{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:46:48Z","timestamp":1790182008723,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K24AG073527"],"award-info":[{"award-number":["K24AG073527"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The benefit of early cardiac rehabilitation after transcatheter aortic valve replacement (TAVR) is not well established. This pilot study evaluated the feasibility and short\u2010term effects of a home\u2010based exercise program, with or without cognitive\u2010behavioral intervention (CBI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We randomized 51 patients (mean age, 83.9\u2009years; 19 women) to a home\u2010based exercise program with CBI (Group A;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918) or without CBI (Group B;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915), or telephone\u2010based education control (Group C;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918). The exercise program focusing on balance, flexibility, strength, and endurance began within 7\u2009days post\u2010discharge and was delivered once weekly by a physical therapist for 8\u2009weeks. CBI included discussions on exercise benefits and barriers, goal setting, detailed exercise planning, and a weekly cash adherence incentive. The primary outcome was a disability score (range: 0\u201322; higher scores indicate greater disability) at 8\u2009weeks. Secondary outcomes included the Short Physical Performance Battery (SPPB) (range: 0\u201312; higher scores indicate better function), self\u2010efficacy, and outcome expectation scores. Feasibility outcomes included adherence and drop\u2010out rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen participants (83.3%) in Group A, 10 (58.8%) in Group B, and 10 (52.6%) in Group C completed \u2265\u20095 of the eight assigned weekly sessions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.196). Two participants in each group were lost to follow\u2010up. At 8\u2009weeks, the home\u2010based exercise groups (Group A and B combined) demonstrated lower disability scores (mean [SE]: 2.6 [0.3] vs. 4.5 [0.5];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042) and higher SPPB scores (9.5 [0.6] vs. 6.5 [0.8];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) compared with the education group (Group C). Group A had lower disability scores than Group B (2.1 [0.4] vs. 3.4 [0.5];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.047), with no differences in self\u2010efficacy and outcome expectation scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An early, home\u2010based, multi\u2010domain exercise program appears feasible and may prevent disability and improve physical function in older adults after TAVR. Adding CBI, including a modest cash incentive, showed trends toward improved adherence and reduced disability.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      NCT02805309\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19456","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T04:28:35Z","timestamp":1743740915000},"page":"1836-1846","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Home\u2010Based Rehabilitation After Transcatheter Aortic Valve Replacement (\n                    <scp>REHAB<\/scp>\n                    \u2010\n                    <scp>TAVR<\/scp>\n                    ): A Pilot Randomized Controlled Trial"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6801-5602","authenticated-orcid":false,"given":"Sandra M.","family":"Shi","sequence":"first","affiliation":[{"name":"Frailty Research Center Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Division of Gerontology, Department of Medicine Beth Israel Deaconess Medical Center  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith\u2010Anne","family":"Rapley","sequence":"additional","affiliation":[{"name":"Clinical Research Center, Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Margulis","sequence":"additional","affiliation":[{"name":"Rehabilitation Services, Hebrew SeniorLife  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger J.","family":"Laham","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts 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