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