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Improving physical activity in hospitalized patients: The preliminary effectiveness of a goal-directed movement intervention.


ABSTRACT:

Objective

To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients.

Design

Prospective, pre-post study.

Setting

A university medical center.

Participants

Patients admitted to the pulmonology and nephrology/gastro-enterology wards.

Intervention

The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day.

Main measures

Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention.

Results

A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38 ± 21 minutes (mean ± SD) per day, and post-implementation 50 ± 31 minutes per day (Δ12, P = 0.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0-10) (Δ1.7, P = 0.008). No significant differences were found in other secondary outcomes.

Conclusions

The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.

SUBMITTER: van Grootel J 

PROVIDER: S-EPMC10492426 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Publications

Improving physical activity in hospitalized patients: The preliminary effectiveness of a goal-directed movement intervention.

van Grootel Jwm J   Bor P P   Netjes J A JA   Veenhof C C   Valkenet K K  

Clinical rehabilitation 20230724 11


<h4>Objective</h4>To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients.<h4>Design</h4>Prospective, pre-post study.<h4>Setting</h4>A university medical center.<h4>Participants</h4>Patients admitted to the pulmonology and nephrology/gastro-enterology wards.<h4>Intervention</h4>The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals  ...[more]

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