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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
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]