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Postoperative; Dysfunction Following Cardiac SurgeryMyCaReNCT02778165

My Cardiac Recovery (MyCaRe): A Pilot RCT.

A study testing MyCaRe (my cardiac recovery Android application) in people with Postoperative; Dysfunction Following Cardiac Surgery, run by University Health Network, Toronto at 1 site in Canada.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

MyCardiacRecovery (MyCaRe) is an interactive platform that includes a standardized educational format and interactive tracking (wound healing and activity progression using photo capabilities and Fitbit Inspire 2 accelerometer) support during the first 6 to 8 weeks post hospital discharge. Read more about this study

Who is it for?
Ages 35 years and older
What is being tested?
MyCaRe (my cardiac recovery Android application)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteCanada
Study dates
1 Oct 2022to 30 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The inclusion criteria for the sample includes:
  • comprehend/understand instructions for study and use of app/Fitbit,
  • > 35 years of age,
  • undergoing traditional (sternotomy approach) coronary artery bypass graft (CABG) surgery,
  • an uncomplicated postoperative course,
  • standard length of hospital stay (four to eight days),
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  • access to wifi internet in their home,
  • able to hear telephone conversation,
  • reside within the greater Toronto region (GTA) or if outside GTA willing to return devices via mail upon completion of study.

Who cannot join

  • The exclusion criteria will include those persons who:
  • have cardiac surgery procedures other than CABG,
  • reside in a nursing home or long term care facility,
  • have any neurological or psychiatric disorder that may impede their ability to self reflect or communicate,
  • sustained in-hospital post surgical complications of major significance (such as stroke, deep wound infections, pericardial effusion, etc.), 5) inability to ambulate (i.e. walk unaided at 2 mph).

Trial locations and contacts

1 site in 1 country.

Tracey J Colella, PhD contact

4165973422

tracey.colella@uhn.ca

Canada1 site, 1 recruiting
  • Cardiac Rehabilitation, Rumsey Centre, TRI-UHN

    Toronto, Ontario, M4G1R7

    Tracey Colella, RN, PhD, 416-597-3422, tracey.colella@uhn.ca

    Anam Tahsinul, MBBS, MPH, 4165408383, mdtahsinul.anam@uhn.ca

    Recruiting

Other trials in Canada

About this study

Official title: My Cardiac Recovery (MyCaRe): A Pilot RCT to Examine the Effect of MyCaRe Android Application on Recovery Outcomes and Enrolment in Cardiac Rehab Post Cardiac Surgery.

MyCardiacRecovery (MyCaRe) is an interactive platform that includes a standardized educational format and interactive tracking (wound healing and activity progression using photo capabilities and Fitbit Inspire 2 accelerometer) support during the first 6 to 8 weeks post hospital discharge. This android application will help patients and family navigate their way through the continuum of care by providing an: a) integrated link between acute care and outpatient cardiac rehab (CR) for efficient coordination of information and reduction in duplication of services; b) patient care and education materials designed to address salient recovery questions; c) improved communication between the patient and care providers and, d) ensure streamlined systematic referral to CR. This innovative strategy has the potential to positively impact patient satisfaction, improve patient outcomes and possibly minimize financial constraints placed on the health care system. Phase 1 (preliminary usability testing) of prototype 1.0 is complete. Phase 2 will focus on testing MyCaRe 2.0 in a sample of post cardiac surgery patients using a pilot randomized controlled trial (RCT) design.

Read the detailed description

The early transition period post coronary artery bypass graft surgery is one associated with intense physiological and psychosocial adjustment that requires patients make sustainable long-term lifestyle changes. Cardiac rehabilitation (CR) is an evidence-based risk reduction program that has been shown to improve overall fitness and quality of life as well as lower morbidity and mortality in patients with coronary artery disease. Therefore, the development of supportive strategies to bridge the gap from acute care in to CR through early intervention for cardiac surgery patients is essential. MyCardiacRecovery (MyCaRe) is an interactive platform that includes a standardized educational format and interactive tracking (wound healing and activity progression using photo capabilities and Fitbit Inspire 2 accelerometer) support during the first 6 to 8 weeks post hospital discharge. This application will help patients and family navigate their way through the continuum of care by providing an: a) integrated link between acute care and outpatient cardiac rehab for efficient coordination of information and reduction in duplication of services; b) patient care and education materials designed to address salient recovery questions; c) improved communication between the patient and care providers and, d) ensure streamlined systematic referral to CR. This innovative strategy has the potential to positively impact patient satisfaction, improve patient outcomes and possibly minimize financial constraints placed on the health care system. Phase 1 (preliminary usability testing) of prototype 1.0 is complete. Phase 2 will focus on testing MyCaRe 2.0 in a sample of post cardiac surgery patients using a pilot randomized controlled trial design.

