Implementation and Evaluation of Real Time Monitoring of Physical Activity in Geriatric Patients - a Hybrid Implementation and Effectiveness Study in Two Patient Cohorts
NCT ID: NCT06421246
Last Updated: 2024-11-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
120 participants
OBSERVATIONAL
2024-05-15
2024-12-31
Brief Summary
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In a follow-up study, we will implement and evaluate a staff-facing activity screen showing real-time physical activity in the geriatric ward with a focus on changes in staff culture (awareness and actions) and basis for data-driven discussions about physical activity during hospitalization inspired by Making Every Contact Count. Also, we will reassess in-hospital physical activity in older adults admitted to the geriatric ward.
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Detailed Description
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Phase one is an observational cohort study. During 6 weeks, 24-hour activity will be assessed in all patients (65+) admitted to a geriatric ward in Denmark, who are able to walk and to provide informed consent (or vicarious consent). Activity will be measured for a maximum of 7 days. Demographic characteristics will be collected (sex, age, place of residence, comorbidities, admission diagnosis, civil status, frailty), and the patients will be asked about their: daily activities, walking ability, life space activity, present activity, use of walking aids, and falls. On inclusion, the patients will be assessed for their basic mobility, cognition, gait speed, and their level of mobility. The Acute Care Mobility Assessment will be validated on the initial 5-10 patients via cognitive debriefing interviews (May-July 2024). In the same period, an ethnographic field study will be conducted with focus on physical activity followed by semi-structured interviews (N=17) with managers and health care professionals.
In the follow-up study, we will assess in-hospital physical activity over a 6-week period after introducing a staff-facing activity screen, showing real-time activity and to investigate whether the activity screen increases physical activity among hospitalized geriatric patients. 24-hours physical activity will be re-quantified using SENS motion ®, sensor technology. The study design will otherwise follow the same approach as the initial study, including the use of the same outcome measures. In the same period, we will repeat the ethnographic field study and interviews regarding focus on physical activity and implementation of the activity screen with managers and health care professionals inspired by Making Every Contact Count. The Consolidated Framework for Implementation Research (CFIR) will be used as Framework, and focus will be on adoption and adaptation.
The study meets the guidelines of the Declaration of Helsinki and is approved by the Research Ethics Committee (F-24023831).
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Activity monitoring and validity of the Danish Version of the Acute Care Mobility Assessement
24- hour activity will be assessed by SENS motion acitivity monitors before (Cohort 1) and after the introduction (Cohort 2) of a screen-solution with staff-facing real time activity data and investigation of the implementation process and outcomes. Furthermore, the Acute Care mobility assessment will be validated by cognitive debriefing interviews in 5-10 patients in Cohort 1.
Staff-facing screen
Activity will be monitored before and after the introduction of a staff-facing screen
Interventions
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Staff-facing screen
Activity will be monitored before and after the introduction of a staff-facing screen
Eligibility Criteria
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Inclusion Criteria
* no delirium
* ability to ambulate
Exclusion Criteria
* teminally ill
* Expected to be discharged within 24-hours from inclusion
65 Years
ALL
No
Sponsors
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Copenhagen University Hospital, Hvidovre
OTHER
Responsible Party
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Mette Merete Pedersen
Senior Researcher
Locations
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Copenhagen University Hospital, Hvidovre
Hvidovre, , Denmark
Countries
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Central Contacts
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Facility Contacts
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Mette M Pedersen, PhD
Role: backup
Lea K Johansen, MHSc
Role: backup
References
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Johansen LK, Larsen TS, Kirk JW, Pedersen BS, Nielsen BR, Kallemose T, Bandholm T, Pedersen MM. Exploring in-hospital mobility practices for geriatric patients: insights from a mixed-method study. BMC Geriatr. 2025 May 13;25(1):330. doi: 10.1186/s12877-025-05976-9.
Other Identifiers
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F-24023831
Identifier Type: -
Identifier Source: org_study_id
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