Prevention & lipids

Goal Attainment Among Older Adults With Ischemic Heart Disease Using Mobile-Health Cardiac Rehabilitation in RESILIENT

JACC AdvPublished Secondary analysis of the RESILIENT randomised trial

Authors' conclusion

In a trial that did not demonstrate differences on traditional endpoints, those receiving mHealth-CR were more likely to exceed personalized CR goals.

Study context

Population
Older adults (≥65 years) with ischemic heart disease353 (88.3%) completed goal attainment scaling (GAS)
Participants
400 adults
Comparison
mHealth-CR vs usual care
  • mHealth-CRn = 298
  • Usual caren = 102reference
Primary endpoint
Personalized goal attainment by goal attainment scaling (GAS ≥0: attaining or exceeding goals)
Follow-up
3 months
Methodological detailsprespecified secondary endpoint
  • Prespecified secondary endpoint

Primary result

As reported in the abstract

Attaining or exceeding goals (GAS ≥0)
  • mHealth-CR vs Usual care: P = 0.492
  • mHealth-CR vs Usual care: P = 0.006
  • 353 (88.3%) completed GAS

Secondary outcomes

Exceeding expected goal attainment (GAS +1, +2) · 3 months

P = 0.006

Goal domains: physical activity, health care behaviors, symptom management

Physical activity

Health care behaviors

Symptom management

Original publication

Goal Attainment Among Older Adults With Ischemic Heart Disease Using Mobile-Health Cardiac Rehabilitation in RESILIENT. JACC Adv. Published 12 November 2025. doi:10.1016/j.jacadv.2025.102298

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