Activity-based Training After Myocardial Infarction

April 6, 2026 updated by: HANDE USTA, Pamukkale University

Effectiveness of Activity-based Training After Myocardial Infarction: A Randomized Controlled Study

Cardiovascular diseases cause high morbidity and mortality, resulting in disability, medical complications and comorbidities. Patients who have MI experience motor, cognitive and sensory impairments, reduced quality of life and burdened the national economy. Cardiac rehabilitation aims to optimize patients' health services, reduce physical and psychological effects and increase activity return performance. The rehabilitation process includes physical activities and patient education starting in the early stages after MI. Psychosocial support and occupational therapy can accelerate patients' recovery and return to daily activities. Since there are inadequacies in the literature on this subject, this study aims to provide an effective educational intervention for patients who have MI and to examine a safe return to activity.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

42

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Diagnosis of myocardial infarction (ST elevation or non-ST elevation)
  • Ejection fraction > 40%

Exclusion Criteria:

  • Ejection fraction < 40%
  • Presence of exercise-induced ischemia
  • Presence of orthopedic or neurological disorder that will affect the current study
  • Presence of pulmonary disease that will affect the current study (COPD, Asthma)
  • Presence of visual impairment
  • Presence of malignancy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Verbal education and two brochure handouts

The educational brochures are prepared to include clear, legible, realistic and up-to-date information. The context of the education includes the following topics:

  • What is myocardial infarction?
  • What are its clinical features?
  • Risk factors
  • Lifestyle changes
  • What is cardiac rehabilitation?
  • Stress and anxiety management
  • Energy conservation techniques
  • Progressive relaxation techniques
Other: Patient education
Patient education and counseling are offered one-on-one at the bedside during discharge and are also provided in the second week after discharge in an outpatient clinic setting.
Experimental: Verbal education, two brochure handouts and MET-based activity planning

The educational brochures are prepared to include clear, legible, realistic and up-to-date information. The context of the education includes the following topics:

  • What is myocardial infarction?
  • What are its clinical features?
  • Risk factors
  • Lifestyle changes
  • What is cardiac rehabilitation?
  • Return to activity and activity-based prescription (based on MET)
  • What are the abnormal responses that may occur in activities?
  • Stress and anxiety management
  • Energy conservation techniques
  • Progressive relaxation techniques
Other: Patient education
Patient education and counseling are offered one-on-one at the bedside during discharge and are also provided in the second week after discharge in an outpatient clinic setting.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Canadian Occupational Performance Measure
Time Frame: The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.
The Canadian Occupational Performance Measure is an evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living, over time.
The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.
Katz Index of Independence in Activities of Daily Living
Time Frame: The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.
The Katz Index of Independence in Activities of Daily Living, commonly referred to as the Katz ADL, is the most appropriate instrument to assess functional status as a measurement of the client's ability to perform activities of daily living independently.
The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.
Lawton Brody Instrumental Activities of Daily Living Scale
Time Frame: The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.
The Lawton Instrumental Activities of Daily Living Scale (IADL) is an appropriate instrument to assess independent living skills. These skills are considered more complex than the basic activities of daily living as measured by the Katz Index of ADLs.
The evaluation were completed after discharge. The exact time is post-operative 2nd week, 3th month and 6th month.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Pamukkale University

Investigators

  • Study Chair: ALI KITIS, Professor, Pamukkale University Faculty of Physiotherapy and Rehabilitation

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 29, 2022

Primary Completion (Actual)

April 29, 2025

Study Completion (Actual)

October 29, 2025

Study Registration Dates

First Submitted

August 19, 2024

First Submitted That Met QC Criteria

August 19, 2024

First Posted (Actual)

August 21, 2024

Study Record Updates

Last Update Posted (Actual)

April 13, 2026

Last Update Submitted That Met QC Criteria

April 6, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • E-60116787-020-205945

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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