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Hospital in Motion, a Multidimensional Implementation Project to Improve Patients' Physical Behavior During
Lotte Martine Maria van Delft1, Petra Bor1, Karin Valkenet1
1Department of Rehabilitation, Physiotherapy Science and Sport, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
JMIR Research Protocols
|April 10, 2019
Summary
Hospital in Motion aims to increase inpatient physical activity by implementing a multidimensional approach. This project seeks to reduce immobility and improve patient outcomes during hospitalization.
Area of Science:
- Healthcare implementation science
- Clinical practice innovation
- Patient mobility research
Background:
- Hospitalized patients often experience prolonged immobility, leading to functional decline.
- Bed rest is a pervasive aspect of hospital culture, despite evidence of its negative effects.
- A multidimensional strategy is required to promote physical activity in hospitalized individuals.
Purpose of the Study:
- To evaluate the effectiveness of the "Hospital in Motion" project on inpatient physical behavior.
- To assess the project's impact on hospital stay duration and immobility-related complications.
- To monitor the implementation process of promoting physical activity in daily hospital care.
Main Methods:
- Implementation of "Hospital in Motion" across four wards in a Dutch University Medical Center.
- Formation of multidisciplinary teams to develop and execute tailored action plans for physical activity.
- Pre-post observational study design with 160 patients, measuring time spent lying via behavioral mapping.
Main Results:
- Study is currently ongoing, with data collection concluding in late 2018.
- Initial participant enrollment began in October 2017.
- First results are anticipated for publication in autumn 2019.
Conclusions:
- The study will offer insights into the effectiveness of "Hospital in Motion" on patient physical behavior.
- Information on the implementation process for integrating physical activity into routine care will be provided.
- Findings will guide future initiatives aimed at enhancing physical activity during hospitalization.