Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jun 19, 2018
Open Peer Review Period: Jun 21, 2018 - Aug 13, 2018
Date Accepted: Dec 12, 2018
(closed for review but you can still tweet)
Hospital in Motion, a multidimensional implementation project to improve patients’ physical behaviour during hospitalization, a study protocol
ABSTRACT
Background:
Despite the evidence of the adverse consequences of immobility during hospitalization, patients spend most of the time in bed. While physical activity is a modifiable factor which can prevent in-hospital functional decline, bed rest is deep rooted in the hospital culture. To attack this, a multidimensional approach is needed. Therefore, Hospital in Motion, a multidimensional implementation project, was designed to improve physical behaviour during hospitalization.
Objective:
The primary objective of the current study is to investigate the effectiveness of Hospital in Motion on inpatient physical behaviour. Secondary objectives are to investigate the effectiveness on length of hospital stay and immobility-related complications of patients during hospitalization and to monitor the implementation process.
Methods:
For this study, Hospital in Motion will be implemented within four wards (cardiology, cardiothoracic surgery, medical oncology and haematology) in a Dutch University Medical Centre. Per ward, multidisciplinary teams will be composed who follow a step-by-step multidimensional implementation approach including the development and implementation of tailored action plans with multiple interventions to stimulate physical activity in daily care. A pre-post observational study design will be used to evaluate the difference in physical behaviour before and one year after start of the project, including 40 patients per time point per ward (160 patients in total). The primary outcome measure is the percentage of time spent lying, measured with the behavioural mapping method. In addition, a process evaluation will be performed per ward using a caregivers and patient surveys and semi-structured interviews with patients and caregivers.
Results:
This study is ongoing. The first participant was enrolled on October 2017 for the pre-measurement. The post-measurements are planned for the end of 2018. The first results are expected to be submitted for publication in autumn 2019.
Conclusions:
This study will provide information about the effectiveness of the Hospital in Motion project on physical behaviour and about the procedures of the followed implementation process, aimed to incorporate physical activity in usual care. These insights will be useful for others interested in changing physical behaviour during hospitalization. Clinical Trial: NTR7109, registered 09-03-2018, retrospectively registered, http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=7109
Citation
Per the author's request the PDF is not available.
Copyright
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