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Evaluation of a text message + pedometer intervention to increase steps after emergency department discharge: a pilot
Brian Suffoletto1, Waverly Mayer2, Caitlin Toth2
1Department of Emergency Medicine, Stanford University, Stanford, USA. suffbp@stanford.edu.
Background:
Older adults face increased risk of functional impairments after Emergency Department (ED) discharge, yet no evidence-based interventions exist for this population.
Objective:
To evaluate the feasibility, safety, and effectiveness of Safe Steps, a text message + pedometer intervention designed to motivate individuals to meet step count goals.
Methods:
We recruited ED patients aged ≥ 60 with low physical activity. Participants received a pedometer in the ED, daily text messages to report steps, and weekly prompts to set step goals over 4 weeks. We assessed step count reporting rates, falls, and change in steps over time.
Results:
Among analyzed participants (n = 40), daily step reporting was high (95% of weeks with 2 + readings). No participants had falls due to the intervention. Step count increased by a mean of 359 steps per week (95% confidence interval 182-536).
Conclusion:
Safe Steps appears feasible, safe, and may be effective for promoting activity after ED discharge.
