N/A
N=132
Impact of a Mobility Program
Hospitalization
Bottom Line
View on ClinicalTrials.gov: NCT02674503 ↗Enrolled (actual)
132
Serious AEs
49.2%
Results posted
Jul 2024
Primary outcome: Primary: Life-Space Assessment Score — 57.8; 59.6 score on a scale — p=0.02
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Walking (Behavioral); Friendly visit (Behavioral)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Sep 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Life-Space Assessment Score |
57.8; 59.6 | 0.02 sig |
| SECONDARY Presence of Adverse Outcomes: Rehospitalization |
— | — |
| SECONDARY Presence of Adverse Outcomes: Nursing Home Placement |
— | — |
| SECONDARY Presence of Adverse Outcomes: Death |
— | — |
| SECONDARY Activities of Daily Living (ADLs) |
7.34; 7.37 | 0.13 |
| SECONDARY Presence of Adverse Outcomes (ED Visits, Rehospitalization, Nursing Home Placement, Death) |
— | — |
| SECONDARY Instrumental Activities of Daily Living (IADLs) |
14.0; 14.8 | 0.02 sig |
| SECONDARY Mini Cognitive Assessment (Mini-Cog) |
— | — |
| SECONDARY Confusion Assessment Method |
— | — |
| SECONDARY Patient Health Questionnaire (PHQ) -2 |
— | — |
| SECONDARY EuroQOL Five Dimensions Questionnaire (EQ-5D) |
— | — |
| SECONDARY Lubben Social Network Scale (LSNS-Revised) |
— | — |
| SECONDARY Level of Hospital Mobility |
— | — |
Summary
After hospitalization, many older adults experience more difficulty getting around in the community and performing one or more of their basic activities of daily living (ADLs) like bathing or dressing. The goals of this study are to test the effectiveness of a mobility intervention, compared to usual care, on change in mobility after hospitalization, to determine the impact on one-year outcomes such as nursing home placement and to identify which Veterans benefit the most from the intervention. Ultimately, the goal is to improve recovery after hospitalization and reduce disability in hospitalized Veterans.
Eligibility Criteria
Inclusion Criteria
- Age 50 years admitted to one of the five hospital wards of the Birmingham VA Medical Center (VAMC) for any medical illness, e.g.:
- Pneumonia
- Heart failure
- Chronic obstructive pulmonary disease (COPD) exacerbation
- Or other medical (versus surgical) indication for hospitalization
- Patients will be recruited within 48 hours of hospitalization, followed throughout their hospitalization and for one year after hospital discharge.
Exclusion Criteria
- Patients admitted for brief observation will be excluded, e.g.:
- 23-hour observation for possible myocardial infarction
- Additional exclusion criteria will include:
- Inability to walk across a small room 2 weeks prior to admission
- Inability to walk safely with assistance, based on a strength and balance screen (see Training of Walkers, below for details)
- Having a pulmonary embolus, unstable angina or other medical diagnosis deemed by the primary physician to be a contraindication to walking
- Being on hospice or comfort care
- Being in a semi-private room with another currently enrolled participant
- Non-English speaking, blind, or deaf
Data sourced from ClinicalTrials.gov (NCT02674503). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.