Protocol Summary: App Study Phase 2 - Pilot Randomized Controlled Trial N= 40 (20 usual care + intervention; 20 usual care) Study Population: Post cardiac surgery patient population at 1 acute care cardiac centre in Toronto Study Design Pilot Randomized controlled trial Study Duration March 2022 - Dec 2022 Study Agent/ Intervention MyCaRe prototype (mobile application) Primary Objectives: 1) To examine the effect of MyCaRe application on enrolment in CR post cardiac surgery in comparison to usual care (assessing effectiveness of intervention);

Secondary Objectives:

  1. To examine the impact of MyCaRe application on patient recovery and satisfaction (i.e. knowledge level, perceptions of recovery outcomes such as activity progression, quality of life, anxiety and depression) 3) To examine the effect of MyCaRe application on health services use. 4) To examine patient and clinician satisfaction, specifically user ease, usability and comfort with MyCaRe application.
Being tested
MyCaRe (my cardiac recovery Android application)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MyCaRe (my cardiac recovery Android application)Other

    Also called MyCaRe

    Android application \& Fitbit Inspire 2 activity monitor

Study groups in NCT02778165
Study groupRoleWhat they receive
Usual CareNo interventionPatients receiving usual care are typically referred to CR at the time of discharge from the acute care center via paper or electronic systematic referral (completed by a physician or nurse practitioner). Additionally, a conversation with the patient regarding CR by a healthcare provider may occur, however this communication is not always a consistent occurrence. Once referred, patients will await contact from a CR program in their region/area and if actual program enrollment occurs, this usually happens between 8 to 10 weeks post discharge.
MyCaRe Android ApplicationExperimentalThe MyCaRe mobile application (education and symptom monitoring which includes pain, mood scales, wound monitoring) and Fitbit accelerometer (steps walked, distance) will be provided to patients receiving intervention group allocation for the initial 6 to 8 weeks recovery post cardiac surgery. The patients will be provided a temporary loan mobile device loaded with MyCaRe and Fitbit Inspire 2 before leaving hospital. They will be asked to input data (pain, mood, wounds, activity, blood sugar, blood pressure) daily if possible in first 2 weeks and once weekly thereafter until 6 to 8 weeks or until entry to a cardiac rehabilitation program.
Receives: Other: MyCaRe (my cardiac recovery Android application)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Enrolment in cardiac rehabilitation

    The number of individuals who attend their initial cardiac rehab intake appointment will be the primary outcome measure of enrollment. Enrollment is defined in accordance with Canadian Cardiovascular Society data definitions (http://bridge.ccs.ca/index.php/en/), as patient having attended their scheduled cardiac rehab intake appointment (i.e., risk factor assessment, goal-setting). Enrollment will be verified with patient as well as with the CR program in which they are enrolled.

    Measured: 8 weeks post operative discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 May 2016 (estimated)
  2. Study start1 Oct 2022
  3. Primary completion31 Dec 2023 (estimated)
  4. Study completion30 Jun 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02778165
Sponsor's protocol ID
15-9520
Acronym
MyCaRe
Status last verified
May 2023
First submitted
18 May 2016
Last updated
26 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cardiac Care Network of Ontario. Report on adult cardiac surgery in Ontario. Retrieved July 2, 2013 at http://www.ccn.ca/ccc public/uploadfiles/files/Provincial%21 Cardiac%20Surgery%20Reports%20-%20Final%20Draft.pdf

  • Stewart, M.J. (1993). Integrating social support in nursing. Newbury Park: Sage.

