The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients’ Movement Behavior During Hospitalization
| Autor: | Arjen J. C. Slooter, Petra Bor, Cindy Veenhof, Lotte M M van Delft, Karin Valkenet |
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| Přispěvatelé: | Clinical sciences, Neuroprotection & Neuromodulation |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Sitting Rehabilitation Centers Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine movement behavior Multidisciplinary approach Humans Medicine Chi-Square distribution Prospective Studies 030212 general & internal medicine Prospective cohort study Original Research Netherlands Sitting Position Multidisciplinary Rehabilitation business.industry Implementation Project Middle Aged Patient Discharge Rehabilitation Centers/statistics & numerical data Test (assessment) Hospitalization Patient Discharge/statistics & numerical data Mann–Whitney U test Physical therapy Female Physical Behavior Patient participation reproducibility of results AcademicSubjects/MED00110 movement business Lying Bed Rest Bed Rest/statistics & numerical data 030217 neurology & neurosurgery |
| Zdroj: | Physical Therapy Physical Therapy, 100(12), 2090-2098 |
| ISSN: | 1538-6724 0031-9023 |
| Popis: | Objective Hospital in Motion is a multidimensional implementation project aiming to improve movement behavior during hospitalization. The purpose of this study was to investigate the effectiveness of Hospital in Motion on movement behavior. Methods This prospective study used a pre-implementation and post-implementation design. Hospital in Motion was conducted at 4 wards of an academic hospital in the Netherlands. In each ward, multidisciplinary teams followed a 10-month step-by-step approach, including the development and implementation of a ward-specific action plan with multiple interventions to improve movement behavior. Inpatient movement behavior was assessed before the start of the project and 1 year later using a behavioral mapping method in which patients were observed between 9:00 am and 4:00 pm. The primary outcome was the percentage of time spent lying down. In addition, sitting and moving, immobility-related complications, length of stay, discharge destination home, discharge destination rehabilitation setting, mortality, and 30-day readmissions were investigated. Differences between pre-implementation and post-implementation conditions were analyzed using the chi-square test for dichotomized variables, the Mann Whitney test for non-normal distributed data, or independent samples t test for normally distributed data. Results Patient observations demonstrated that the primary outcome, the time spent lying down, changed from 60.1% to 52.2%. For secondary outcomes, the time spent sitting increased from 31.6% to 38.3%, and discharges to a rehabilitation setting reduced from 6 (4.4%) to 1 (0.7%). No statistical differences were found in the other secondary outcome measures. Conclusion The implementation of the multidimensional project Hospital in Motion was associated with patients who were hospitalized spending less time lying in bed and with a reduced number of discharges to a rehabilitation setting. Impact Inpatient movement behavior can be influenced by multidimensional interventions. Programs implementing interventions that specifically focus on improving time spent moving, in addition to decreasing time spent lying, are recommended. |
| Databáze: | OpenAIRE |
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