The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients' Movement Behavior During Hospitalization.
Lotte M M van Delft, Petra Bor, Karin Valkenet and 2 others
PMID 32915985WHAT IT FOUND
Inpatients spent less time lying in bed (60.1% to 52.2%) and more time sitting, but not more time moving, after a ward-based project.
Many interventions were delivered together, so no single component can be credited.
Key findings
01The percentage of observed time lying in bed decreased from 60.1% to 52.2%.
02The percentage of time moving changed from 8.3% to 9.6%, and the study did not find a significant increase.
03The project delivered 15 interventions, so the effect of any single intervention cannot be separated.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
There was no control group, so other changes on the ward during the same period could have influenced the result. The project delivered many interventions at once, so the contribution of any single intervention cannot be separated. Observers were present during the day, so patient and staff behavior may have been influenced. Around 80% of patients could already transfer to a chair and walk without assistance, so it may not apply to more immobile patients. The reduction in lying time did not reach the planned 15% target, and the paper says the clinical relevance of the observed decrease is unclear. The percentage of time moving did not increase overall, so the project did not clearly increase active movement.
The easy way to misread this
Do not read the result as evidence that patients became more physically active. The percentage of time moving did not increase significantly, and the project delivered many interventions at once, so no single component can be credited.