Does feedback on physical activity levels lead to increased physical activity in older people undergoing inpatient rehabilitation?: I-PAct

Not Applicable

Recruiting

• Conditions: Physical Activity; mobility disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12614000892617
• Lead Sponsor: Dr Catherine Said

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-08-21
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

To be eligible for inclusion, participants must:
* Be admitted to Mellor ward (Royal Talbot), ward 11 or 12 (Heidelberg Repatriation Hospital)
* Be aged over 18,
* have as a goal of admission ‘improve upright mobility or improve walking, as determined by either the admission referral or the treating therapist.
* Have an anticipated length of stay greater than one week. People with very short length of stays may not have sufficient time to modify activity based on feedback.

Exclusion Criteria

Participants will be excluded if
* the primary reason for admission is to await placement in residential care or primarily for carer training,
* they have been identified as not requiring physiotherapy on admission,
* there are medical restrictions on mobilization or activity (e.g. non weight bearing).
* The mobility goals are non-weight bearing goals (eg goal is to improve bed mobility/ slide board transfers)
* They are involved in another interventional study
* They have had a lower limb amputation. Upright mobility for this group is often dependent on factors such as wound healing and prosthesis fit.
* Are cognitively impaired or unable to give consent. Part of the intervention involves working with the participant to set and achieve goals. This would be difficult for participants who are cognitively impaired.
* They have an anticipated LOS of less than a week.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Feasibility of delivering intervention<br>1) Proportion of patients with weekly activity goals (target 100%). Physiotherapists will document weekly goals on a 'goal setting' form. Each participant will have their own goal setting form. When the participant has completed the intervention phase of the study, these forms will be collected. <br> 2) Appropriateness of activity goals, determined by goals being met 80% of the time. Data from the SenseWear activity monitor will be compared with the weekly goal. If the goal is met/ exceeded it will be classified as 'met'. If the goal is not met, it will be classified as 'not met'. A target of 80% has been set based on clinical experience, in that acheiving a goal 100% of the time suggests the goals were not challenging enough. [End of intervention phase (maximum 3 weeks)]

Secondary Outcome Measures

Name	Time	Method
Time per day performing activity > 1.5 METs, as determined using the SenseWear armband[End of intervention phase (maximum 3 weeks)];average daily step count, Meausured using the SenseWear Armband[End of intervention phase (maximum 3 weeks)];average daily METS, measured using the SenseWear activity monitor.[end of intervention phase (3 weeks)];clinical utility of activity monitor, measured using via a survey of physiotherapists treating participants in the intervention group and a survey of participants. Both surveys have been sepecifically designed for this study[End of intervention phase (max 3 weeks)]