General cardiac disorders and malign neoplasms are addressed Low physical activity
Conditions
Interventions
Physical activity will be measured in all patients with an accelerometer until
discharge with a maximum of nine days. The control group will receive usual
care physiotherapy (n=90), while the interv
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria patients (n=180): In order to be eligible to participate in this study, a patient must meet all the following criteria: • Over 18 years old. • Receiving physiotherapy at the Medical Oncology department or the Cardiology department at the MUMC+ or Radboudumc. • Enough understanding of the Dutch language. • Owning a smartphone (operating system >= iOS13.0 or Android 8.0) • Able to use a smartphone app • Able to walk independently 2 weeks before admission, as scored on the Functional Ambulation Categories (FAC >3) Inclusion criteria healthcare professionals (n=24): In order to be eligible to participate in the focus group interviews of the proces-evaluation, a healthcare professional must meet all the following criteria: • Employed as physiotherapist, nurse or physician (assistant) at the Medical Oncology Department or the Cardiology Department. • Working at the MUMC+ or Radboudumc for at least one month.
Exclusion criteria
Exclusion criteria: Exclusion criteria patients: A potential subject who meets any of the following criteria will be excluded from participation in this study: • A contraindication to walking (as reported by a medical specialist in the electronic medical record). • A contraindication to wearing an activity monitor, fixed by a hypoallergenic plaster at the upper leg (such as active bilateral upper leg infection, severe oedema or bilateral transfemoral amputation). • Admitted for cancers of the head and neck (i.e., cancer in the oral cavity, throat (pharynx), voice box (larynx), paranasal sinuses and nasal cavity, salivary glands). • Admitted with cardiac arrhythmia and hemodynamic instability requiring medication over 48 hours (i.e., beta blockers or noradrenaline) or invasive treatment (i.e., pacemaker or defibrillator implementation). • Mentally incapacitated subjects as reported by healthcare professionals in the medical record. When any doubt arises, the patient will be excluded. • Impaired cognition (delirium / dementia) as reported in the medical record by a healthcare professional. When any doubt arises, the patient will be excluded. • Unable to participate in the informed consent procedure or unable to provide written informed consent. • A life expectancy shorter than 3 months as mentioned by the medical specialist in the medical record. • Previous participation in this study. Exclusion criteria healthcare professionals: • No participation in care for patients at the Medical oncology Department or Cardiology Department during the intervention phase (e.g., absence or research employment).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameter: average time spent walking per day (min). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome parameters: average time spent standing and lying/sitting per day (min.), average number of transitions from lying/sitting to standing/walking per day, and mILAS score per day. Outcome parameters process evaluation: participation; representation; perceived efficacy; use of app; use of different functionalities; barriers and facilitators to Hospital Fit use; and expected maintenance. | — |
Countries
Netherlands
Outcome results
None listed