Vivo Heart: Home-Based Virtual Exercise Program for Older Adults With Cardiovascular Disease

This pilot study will assess the feasibility and generate preliminary efficacy data of a novel, synchronous, home-based exercise training program for rural older adults with cardiovascular disease (CVD) using Vivo, an online, live, small group fitness program developed for older adults. It uses individually tailored dual-tasked (i.e., cognitive-motor) exercises to improve strength, endurance, balance, and cognition and incorporates social engagement. Certified trainers deliver instruction and coaching through an interactive session (45 min, 2-3 times/week) delivered over 12 weeks. Vivo Heart adapts this unique program to meet the cardiac rehabilitation needs of older adults with CVD. The specific aims are to evaluate the feasibility, acceptability, and uptake of Vivo Heart (Aim 1) and obtain pre- and post-intervention measures of exercise capacity, strength, lower-extremity physical function, cognition, quality of life, stress, fatigability, physical activity, and aging biomarkers (Aim 2).

Inclusion Criteria: * 60 - 80 years * Lives in a rural area based on established urban-rural definitions (e.g., RUCA codes, RUCC, UIC) * A qualifying Cardio Vascular Disease (CVD) event or procedure * Cognitively unimpaired Telephone Interview for Cognitive Status (TICS-m ≥32) * No major depressive symptoms Patient Health Questionnaire (PHQ-8 \14/week for men) in the past month * Joint replacement or other orthopedic surgery in past 12 months or planned in next 6 months * No computer, tablet or internet access * No access to transportation for travel to study visits * Current participation in a clinical trial * Inability or unwillingness to comply with the study requirements