Table 3 Preliminary findings and actions taken to improve participation in the JUMPSTART program and cardiac rehabilitation (CR)

Issue Identified 

Resolution/Action Taken

Preference for using exercise instruction handouts to video modules.

Printable PDF documents of all four exercise modules were uploaded to the JUMPSTART webpage.

Lack of computer/internet access was identified as a barrier to both watching the videos and attending the virtual group-based sessions.

Question was added to the three-month post-TAVR survey to explore patients’ interest in virtual options when lack of computer/internet is no longer a barrier: “If a tablet computer (e.g., iPad), containing only educational resources and exercise videos for post-TAVR patients, could be borrowed from the hospital at no cost, would you be interested in taking it home and using it to help you with your recovery?”

Low CR attendance rates were observed.

A one-page CR information sheet was added to the TAVR patient discharge package.  Study team met with CR outpatient clinic manager and booking clerk to discuss CR booking processes. The booking clerk then switched to calling patients to offer virtual or in-person CR classes (versus mailing patients scheduled bookings without their input).