N/A N=385 Randomized Single-blind Prevention

Improving Patient Walking During Hospitalization

Early Mobility · Older Adults · Hospital Acquired Condition

Bottom Line

View on ClinicalTrials.gov: NCT04479943 ↗

Enrolled (actual)

385

Serious AEs

0.0%

Results posted

Mar 2026

Primary outcome: Primary: Aim 1: Change in Gait Speed — 0.67; 0.73; 0.73; 0.77 m/s — p=0.674

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: MOVIN (Other); Surveys and Focus groups (Other)
Age: Older Adult · 65+ yrs
Sex: All
Sponsor: University of Wisconsin, Madison
Primary completion: Jan 2025

Outcome Measures

Outcome	Result	p-value
PRIMARY Aim 1: Change in Gait Speed	0.67; 0.73; 0.73; 0.77; 0.86; 0.91	0.674
PRIMARY Aim 1: Change in Self-report on Activities of Daily Living (ADL)	70; 61; 98; 112; 0; 0	0.290
PRIMARY Aim 1: Change in Life Space Assessment	62.6; 68.5; 60.5; 62.3; 67.6; 70.1	0.672
PRIMARY Aim 2: Hospital Readmissions	0.183; 0.190; 0.206; 0.193; 0.209; 0.227	0.876
PRIMARY Aim 2: Emergency Department Visits	0.233; 0.292; 0.206; 0.236; 0.239; 0.275	0.264
PRIMARY Aim 2: Length of Hospital Stay	6.10; 5.44	0.544
PRIMARY Aim 2: Discharge Destination	0.939; 0.933	0.883
PRIMARY Aim 3: Distance of Patient Ambulation	9504.0; 2869.9; 19464.8; 4923.8; 80242.7; 22081.6	.001 sig
PRIMARY Aim 3: Barriers to Ambulation Survey	57.0; 63.0	<.001 sig
PRIMARY Aim 3: Ambulation Culture Survey	2.76; 3.53	<.001 sig
SECONDARY Aim 3: Frequency of Patient Ambulation (Percent of Patients Ambulated by Nursing Staff)	68.2; 65.2; 92.8; 77.7; 86.8; 74.5	.028 sig
SECONDARY Aim 3: Nurse Fatigue Survey: Chronic Fatigue Subscale	42.5; 40.2	.548
SECONDARY Aim 3: Nurse Fatigue Survey: Acute Fatigue Subscale	61.5; 58.7	.505
SECONDARY Aim 3: Nurse Fatigue Survey: Intershift Recovery Subscale	52.3; 53.0	.842
SECONDARY Aim 3: Professional Quality of Life Survey: Compassion Satisfaction	1624.40; 1687.86	<.001 sig
SECONDARY Aim 3: Professional Quality of Life Survey: Burnout	21.84; 21.59	.609
SECONDARY Aim 3: Professional Quality of Life Survey: Secondary Traumatic Stress	20.60; 20.77	.736

Summary

The MOVIN (Mobilizing Older adult patients Via a systems-based Intervention) randomized controlled trial is designed to evaluate the impact of the MOVIN intervention on improving the functional ability of older adult hospital patients and reducing their healthcare utilization post-hospitalization. MOVIN is a program to increase patient ambulation while hospitalized. The study's hypothesis is that MOVIN will improve functional outcomes for hospitalized older adult patients by producing a change in nursing practice and culture of ambulation on inpatient units. MOVIN is a unit-based intervention. Therefore all patients on this unit are exposed to the intervention once it is implemented regardless of whether or not they participate in the trial. The study will enroll 360-420 total hospitalized participants 65 years and older for the duration of their stay. It will also enroll any nurses 18 years and older who worked on the units during the study and are willing to fill out surveys.

Eligibility Criteria

Inclusion Criteria

age 65 years or older
able to walk with or without assistance
living in the community (not long term care) prior to admission
have an ambulation order
admitted to hospital's general adult medical unit
able to consent
able to speak and understand English
at least 24h planned length of stay after initial study enrollment.

Exclusion Criteria

activated Power of Attorney
lower extremity amputation
on hospice
bed rest order or activity restriction
wheelchair bound

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04479943). 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.