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Healthcare professionals' perspectives on implementing the H.O.M.E mobility intervention in acute care: a
Lay Khoon Lau1, Nien Xiang Tou2, Yew Yoong Ding2,3,4
1Geriatric Education and Research Institute, 2 Yishun Central 2, Singapore, 768024, Singapore. lau.charlene.lk@geri.com.sg.
BMC Geriatrics
|July 17, 2026
Summary
The Help, Optimise and Mobilise Elders (H.O.M.E) intervention is acceptable for older adults but faces feasibility challenges. Adapting the workforce and targeting patient subgroups can improve implementation of early mobility programs.
Area of Science:
- Gerontology
- Healthcare Management
- Clinical Interventions
Background:
- Older adults in hospitals experience reduced mobility, leading to functional decline.
- Early mobility interventions are crucial for preventing functional loss in acute care.
- This study assessed the feasibility and acceptability of the H.O.M.E mobility intervention.
Purpose of the Study:
- To explore healthcare professionals' experiences with the H.O.M.E intervention.
- To evaluate the feasibility and acceptability of implementing a multicomponent mobility intervention for older adults.
- To identify barriers and facilitators to the H.O.M.E intervention's implementation.
Main Methods:
- Convergent mixed-methods study combining semi-structured interviews and quantitative surveys.
- 18 healthcare professionals interviewed; 25 implementers surveyed on acceptability and feasibility.
- Thematic content analysis of qualitative data; analysis of intervention fidelity (adherence, dosage).
Main Results:
- H.O.M.E intervention generally acceptable, with varying component preferences across professional groups.
- Feasibility rated lower than acceptability, with themes of workload, professional experience, and patient-related challenges.
- Implementation was constrained by patient resistance, clinical duties, staffing, and varied intervention exposure.
Conclusions:
- Quantitative and qualitative findings largely converged, except on nurses' feasibility perceptions.
- The H.O.M.E intervention is beneficial but faces operational implementation challenges.
- Workforce adaptation and identifying specific patient subgroups can optimize implementation.
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