-metastatic skin cancer) or currently receiving intensive cancer therapy
* Advanced kidney disease requiring renal replacement therapy
* Receiving palliative or comfort care only
* Recurrent falls (≥2) or falls with injury in the past year
* Physical or cognitive impairment likely to prevent safe participation in exercise over the next 5 months (e.g., significant stroke deficits, dementia)
* High-risk for non-adherence to study requirements
* Incarcerated individuals
* Currently pregnant or within 3 months postpartum
* Previously referred to or participated in CR within the past year
* Alternative MI subtype (spontaneous \[type 1 MI\] or procedural MI \[type 4 or 5 MI\]) in the past 6 months
* Suspected or confirmed coronary mechanism of index MI (vasospasm, embolism, or spontaneous coronary artery dissection)
* Anticipated discharge or discharged before enrollment measures can be completed
* Anticipated discharge to a facility where independent participation in CR is not feasible
* Previously enrolled in or declined participation in this study
💊
What it tests
- Clinician-level intervention
- Patient-level intervention
Massachusetts General Hospital
Boston, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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