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Testing Function Focused Care for Acute Care using the Evidence Integration Triangle: Protocol description.

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This study protocol outlines Function-Focused Care for Acute Care (FFC-AC-EIT), a clinical trial to increase physical activity in hospitalized dementia patients. It details methods to support nurses in engaging patients, aiming to improve care and patient outcomes.

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Area of Science:

  • Gerontology
  • Clinical Nursing Research
  • Rehabilitation Science

Background:

  • Hospitalized older adults, particularly those with dementia, often experience reduced physical activity, leading to functional decline.
  • Function-Focused Care (FFC) is an evidence-based approach to promote physical activity and functional independence.
  • Existing protocols for implementing FFC in acute care settings require further refinement and testing.

Purpose of the Study:

  • To present the protocol for a cluster randomized clinical trial evaluating the FFC-AC-EIT intervention.
  • To assess the effectiveness and feasibility of FFC-AC-EIT in increasing physical activity among hospitalized patients with dementia.
  • To describe strategies for overcoming implementation barriers in acute care settings.

Main Methods:

  • A cluster randomized clinical trial funded by the National Institute on Aging.
  • The FFC-AC-EIT intervention integrates Function Focused Care for Acute Care (FFC-AC) with the Evidence Integration Triangle (EIT).
  • FFC-AC-EIT involves environmental assessments, education, patient goal setting, and staff/patient/family motivation, guided by the Social Ecological Model and Social Cognitive Theory.

Main Results:

  • The manuscript details the study protocol, not preliminary or final results.
  • It outlines the planned outcome measures to assess intervention effectiveness and feasibility.
  • Strategies for addressing anticipated challenges in implementing the FFC-AC-EIT intervention are discussed.

Conclusions:

  • The FFC-AC-EIT protocol provides a structured approach to enhance physical activity in hospitalized dementia patients.
  • Successful implementation relies on multidisciplinary team engagement and addressing identified barriers.
  • This trial aims to contribute valuable data on the efficacy of function-focused care in acute settings.