AMP Step Wedge Trial
- Conditions
- DisabilityImmobility
- Interventions
- Other: AMP Implementation
- Registration Number
- NCT05021679
- Lead Sponsor
- Johns Hopkins University
- Brief Summary
Annually, more than 35 million patients are hospitalized in the United States. Many of these will experience hospital-acquired loss of physical functioning due to a lack of mobility during their in-patient stay. Such loss includes difficulties performing basic activities, such as rising from a chair, toileting, or ambulating. This loss of function may increase hospital length of stay (LOS), nursing home placement, and decrease mobility and participation in community activities even years after hospitalization. Prevention of this hospital-acquired functional loss is critical. Even the sickest hospitalized patients (e.g., those in the intensive care unit \[ICU\]), can safely and feasibly benefit from early mobilization. In the non-ICU setting there is evidence that patient mobilization reduces LOS and hospital costs, while improving patient satisfaction and physical and psychological outcomes. The overall objective of this proposed project is to evaluate the implementation and impact of a transdisciplinary and multifaceted mobility program (Johns Hopkins Activity and Mobility Promotion - AMP) on clinical outcomes among hospitalized adults. In addition to clinical outcomes, we will identify barriers and facilitators to high-performance program adoption. Results of this project will provide critical new insights on the effectiveness of AMP and inform dissemination and implementation nationwide.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 16676
- All adult patients admitted to study hospital unit
- Analysis will only include those with lengths of stay >=3 days
- Patients with active do-not-resuscitate (DNR) order
- <18 years old
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description AMP Implementation AMP Implementation -
- Primary Outcome Measures
Name Time Method % of patients meeting daily mobility goal 39 months Mobility goal is set and measured using the Johns Hopkins Highest Level of Mobility (JH-HLM) Scale
% of patients with mobility measurements documented daily 39 months Mobility documentation to include Activity Measure for Post-Acute Care (AM-PAC) and JH-HLM
% of patients receiving physical and/or occupational therapy consults 39 months To be extracted from electronic medical record
- Secondary Outcome Measures
Name Time Method Number of physical and occupational therapy visits received during inpatient stay 39 months To be extracted from electronic medical record
Number of patients with 30-day readmissions 39 months To be extracted from electronic medical record
Hospital length of stay (days) 39 months To be extracted from electronic medical record
Number of hospital-acquired morbidities 39 months Includes falls, pressure injury, and venous thromboembolism. To be extracted from electronic medical record
Discharge disposition status 39 months Count of where patients are discharged to (e.g,. home, inpatient rehab unit) assessed by extraction from electronic medical record.
Employee injuries resulting from patient mobilization 39 months Number of employee injuries from facilitating patient mobility as assessed by medical record extraction
Trial Locations
- Locations (1)
Johns Hopkins Hospital
🇺🇸Baltimore, Maryland, United States