All f den Pilotstationen des Universitätsklinikums Hamburg, Essen und Münster, welche mindestens drei Tage Liegezeit haben. Die Stationen, welche randomisiert als Interventions- oder als Kontrollstation zugeordnet werden, siadult patients admitted to the pilot wards at the university hospitals in Hamburg, Essen, and Münster will be eligible for inclusion if hospitalised for at least three days. Wards randomised to the intervention or control arm are general somatic inpatient wards and intensive
Conditions
Interventions
Group 1: Patients in the intervention group (6 wards, 2 per university hospital, cluster-randomised) will receive a comprehensive, multimodal programme to increase physical activity during their inpat
Sponsors
Physiotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Sufficient German language proficiency to provide legally valid informed consent - Planned minimum hospital length of stay of at least 3 days
Exclusion criteria
Exclusion criteria: - Patients who have already been diagnosed with pneumonia and/or thrombosis at the time of hospital admission - Patients admitted to intensive care, palliative care, psychiatric, or psychosomatic wards.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in minutes of light-to-moderate physical activity (in metabolic equivalents of task [MET]) measured with the PAM AM400, recording activities =1.4 MET. The PAM AM400 is an accelerometer specifically designed for clinical use and worn on the ankle (Valkenet et al., 2023). Change is defined as the difference between the first 24 hours after sensor placement (baseline, t0) and the last 24 hours before sensor removal (after treatment, t1) [t1-t0]. This difference is divided by the number of inpatient days to ensure comparability between patients with longer versus shorter lengths of stay. | — |
Secondary
| Measure | Time frame |
|---|---|
| Perceived patient-centredness [short version of EPAT-16 for inpatient settings] (Christalle et al., 2022) Basic mobility and daily activities in the inpatient setting [Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks”] (Jette et al., 2014) Dominant-hand grip strength measured with a hand dynamometer as an indicator of overall muscle strength / change in muscle strength Number of immobility-associated complications (e.g., pneumonia, thrombosis, falls, and other adverse events) Length of hospital stay measured in number of days Health economic indicators [implementation costs, costs of the hospital stay, revenue per bed] Fear of movement/(Re)Injury [Tampa Scale for Kinesiophobia] (Rusu et al., 2014) Hospital Experience [Patients Experience Questionnaire (PEQ)] (Gerlach et al., 2010) Hospital associated Disability [Change score of AM-PAC “6-Clicks”] (De Foubert et al., 2021) The EPAT-16, AM-PAC „6-Clicks“, handgrip strength and TSK will be assessed at baseline (t0) and post intervention (t1). Immobility-related complications, length of stay, and PEQ will be assessed at t1 only. | — |
Countries
Germany
Contacts
Public ContactSusanne Klotz
Physiotherapie, Universitätsklinikum Hamburg-Eppendorf (UKE)
Outcome results
None listed