# Early Case Management on Recovery From a Cardiac Event in Women

> **NIH NIH P20** · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · 2021 · $129,783

## Abstract

Outpatient cardiac rehabilitation (CR) is an exercise-based lifestyle program for patients who have experienced 
a myocardial infarction, systolic heart failure, percutaneous revascularization or cardiac surgery. CR plays a 
key role in secondary prevention, which is the prevention of subsequent cardiac events. CR has been shown to 
reduce both cardiovascular mortality and one year hospital readmissions as well as improve quality of life, 
exercise capacity, and physical function. Although the benefits have been clearly established for cardiac 
patients, women are much less likely to attend CR than men. Based upon our own preliminary data (and the 
medical literature), attendance at CR is determined by factors that vary in their importance between men and 
women. These findings demonstrate that older age and poor social support are particular barriers to CR 
participation in women. This information can guide efforts to increase CR participation and adherence in 
women, areas which have received little study. 
Case management (CM) has been effective at reducing cardiovascular risk and reducing hospitalizations 
amongst cardiac patients. Further, CM has been effective at promoting attendance in a variety of health related 
programs (for example, diabetes treatment or cocaine dependence treatment). The primary aim in this 
randomized controlled trial is to examine the efficacy of early CM to promote participation and adherence in 
CR. The CM model can identify individualized determinants of health and social needs to identify potential 
barriers which may hinder CR enrollment. Additionally, the case manager will conduct a home visit and provide 
individual counseling to address lifestyle changes including physical activity. Thus, a component of CR and 
physical activity can be still be delivered for those unable to attend CR. The concept of CM to improve CR 
participation and adherence has not been specifically tested in women, a vulnerable patient population. This 
intervention, therefore, has the potential to increase utilization of CR and significantly improve health outcomes 
in female cardiac patients.

## Key facts

- **NIH application ID:** 10376167
- **Project number:** 5P20GM103644-09
- **Recipient organization:** UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
- **Principal Investigator:** Sherrie Khadanga
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $129,783
- **Award type:** 5
- **Project period:** 2013-09-15 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10376167

## Citation

> US National Institutes of Health, RePORTER application 10376167, Early Case Management on Recovery From a Cardiac Event in Women (5P20GM103644-09). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/10376167. Licensed CC0.

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