Behavioral Intervention for Heart Attack Rehabilitation
(ATTEND-CR Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether the ATTEND-CR Intervention can help people attend and complete more cardiac rehabilitation sessions after a type 2 heart attack. The program includes clinician notifications and a motivational phone call to encourage attendance. Researchers compare it to the usual care received after a heart attack. Ideal participants are those who have had a type 2 heart attack, can walk without assistance, and are part of the Mass General Brigham network. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could improve cardiac rehabilitation outcomes.
What prior data suggests that this behavioral intervention is safe for heart attack rehabilitation?
Research has shown that cardiac rehabilitation (CR), including programs like ATTEND-CR, is generally safe for patients. A review of home-based cardiac rehabilitation found a very low chance of unexpected medical problems, indicating that participants usually tolerate these programs well. Another study found that individuals who complete a full CR program have a significantly lower risk of death and hospitalization. This underscores not only the safety but also the potential health benefits of participating in cardiac rehabilitation. Overall, evidence supports that CR programs are safe and beneficial for heart health.12345
Why are researchers excited about this trial?
Researchers are excited about the ATTEND-CR intervention because it takes a fresh approach to heart attack rehabilitation by focusing on behavioral change. Unlike standard care, which typically involves routine medical management and referral to cardiac rehabilitation, this intervention actively engages patients through motivational interviewing over the phone to boost their attendance at cardiac rehab sessions. By involving clinicians in sending informational messages about the importance of rehab, it aims to improve patient outcomes through enhanced participation and adherence. This innovative method could potentially transform the way post-heart attack care is delivered, making it more personalized and effective.
What evidence suggests that the ATTEND-CR intervention is effective for increasing cardiac rehabilitation attendance after a heart attack?
Research has shown that joining a cardiac rehabilitation (CR) program after a heart attack can improve health and lower the risk of another heart problem. Studies have found that attending CR can reduce the chance of death by 20% to 30% for people with coronary artery disease. However, many patients do not join these programs. In this trial, participants in the Intervention Arm will receive the ATTEND-CR intervention, which includes motivational strategies to increase participation. These strategies involve support from healthcare providers and motivational interviewing, both effective in encouraging participation in healthcare programs. By increasing CR attendance, the goal is to improve recovery and prevent future heart issues.678910
Who Is on the Research Team?
Cian P McCarthy, MB, BCh, BAO, SM
Principal Investigator
Massachusetts General Hospital
Are You a Good Fit for This Trial?
Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants receive the ATTEND-CR intervention, which includes clinician notifications and a motivational interviewing phone call to encourage cardiac rehabilitation attendance
Follow-up
Participants are monitored for safety and effectiveness after the intervention, including tracking of CR attendance, clinical events, and health outcomes
What Are the Treatments Tested in This Trial?
Interventions
- ATTEND-CR Intervention
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants clinicians receive an informational message about cardiac rehabilitation and the cardiac rehabilitation referral process. Participants who are referred to cardiac rehabilitation receive a phone call post-discharge applying principles of motivational interviewing. The goal is to encourage cardiac rehabilitation attendance.
Participants receive standard post-MI care without clinician informative messaging or a motivational interviewing phone call from the study team. They may still be referred to and attend CR based on usual clinical practice.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Massachusetts General Hospital
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
Citations
Effectiveness of quality improvement interventions in cardiac ...
Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane ... Improved treatment of hospitalized coronary artery disease patients with ...
2.
ahajournals.org
ahajournals.org/doi/10.1161/CIRCULATIONAHA.111.066738?doi=10.1161/CIRCULATIONAHA.111.066738Cardiac Rehabilitation Attendance and Outcomes in ...
Cardiac rehabilitation (CR) is an efficacious yet underused treatment for patients with coronary artery disease. The objective of this study was to ...
3.
ncqa.org
ncqa.org/report-cards/health-plans/state-of-health-care-quality-report/cardiac-rehabilitation-cre/Cardiac Rehabilitation (CRE)
... disease. Participation in CR can decrease recurrent cardiac-related events ... Compared with usual care, CR cost-effectiveness ratios range from $1,065 ...
Uptake and Effectiveness of Outpatient vs. Residential ... - PMC
Cardiac rehabilitation attendance and outcomes in coronary artery disease patients. ... Effectiveness of comprehensive cardiac rehabilitation ...
Use of Outpatient Cardiac Rehabilitation Among Heart ...
Each year, approximately 210,000 heart attacks are recurrent events. Outpatient cardiac rehabilitation among heart attack survivors helps to ...
Safety and long-term outcomes of remote cardiac ... - PMC
To systematically review the safety and the long-term mortality and morbidity risk-rates of the remotely-delivered cardiac rehabilitation (RDCR) interventions ...
Mortality Benefits of Cardiac Rehabilitation in Coronary ...
Cardiac rehabilitation (CR) is a multicomponent intervention to reduce adverse outcomes from coronary artery disease, but its mechanisms are ...
The role of cardiac rehabilitation in improving cardiovascular ...
This meta-analysis showed that participation in cardiac rehabilitation was associated with reduced rates of all-cause and heart-failure-specific hospitalization ...
Safety of home-based cardiac rehabilitation: A systematic ...
The risk of AEs during HBCR seems very low. Our results concerning the safety of HBCR should induce cardiac patients to be more active in their environment and ...
10.
facebook.com
facebook.com/UNCHealthRex/posts/people-who-attend-a-full-program-of-cardiac-rehabilitation-typically-36-sessions/1395449379288233/People who attend a full program of cardiac rehabilitation ...
People who attend a full program of cardiac rehabilitation (typically 36 sessions) have a 47 percent lower risk of death and a 31 percent lower ...
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