  • Goodman H. Patients' perceptions of their education needs in the first six weeks following discharge after cardiac surgery. J Adv Nurs. 1997 Jun;25(6):1241-51. doi: 10.1046/j.1365-2648.1997.19970251241.x.

    PubMed 9181423
  • Meleis AI. Transition Theory. Middle range and situation specific theories in nursingresearch and practice. 2010. Springer Publishing: New York.

  • Hamalainen H, Smith R, Puukka P, Lind J, Kallio V, Kuttila K, Ronnemaa T. Social support and physical and psychological recovery one year after myocardial infarction or coronary artery bypass surgery. Scand J Public Health. 2000 Mar;28(1):62-70. doi: 10.1177/140349480002800111.

    PubMed 10817316
  • Lapum J, Angus JE, Peter E, Watt-Watson J. Patients' discharge experiences: returning home after open-heart surgery. Heart Lung. 2011 May-Jun;40(3):226-35. doi: 10.1016/j.hrtlng.2010.01.001. Epub 2010 Apr 14.

    PubMed 20561868
  • World Health Organization (WHO). 2005 Facing the facts: The impact of chronic disease in Canada. Retrieved May 4, 2011 at http://www.who.int/chp/chronic_disease_report/en/

  • Piepoli MF, Corra U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, McGee H, Mendes M, Niebauer J, Zwisler AD, Schmid JP; Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010 Feb;17(1):1-17. doi: 10.1097/HJR.0b013e3283313592.

    PubMed 19952757
  • Alter DA, Oh PI, Chong A. Relationship between cardiac rehabilitation and survival after acute cardiac hospitalization within a universal health care system. Eur J Cardiovasc Prev Rehabil. 2009 Feb;16(1):102-13. doi: 10.1097/HJR.0b013e328325d662.

    PubMed 19165089
  • Arthur HM, Suskin N, Bayley M, Fortin M, Howlett J, Heckman G, Lewanczuk R. The Canadian Heart Health Strategy and Action Plan: Cardiac rehabilitation as an exemplar of chronic disease management. Can J Cardiol. 2010 Jan;26(1):37-41. doi: 10.1016/s0828-282x(10)70336-6.

    PubMed 20101356
  • Oldridge N. Exercise-based cardiac rehabilitation in patients with coronary heart disease: meta-analysis outcomes revisited. Future Cardiol. 2012 Sep;8(5):729-51. doi: 10.2217/fca.12.34.

    PubMed 23013125
  • Taylor RS, Brown A, Ebrahim S, Jolliffe J, Noorani H, Rees K, Skidmore B, Stone JA, Thompson DR, Oldridge N. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004 May 15;116(10):682-92. doi: 10.1016/j.amjmed.2004.01.009.

    PubMed 15121495
  • Li J, Siegrist J. Physical activity and risk of cardiovascular disease--a meta-analysis of prospective cohort studies. Int J Environ Res Public Health. 2012 Feb;9(2):391-407. doi: 10.3390/ijerph9020391. Epub 2012 Jan 26.

    PubMed 22470299
  • Schuler G, Adams V, Goto Y. Role of exercise in the prevention of cardiovascular disease: results, mechanisms, and new perspectives. Eur Heart J. 2013 Jun;34(24):1790-9. doi: 10.1093/eurheartj/eht111. Epub 2013 Apr 7.

    PubMed 23569199
  • Jackson L, Leclerc J, Erskine Y, Linden W. Getting the most out of cardiac rehabilitation: a review of referral and adherence predictors. Heart. 2005 Jan;91(1):10-4. doi: 10.1136/hrt.2004.045559.

    PubMed 15604322

Questions about this trial

What is this clinical trial studying?

A study testing MyCaRe (my cardiac recovery Android application) in people with Postoperative; Dysfunction Following Cardiac Surgery, run by University Health Network, Toronto at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Tracey J Colella, PhD (4165973422, tracey.colella@uhn.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Enrolment in cardiac rehabilitation (time frame: 8 weeks post operative discharge). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02778165, which also lists 56 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2023; AzTrials last refreshed its copy on 7 Nov 2026.

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