Evidence map›Paper›PMID 38450759›Full record

Trial reportJournal of the American Geriatrics Society2024

Goal setting among older adults starting mobile health cardiac rehabilitation in the RESILIENT trial.

Elianna Shwayder, John A Dodson, Kelly Tellez, Camila Johanek, Samrachana Adhikari, Yuchen Meng, Antoinette Schoenthaler, Lee A Jennings

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Elianna ShwayderLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
John A DodsonLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Kelly TellezDivision of Healthcare Delivery Science, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Camila JohanekDivision of Healthcare Delivery Science, Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.
Samrachana AdhikariDivision of Biostatistics, New York University Grossman School of Medicine, New York, New York, USA.
Yuchen MengDivision of Biostatistics, New York University Grossman School of Medicine, New York, New York, USA.
Antoinette SchoenthalerInstitute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, New York, USA.
Lee A JenningsReynolds Section of Geriatrics and Palliative Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.ORCID 0000-0002-9524-6921
New York University · USUniversity of Oklahoma Health Sciences Center · US

Funding

Rehabilitation at home using mobile health in older adults after hospitalization for ischemic heart disease (RESILIENT)R01AG062520 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DODSON, JOHN A · 2019 to 2023
$3.3M
Midcareer award in aging-related subspecialty researchK24AG080025 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI John A Dodson · 2023 to 2026
$495k
NIA NIH HHS K24 AG080025NIA NIH HHS K24AG080025NIA NIH HHS R01 AG062520NIA NIH HHS R01AG062520NYU Grossman School of Medicine, Internal Medicine Summer Fellowship
6 · The paper itself

Abstract

backgroundThere is growing recognition that healthcare should align with individuals' health priorities; however, these priorities remain undefined, especially among older adults. The Rehabilitation Using Mobile Health for Older Adults with Ischemic Heart Disease in the Home Setting (RESILIENT) trial, designed to test the efficacy of mobile health cardiac rehabilitation (mHealth-CR) in an older cohort, also measures the attainment of participant-defined health outcome goals as a prespecified secondary endpoint. This study aimed to characterize the health priorities of older adults with ischemic heart disease (IHD) using goal attainment scaling-a technique for measuring individualized goal achievement-in a sample of 100 RESILIENT participants.

methodsThe ongoing RESILIENT trial randomizes patients aged ≥65 years with IHD (defined as hospitalization for acute coronary syndrome and/or coronary revascularization), to receive mHealth-CR or usual care. For the current study, we qualitatively coded baseline goal attainment scales from randomly selected batches of 20 participants to identify participants' cardiac rehabilitation outcome goals and their perceptions of barriers and action plans for goal attainment. We used a deductive framework (i.e., 4 value categories from Patient Priorities Care) and inductive approaches to code and analyze interviews until thematic saturation.

resultsThis sample of 100 older adults set diverse health outcome goals. Most (54.6%) prioritized physical activity, fewer (17.1%) identified symptom management, fewer still (13.7%) prioritized health metrics, mostly comprised of weight loss goals (10.3%), and the fewest (<4%) were related to clinical metrics such as reducing cholesterol or preventing hospital readmission. Participants anticipated extrinsic (access to places to exercise, time) and intrinsic (non-cardiac pain, motivation) barriers. Action plans detailed strategies for exercise, motivation, accountability, and overcoming time constraints.

conclusionsUsing goal attainment scaling, we elicited specific and measurable goals among older adults with IHD beginning cardiac rehabilitation. Priorities were predominantly functional, diverging from clinical metrics emphasized by clinicians and healthcare systems.

Indexed as

Cardiac RehabilitationGoalsAgedAged, 80 and overFemaleHumansMaleMyocardial IschemiaTelemedicinecardiac rehabilitationgoal‐directed care

Identifiers

PMID38450759
PMCPMC11226380
OpenAlexW4392552962

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.