New coaching model boosts cardiac rehab use in seniors
NCT ID NCT03922529
First seen Jun 26, 2026 · Last updated Jun 30, 2026 · Updated 2 times
Summary
This study tested a coaching program called MACRO-I for adults aged 70 and older who had a heart event. The program used coaches to guide patients through starting cardiac rehab, either at a center, at home, or a mix of both. 416 participants were split into the coaching group or usual care to see if coaching improved mobility and recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- coaching program (MACRO-I) to support cardiac rehabilitation
- What this could lead to
- If successful, this coaching model could help more older adults recover mobility and function after a heart event, making cardiac rehab more accessible.
- What could go wrong
- This is a completed study, so results are available but may not apply to all older adults. The coaching approach may not work for everyone, and benefits might be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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416 people
The number who actually took part.
- Started
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Nov 2019
- Finished
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Aug 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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70 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥70 year * Eligible cardiovascular disease (CVD) diagnosis (hospitalization for acute myocardial infarction/ acute coronary syndrome, stable ischemic heart disease, revascularization (coronary artery bypass graft surgery and percutaneous coronary intervention, valvular heart disease (surgical or transcatheter replacements or repair for mitral regurgitation or aortic stenosis),heart failure (exacerbation or new diagnosis) * English speaking * Able to provide written informed consent * Able to be assessed and undergo study interventions Exclusion Criteria: * Unstable medical condition as indicated by history, physical exam, and/or laboratory findings * Presence of non-CVD conditions likely to be fatal within 12 months (e.g., metastatic cancer) * Severe cognitive impairment: Short Blessed screening with a score of 13 or greater cannot consent (as indicated by medical record) * Long-term care resident at admission with no plans to return to independent living * Unable to participate in follow-up assessments by telephone or in person
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
University of Pittsburgh
Pittsburgh, Pennsylvania, 15260, United States
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VA Pittsburgh Healthcare system
Pittsburgh, Pennsylvania, 15240, United States
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Washington University in St. Louis
St Louis, Missouri, 63130, United States
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