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The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients’ Movement Behavior During Hospitalization

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Název: The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients’ Movement Behavior During Hospitalization
Autoři: van Delft, Lotte M M, Bor, Petra, Valkenet, Karin, Slooter, Arjen J C, Veenhof, Cindy
Přispěvatelé: Fysiotherapiewetenschap, Medische Staf Intensive Care, Brain, RF&S Team 1 Medisch, Clinical sciences, FORMER_Neuroprotection & Neuromodulation
Zdroj: Phys Ther
Informace o vydavateli: Oxford University Press (OUP), 2020.
Rok vydání: 2020
Témata: Male, Time Factors, Movement, Physical Therapy, Sports Therapy and Rehabilitation, Rehabilitation Centers, Statistics, Nonparametric, 03 medical and health sciences, 0302 clinical medicine, Humans, Chi-Square distribution, Prospective Studies, Original Research, Netherlands, Sitting Position, Multidisciplinary, Chi-Square Distribution, Implementation Project, Reproducibility of Results, Middle Aged, Rehabilitation Centers/statistics & numerical data, Patient Discharge, 3. Good health, Hospitalization, Patient Discharge/statistics & numerical data, Female, Patient participation, reproducibility of results, Physical Behavior, movement, Patient Participation, Bed Rest/statistics & numerical data, Bed Rest
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.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 1538-6724
0031-9023
DOI: 10.1093/ptj/pzaa160
Přístupová URL adresa: https://academic.oup.com/ptj/article-pdf/100/12/2090/34737920/pzaa160.pdf
https://pubmed.ncbi.nlm.nih.gov/32915985
https://www.hbo-kennisbank.nl/details/sharekit_hu:oai:surfsharekit.nl:0809b608-1ce4-4c9f-8ff8-64e94dbd6dca?q=%22Slooter%2C+Arjen%22
https://pubmed.ncbi.nlm.nih.gov/32915985/
https://www.ncbi.nlm.nih.gov/pubmed/32915985
https://hbo-kennisbank.nl/resolve/utrechthogeschool/eyJoIjogIjY3YjU2MDUzY2EzOTVmOGViMmRjMjA1M2FiODExM2Q0NmM3ZGM0MTY1ZWU5OTBjMDJiYTljMTQ2NWRhNDcyNzkiLCAidSI6ICJodHRwczovL3N1cmZzaGFyZWtpdC5ubC9vYmplY3RzdG9yZS9lYzg5ZTRjZS1hMzc2LTRiZDctOGJhYi02NzZjNTBkZjhiYjkifQ==
https://academic.oup.com/ptj/article/100/12/2090/5903400
https://dspace.library.uu.nl/handle/1874/457403
https://biblio.vub.ac.be/vubir/the-effectiveness-of-hospital-in-motion-a-multidimensional-implementation-project-to-improve-patients-movement-behavior-during-hospitalization(d2e8c840-66a8-4f84-8f2e-640ad648bce3).html
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (http://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Přístupové číslo: edsair.doi.dedup.....6870b3ef0d6bfe20de5ce1e3bf240b72
Databáze: OpenAIRE
Popis
Abstrakt: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.
ISSN:15386724
00319023
DOI:10.1093/ptj/pzaa160