N/A
Completed N=13,857
Optimizing Function and Independence Through STRIDE
Early Ambulation
Source: ClinicalTrials.gov NCT03300336 ↗
Enrolled (actual)
13,857
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcomePrimary: Proportion of Patients Discharged to Skilled Nursing Facility — 0.16; 0.20 proportion of patients — p=0.01
Summary
Optimizing Function and Independence Through STRIDE aims to implement the STRIDE inpatient hospital mobility program at 8 VAMC sites in a stepped-wedge design and evaluate patient outcomes before and after the program is implemented, as well as the efficacy of a usual vs enhanced implementation design.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Patients Discharged to Skilled Nursing Facility |
0.16; 0.20 | 0.01 sig |
| PRIMARY Hospital Length of Stay (Days) |
6.92; 6.58 | 0.25 |
| SECONDARY Patient Physical Function - Disability |
67.31; 65.99 | 0.52 |
| SECONDARY Patient Physical Function - Limitations |
65.67; 64.12 | 0.66 |
| SECONDARY Patient Physical Function |
67.88; 68.40 | 0.81 |
| SECONDARY Proportion Highly Satisfied With Care |
0.85; 0.84 | 0.74 |
| SECONDARY Health Utility |
0.82; 0.80 | 0.40 |
| SECONDARY Health-related Quality of Life |
0.76; 0.73 | 0.18 |
| SECONDARY Mobility in the Environment |
58.81; 58.01 | 0.83 |
Eligibility Criteria
Inclusion Criteria
Inclusion/Exclusion listed here apply to subset of patients providing consent for telephone interviews:
- Able and willing to provide informed consent (does not lack decision-making capacity)
- Discharged from a participating hospital within the preceding 30 days
- Age >= 60
- Index admission for medical illness
- Community-dwelling (i.e. not in a nursing home or institutional care) prior to hospital visit
- Ability to ambulate safely and independently (does not need help walking across a small room)
- Valid telephone number in the medical record
- Admitted to a STRIDE ward and discharged from a STRIDE ward
- Index hospital stay was in a ward identified to participate in the STRIDE program
Exclusion Criteria
- Patient deceased
- Index hospital stay was < 2 business days
- Currently hospitalized
- Current high-risk suicide flag in medical record
- Diagnosis of cognitive impairment or dementia
- Difficulty with or unable to communicate on the telephone, or no telephone access
- Discharged to another hospital or acute care setting
- Transferred into index hospital from another hospital
- Bedrest order not lifted for at least 2 days on STRIDE ward
Data sourced from ClinicalTrials.gov (NCT03300336). 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. Informational only — not medical advice.