Evidence map›Paper›PMID 40133799›Full record

Observational studyBMC cardiovascular disorders2025

JUMPSTART: evaluation of an early mobilization program following transcatheter aortic valve replacement.

Marija Corovic, Karen Mosleh, Olivia Puglisi, Malcolm Cameron, Jacob Crawshaw, Rima Styra, Patrick Magloire, Jon-David Schwalm, James Velianou, Tej Sheth and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marija CorovicDepartment of Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada. corovicm@mcmaster.ca.
Karen MoslehDepartment of Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
Olivia PuglisiHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
Malcolm CameronHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
Jacob CrawshawCentre for Implementation Research, Ottawa Hospital Research Institute, 501 Smyth Box 511, Ottawa, ON, K1H 8L6, Canada.
Rima StyraUniversity Health Network, 190 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
Patrick MagloireHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
Jon-David SchwalmHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
James VelianouHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
Tej ShethHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.
Madhu NatarajanHamilton Health Sciences, King West, P.O. Box 2000, Hamilton, ON, L8N 3Z5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with aortic stenosis undergoing a transcatheter aortic valve replacement (TAVR) are typically discharged from hospital the next day, leaving little time to support their mobilization needs. Therefore, to improve the early mobilization of post-TAVR patients, we investigated the adoption and acceptability of a self-directed, tailored and home-based exercise program (JUMPSTART), which consists of four exercise modules, available in virtual and paper formats.

methodsThis prospective, observational, non-randomized and comparative study was conducted at one regional cardiac centre in Ontario, Canada. The development of the JUMPSTART program was informed by the Knowledge-to-Action Cycle and the choice of study outcomes were guided by the RE-AIM Framework. Program adoption and acceptability were captured through two follow-up surveys, 14-days and three-months post-TAVR; survey questions were informed by the Consolidated Framework for Implementation Research. The target program adoption rate was 70% by three-months post-TAVR. Impact of program participation on quality-of-life scores, and study participants' cardiac rehabilitation attendance, were also assessed.

resultsThere were 144 study participants. Survey response rates were 86% at 14-days post-TAVR, and 78% at three-months post-TAVR. The program adoption rate was 75% while the cardiac rehabilitation attendance rate was 30%. Approximately 70% of participants preferred the paper-based program format. The technological requirement was the most common barrier to engaging with virtual formats. Most (70%) rated the exercises as being the right level of difficulty. There were no reports of major health or safety concerns while exercising. Quality-of-life scores significantly increased from baseline to three-months post-TAVR; however, this could not be attributed to frequency of program participation. Furthermore, 73% of program participants felt that their recovery was improved because of their participation in the program, and 96% reported that they would recommend it to others. The study team regularly reviewed preliminary findings and took action to improve the program and the implementation process.

conclusionsParticipants were satisfied with the JUMPSTART program, which will continue to be offered to post-TAVR patients. Despite the increasing use of virtual technologies, most of this patient population prefers paper-based resources. Future planning will involve developing additional modules and exploring ways to increase program adoption, as well as cardiac rehabilitation attendance. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Aortic ValveAortic Valve StenosisEarly AmbulationExercise TherapyTranscatheter Aortic Valve ReplacementAgedAged, 80 and overFemaleHumansMaleOntarioProgram EvaluationProspective StudiesQuality of LifeRecovery of FunctionTime FactorsAortic stenosisAortic valve replacementEarly mobilizationExercise programHome-based programTAVITAVRVirtual program

Identifiers

PMID40133799
PMCPMC11934436

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.