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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A multicomponent intervention to decrease sedentary time during hospitalization: a quasi-experimental pilot study.

D Conijn1, L van Bodegom-Vos2, W G Volker3

  • 1Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.

Clinical Rehabilitation
|June 2, 2020
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Summary

This study found that a multicomponent intervention to reduce sedentary time was feasible and effective during hospitalization for surgery patients. While sedentary time decreased during the hospital stay, the intervention did not show significant effects after discharge.

Keywords:
Physical therapyexercisehospitalizationsedentary behaviortelemedicine

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Area of Science:

  • Medical Interventions
  • Patient Recovery
  • Digital Health

Background:

  • Hospitalization often leads to prolonged sedentary behavior, increasing risks for patients undergoing surgery.
  • Reducing sedentary time is crucial for improving patient outcomes and recovery post-surgery.

Purpose of the Study:

  • To assess the feasibility and preliminary effectiveness of a multicomponent intervention aimed at decreasing sedentary time in hospitalized patients.
  • To evaluate the impact of the intervention during and immediately after hospitalization.

Main Methods:

  • A quasi-experimental pilot study comparing a control group (usual care) with an intervention group.
  • The intervention included digital and paper information, an exercise movie, activity planner, pedometer, Fitbit Flex, personal coach, and digital training program.
  • Sedentary time was measured using accelerometers during hospitalization and for 7-14 days post-discharge.

Main Results:

  • The intervention was feasible, with high satisfaction reported for components like Fitbit, paper information, exercise movie, and digital training.
  • Median sedentary time significantly decreased by Day 6 in the intervention group (91.0%) compared to the control group (95.7%).
  • The reduction in sedentary time was statistically significant (41 min/day, P=0.01) during hospitalization, but no differences were observed after discharge.

Conclusions:

  • A multicomponent intervention to reduce sedentary time is feasible and shows preliminary effectiveness during hospitalization for organ transplantation or vascular surgery patients.
  • The intervention's benefits on sedentary time were not sustained after hospital discharge.