Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Change in gait speed |
A 4 meter walk test will be conducted on admission to the study, discharge from the hospital and at 3 months post discharge in the subjects home or the hospital or clinic. A trained member of the research team will conduct the gait speed test. Interrater reliability for the 4 meter walk test will be conducted between all members of the research team prior to collecting gait speed data on study participants. Gait Speed is a physical performance measure identified as a sensitive clinical indicator of health, mortality, healthcare utilization, and independence in ambulation, and is feasible to test in hospitalized older adults. Change scores will be calculated as the difference between gait speeds measured at each of these time points. |
Hospital admission, hospital discharge, 3 months post-discharge; Up to 4 months total |
|
Primary |
Change in Self-report on Katz Activity of Daily Living (ADL) Index |
A trained member of the research team will collect patients self-report of ADLs on admission to the study, discharge from the hospital, by phone at 1 month post intervention, and in person at the 3 month post intervention visit. The Katz ADL Index is a self-report scale that measures five ADL on three levels (independent, requiring assistance of another and unable to do). The scale demonstrates excellent reliability and predictive validity, and is sensitive to change in hospital settings. Change scores will be calculated as the difference between gait speeds measured at each of these time points. |
Hospital admission, hospital discharge, 1 month post-discharge, 3 months post-discharge; Up to 4 months total |
|
Primary |
Change in Life Space Assessment |
A trained member of the research team will collect patients self-report on Life Space at admission to the study, discharge from the hospital, by phone at 1 month post intervention, and in person at the 3 month post intervention visit. The UAB Life Space Assessment: is a self-report scale of ambulation that measures spaces patients' move in, the frequency of moving into those spaces, and dependency in moving into those spaces. This scale has demonstrated reliability and predictive validity and sensitivity to change after hospital stay. Change scores will be calculated as the difference between gait speeds measured at each of these time points. |
Hospital admission, hospital discharge, 1 month post-discharge, 3 months post-discharge; Up to 4 months total |
|
Secondary |
Patient Experience with Ambulation |
Brief interviews will be conducted to further examine and understand the patient experience with ambulation on the inpatient unit. |
1 month post-discharge; Up to 2 months total |
|
Secondary |
Age |
Age in years will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Gender |
Gender will be collected via patient medical record review by a nurse researcher from the study team |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Race |
Race will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Ethnicity |
Ethnicity will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Social support |
Social support (defined as: living alone, living with another, presence of a caregiver, use of home care services) will be collected via patient medical record review by a nurse researcher from the study team. |
Post-discharge; Up to 1 month |
|
Secondary |
Location admitted from |
Location admitted from (defined as: home, assisted living, nursing home, other hospital, other inpatient unit) will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Reason for admission |
Reason for admission will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Use of an ambulation assistive device |
Use of an ambulation assistive device (including, walker, cane, wheelchair) will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Presence of external lines |
Presence of external lines (Foley catheter, intravenous lines, supplemental oxygen, drainage tubes) will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Body Mass Index |
Body Mass Index will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Fall risk |
Documentation of fall risk status will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Fall reported |
Whether or not a fall was reported during the hospital stay will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Length of stay |
Length of hospital stay will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Discharge destination |
Discharge destination (home, skilled nursing facility) will be collected via patient medical record review by a nurse researcher from the study team. |
Within 3 months post-discharge; Up to 4 months total |
|
Secondary |
Charlson Comorbidity Index |
This index will be calculated via chart review by a nurse researcher member of the study team. |
Within 3 months post-discharge; Up to 4 months total |
|