Older Adults Clinical Trial
Official title:
Preventing Hospital-Acquired Disability: An Intervention to Improve Older Adult Patient Ambulation
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.
Status | Recruiting |
Enrollment | 420 |
Est. completion date | June 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | 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 |
Country | Name | City | State |
---|---|---|---|
United States | UW Health-University Hospital | Madison | Wisconsin |
United States | Aurora St. Luke's Medical Center | Milwaukee | Wisconsin |
Lead Sponsor | Collaborator |
---|---|
University of Wisconsin, Madison | Agency for Healthcare Research and Quality (AHRQ), Aurora Health Care |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in gait speed | 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. 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. Change scores will be calculated as the difference among gait speeds measured at each time points. | Within 24 hours of hospital admission, Within 8 hours of hospital discharge, 3 months post-discharge; Up to 4 months total | |
Primary | Change in self-report on Activities of Daily Living (ADL) | 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 6 months post intervention, and in person at the 3 month post intervention visit using the Katz ADL Index. 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). A score of 0-6 is possible, with higher scores indicating higher independence with ADLs and lower scores indicating higher dependence on others to perform ADLs. The scale demonstrates excellent reliability and predictive validity, and is sensitive to change in hospital settings. Change scores will be calculated as the difference among ADL independence measured at each time point. | Within 24 hours of hospital admission, Within 8 hours of hospital discharge, 1 month post-discharge, 3 months post-discharge; 6 months post-discharge; Up to 7 months total | |
Primary | Change in Life Space Assessment | The UAB Life Space Assessment (LSA) 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. Level scores are calculated by multiplying the life-space level (higher numbers indicate farther distances moved, e.g., 1-inside the home to 5-places outside of the person's town), degree of independence (higher scores indicate greater independence), and frequency of movement (higher scores equal greater frequency). Total scores range from 0 (totally bed-bound) to 120 (moved out of town every day without assistance). A trained member of the research team will collect patients self-report on Life Space. Change scores will be calculated as the difference among LSA ambulation measured at each time point. | Within 24 hours of hospital admission, Within 8 hours of hospital discharge, 1 month post-discharge, 3 months post-discharge; 6 months post-discharge; Up to 7 months total | |
Secondary | Hospital Readmissions | Hospital readmissions will be collected via patient self-report and via medical record review by a trained researcher from the study team. | 1 month post-discharge; 3 months post-discharge; 6 months post-discharge; Up to 7 months total | |
Secondary | Emergency Room Visits | Emergency room visits Discharge destination (home, skilled nursing facility) will be collected via patient self report. | 1 month post-discharge; 3 months post-discharge; 6 months post-discharge; Up to 7 months total | |
Secondary | Length of Hospital 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 | Patient Satisfaction | Patient satisfaction will be measured at the hospital unit level using the nursing care sensitive questions from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). A report will be produced by the participant hospitals of HCAHPS responses from all patients who received care on the MOVIN participating units during the study period. Patient satisfaction will be analyzed across positive responses and all response categories to assess potential changes in the distribution of responses over time. | 6 months pre-intervention, during the 14-week intervention period, and 6 months post-intervention; up to 16 months total |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04521374 -
The Effects of Texture Modified Diets on Dietary Intake and Appetite Responses in Older Adults
|
N/A | |
Completed |
NCT05039879 -
Life Improving Factors After a Hip Fracture
|
||
Recruiting |
NCT05978336 -
SuPA Mobility: Supporting Physical Activity for Mobility in Mobility-Limited Older Adults
|
N/A | |
Completed |
NCT02905370 -
Progressing Home Health Rehabilitation for Older Adults
|
N/A | |
Not yet recruiting |
NCT06453473 -
Transfer Effects of Stationary Bicycle Perturbation Training on Older Adults' Cycling Skills
|
N/A | |
Completed |
NCT03039556 -
Step-reduction in Older Men and Women
|
N/A | |
Completed |
NCT05901506 -
Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview
|
N/A | |
Recruiting |
NCT06030128 -
Core Stabilization Exercise Therapy in Chronic Lower Back Back Management in Community Dwelling Older Adults
|
N/A | |
Completed |
NCT04044183 -
Managing Pain and Cognitions in Older Adults With Mild Cognitive Impairment or Memory Related Problems and Chronic Pain
|
N/A | |
Not yet recruiting |
NCT06323954 -
tVNS During Motor Training in Older Adults
|
N/A | |
Recruiting |
NCT05366075 -
The Preventing Functional Decline in Acutely Hospitalized Older Patients (PREV_FUNC) Study
|
Phase 3 | |
Completed |
NCT05497960 -
Vivo Prediabetes Study: Online, Live, and Interactive Strength Training for Older Adults With Prediabetes
|
N/A | |
Recruiting |
NCT05083221 -
Effect of an Aural Rehabilitation Program in Hearing-impaired Older Adults
|
N/A | |
Completed |
NCT05459103 -
Remote Interactive Intervention for Loneliness
|
N/A | |
Completed |
NCT05397158 -
Optimization of Intestinal Preparation in Older Patients
|
N/A | |
Completed |
NCT05025137 -
Flexi-Bar and Multi-Component Exercises
|
N/A | |
Completed |
NCT04927026 -
"Where-there-is-no-psychiatrist Integrated Personal Therapy" Among Community-Dwelling Older Adults
|
N/A | |
Completed |
NCT03197038 -
Exercise Training and Cognitive Function in Kidney Disease
|
N/A | |
Recruiting |
NCT06302686 -
engAGE: Managing cognitivE decliNe throuGh Theatre Therapy, Artificial Intelligence and Social Robots drivEn Interventions
|
N/A | |
Not yet recruiting |
NCT05078008 -
The Role of Balneotherapy in Older Adults With Chronic Low Back Pain
|
N/A |