Maximizing Outcomes Needed After Percutaneous Coronary Intervention (PCI) Using Weight Management (MOMENTUM)

Obesity is an independent risk factor for coronary disease and is prevalent among patients
who undergo percutaneous coronary intervention (PCI). The significance of cardiac disease
is often underestimated by patients who undergo PCI, and therefore they are more reticent in
modifying their cardiac risk factors such as obesity following PCI. This issue is
particularly problematic for rural populations, given that weight reduction specific
programs are often not available in rural communities. The overall goal of this pilot study
is to evaluate a 12 week cognitive behavioral intervention for weight reduction of
overweight or obese PCI patients who participate in a rural cardiac rehabilitation (CR)
program. The Maximizing Outcomes Needed After Percutaneous Coronary Intervention (PCI) Using
Weight Management (MOMENTUM) intervention is comprised of 6 modules, totaling 52 daily
sessions promoting weight reduction, and 4 coaching sessions over the duration of the 12
week MOMENTUM intervention. The MOMENTUM intervention will be delivered using telehealth
methods (Viterion telehealth device will be used to deliver the module content and the
telephone to deliver the coaching sessions). The intervention was purposively designed to
overcome access barriers by using delivery modes accessible to patients in rural settings,
in their home and at times convenient to their schedule. A randomized, 2-group, repeated
measures experimental design will be used. Subjects who have had a PCI, are overweight or
obese and enroll in a rural cardiac rehabilitation program will be randomized to either the
MOMENTUM group (n=25) and or control group (usual care)(n=25). The primary aim of the study
is to compare the differences between the groups on weight reduction (primary outcome), diet
behavior and physical activity (secondary outcomes) over time (baseline, 16 weeks, 6 and 9
months after PCI). The second aim of the study is to to evaluate the feasibility of
implementing the MOMENTUM intervention for a larger randomized controlled trial. The
innovation in this pilot study is the use of technology to deliver a comprehensive
cognitive-behavioral weight reduction program to those cardiac patients in rural communities
who otherwise might not have access to specific weight reduction programs to improve their
cardiac risk profile after an acute cardiac event, such as a PCI.

Inclusion Criteria:

- The sample for the proposed study will be 50 overweight or obese adults who have had
a PCI who meet the following criteria:

- planning to participate in cardiac rehabilitation at rural study sites in Saline
and Seward counties of Nebraska

- enrolled within 5 days of PCI procedure

- oriented to person, place, and time

- not visually impaired and able to hear

- have telephone service

- cardiologist's approval to participate in this study.

Exclusion Criteria:

- Mental status impairment as determined by a score of > 8 on the Short-Portable Mental
Status Questionnaire (SPMSQ)