Overview
In this study, the investigators will evaluate the feasibility and potential efficacy of programs to improve functional outcomes after minimally-invasive transcatheter aortic valve replacement (TAVR). The investigators will examine the potential efficacy of (a) a motivation interviewing program, and (b) a home-based physical activity + motivational interviewing program, compared to (c) usual care + enhanced education in patients post-TAVR procedure.
Eligibility
Inclusion Criteria:
- Undergoing TAVR procedure
- ≥65 years old
- Ambulatory at baseline without assistance
- Approval of the interventional cardiologist that the patient is an appropriate candidate
- Can access telephone or teleconference
Exclusion Criteria:
- Impaired cognition that would limit participation in study activities
- Medical comorbidities that substantially limit exercise
- Major cardiac comorbidities, including ejection fraction<35%, history of cardiac arrest, complex dysrhythmias at rest, clinically-significant incomplete revascularization, implanted cardiac defibrillator.
- Physical characteristics that substantially limit exercise
- High fall risk (Johns Hopkins Fall Risk Assessment Tool indicating high risk)
- Non-English Speaking
- Vigorous exercise at least 2 times/week for >30 minutes
- Any other physician judgement