Technology Assisted Physical Activity Among Hospitalised Medical Patients

Not Applicable

Completed

• Conditions: Pulmonary Disease; Cardiac Disease; Geriatric Disease
• Interventions: Device: Physical activity measurement; Device: Visual Feedback

• Registration Number: NCT04555330
• Lead Sponsor: Marius Henriksen

Brief Summary

Research show that inactivity during hospitalization is the norm and that the negative effects on muscle mass and the fitness of the patient will take a long time and hard work to recover afterwards.

Especially for weaker elderly patients, just a few days in bed could mean that they are not able to take care of themselves afterwards, with increased care expenses and increased risk of relapse as a consequence. Even though this is known, the work to motivate patients to be active during their hospitalization is limited to few training sessions with only the most vulnerable patients. No tools are today available for objectively tracking and motivating patients to be active during their stay. Having such a professional tool would not only motivate but also shift the attention of the health professionals towards the importance of physical activity in the treatment of the patient.

The aim of the studys is to investigate if patients hospitalised for medical disease will increase their time spent out of bed during hospitalisation through simple visual feedback about physical activities from a mobile bedside device.

Detailed Description

The study will be conducted as a quasi-randomised trial using a large tertiary public hospital in Copenhagen, Denmark. Patients admitted to Department of Respiratory Medicine (2 wards), Department of Cardiology, and Department of Geriatrics will be included, and they will have their physical activity level measured either with or without a bedside monitor providing visual feedback of time spent bedridden, sitting, standing and walking.

All participants will have their physical activity measured during hospitalisation. Approximately half of the participants will receive visual feedback about the amount of physical activity from a mobile device placed on the bedside table.

Study Timeline

• Study Start: 2016-06-11
• Study First Submitted: 2020-09-07
• Study First Submitted QC: 2020-09-14
• Study First Posted: 2020-09-18
• Primary Completion: 2022-02-28
• Study Completion: 2022-02-28
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-27
• Last Update Posted: 2023-11-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 354

Inclusion Criteria

Not provided

Read More

Exclusion Criteria

Not provided

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Visual Feedback	Physical activity measurement	Participants in the intervention group will receive usual hospital care and be provided with a sensor collecting data on physical activity level during hospitalisation AND a monitor placed at their bedside that displays information about their physical activity level and motivation to move. This information will be visible to the health personnel, the patients and visitors.
Control Group	Physical activity measurement	The participants in the non-exposed cohort will receive usual hospital care and be provided with a sensor collecting data on activity level during hospitalisation.No feedback on physical activity is provided.
Visual Feedback	Visual Feedback	Participants in the intervention group will receive usual hospital care and be provided with a sensor collecting data on physical activity level during hospitalisation AND a monitor placed at their bedside that displays information about their physical activity level and motivation to move. This information will be visible to the health personnel, the patients and visitors.

Primary Outcome Measures

Name	Time	Method
Time spent out of bed measured in minutes related to the total accelerometer wear time (minutes).	Through hospital stay, on average between 1 and 7 days

Secondary Outcome Measures

Name	Time	Method
Time spent lying down, measured in minutes related to the total accelerometer wear time (minutes).	Through hospital stay, on average between 1 and 7 days
Time spent walking measured in minutes related to the total accelerometer wear time (minutes).	Through hospital stay, on average between 1 and 7 days
In-hospital fall incidents	Through hospital stay, on average between 1 and 7 days	Number of falls recorded
Readmission to hospital	within 90 days
Time spent standing measured in minutes related to the total accelerometer wear time (minutes).	Through hospital stay, on average between 1 and 7 days
Time spent sitting measured in minutes related to the total accelerometer wear time (minutes).	Through hospital stay, on average between 1 and 7 days
Length of stay	Time from hospital admission to hospital discharge	Length of hospitalisation measured in days

Trial Locations

Locations (1)

Bispebjerg Hospital, Department of Physical and Occupational Therapy; 🇩🇰 Copenhagen, Denmark