The Effect of Caregiver-Mediated Mobility Interventions in Hospitalized Patients on Patient, Caregiver, and Health System Outcomes: A Systematic Review.

The overall certainty of evidence was rated as low due to risk of bias and imprecision. All studies had a high risk of bias because it is impossible to blind patients and caregivers to the intervention. There was significant heterogeneity in the interventions, patient populations, and outcomes, preventing meta-analysis. Pediatric patients were underrepresented, so findings may not apply to children. The classification of intervention effectiveness relied on statistical significance at any time point, which may overestimate benefits if some studies had multiple comparisons. Adverse events and patient satisfaction were inconsistently reported across studies.

The funding source had no role in study design, data collection, analysis, interpretation, or writing. No other conflicts of interest were declared in the text provided.

Do not assume that caregiver-mediated mobility interventions are proven to be effective or safe based on this review. The evidence is of low quality, all studies had a high risk of bias due to lack of blinding, and the interventions varied widely. The reported benefits are associations from heterogeneous studies, not confirmed causal effects from rigorous trials.