Enhancing Cardiac Rehabilitation Through Behavioral Nudges

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.

Conditions

• Acute Myocardial Infarction
• Percutaneous Coronary Intervention
• Coronary Artery Disease
• Valvular Disease
• Chronic Stable Angina
• Chronic Stable Heart Failure

Interventions

OTHER

Hospital-based CR + Movn Application

Participants will be randomly assigned to a group that will receive hospital-based CR and access to the Movn mobile application.

OTHER

Choice of Hospital or home-based CR + Movn Application

Participants will be randomly assigned to a group that has opportunity to opt in to hospital-based cardiovascular rehabilitation or home-based cardiovascular rehabilitation. All will have access to the Movn Application.

OTHER

Hospital-based CR + Movn Application + Nudge

Participants will be randomly assigned to a group that will receive hospital-based CR and access to the Movn mobile application, plus encouraging nudge messages.

OTHER

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

Participants will be randomly assigned to a group that has opportunity to opt in to hospital-based cardiovascular rehabilitation or home-based cardiovascular rehabilitation. All will have access to the Movn Application, plus encouraging nudge messages.

Sponsors & Collaborators

• Denver Health and Hospital Authority

  lead OTHER

Principal Investigators

• Pamela Peterson, MD, MSPH · Denver Health and Hospital Authority

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

FACTORIAL

Eligibility

Min Age

18 Years

Max Age

100 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-05-17

Primary Completion

2023-05-26

Completion

2024-08-31

Countries

• United States

Study Locations