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Early Mobility in the Hospital: Lessons Learned from the STRIDE Program.

Susan Nicole Hastings1,2,3,4, Ashley L Choate1, Elizabeth P Mahanna1

  • 1Center of Innovation for Health Services Research in Primary Care, Durham VA Health Care System, Durham, NC 27705, USA; ashley.choate@va.gov (A.L.C.); elizabeth.mahanna@va.gov (E.P.M.); kelli.allen@va.gov (K.D.A.); courtney.vanhoutven@va.gov (C.H.V.H.); virginia.wang@duke.edu (V.W.).

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Summary

Hospitalized older adults benefit from supervised walking programs like STRIDE, which helps prevent deconditioning and functional loss. This study details STRIDE

Keywords:
hospitalizationimplementationmobilityolder adults

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Hospital Care Quality

Background:

  • Hospital immobility leads to deconditioning, functional decline, and increased post-acute care needs.
  • Inpatient walking programs show promise but are not widely implemented in U.S. hospitals.
  • A gap exists in accessible, structured mobility interventions for hospitalized older adults.

Purpose of the Study:

  • To describe the STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans) program.
  • To outline the dissemination of STRIDE using the Replicating Effective Programs (REP) framework.
  • To share lessons learned from hospitals adapting and implementing STRIDE.

Main Methods:

  • Describing the core components of the STRIDE program.
  • Utilizing the Replicating Effective Programs (REP) framework for dissemination.
  • Documenting adaptations and implementation experiences from four hospitals.

Main Results:

  • STRIDE is a supervised walking program designed for hospitalized older adults.
  • The REP framework guided the tailoring of STRIDE to diverse hospital settings.
  • Key adaptations and implementation challenges were identified across four sites.

Conclusions:

  • STRIDE addresses the need for structured inpatient mobility programs for older adults.
  • The REP framework facilitates successful adaptation and dissemination of hospital mobility programs.
  • Lessons learned provide valuable insights for implementing similar programs nationwide.