Activity in Geriatric Patients and Validation of the Danish Version of the Acute Care Mobility Assessment

Acute Disease Clinical Trial

Official title:

Activity in Geriatric Patients and Validation of the Danish Version of the Acute Care Mobility Assessment

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06421246
• Other study ID #: F-24023831
• Status: Recruiting
• Start date: May 15, 2024
• Est. completion date: July 15, 2024

Study information

• Verified date: May 2024
• Source: Copenhagen University Hospital, Hvidovre
• Contact: Mette M Pedersen, PhD
• Phone: +4538623350
• Email: mette.merete.pedersen[@]regionh.dk
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The study aim to assess 24-hour activity during hospitalization in older adults admitted to a geriatric ward and to validate the Danish version of the Acute Care Mobility Assessment.

Description:

During two month, 24-hour activity will be assessed in all patients (65+) admitted to a geriatric ward in Denmark, who are able to walk and to provide informed consent (or vicarious consent. Activity will be measured for a maximum of 7 days. Demografic characteristics will be collected (sex, age, place of residence, comorbidities, admission diagnosis, civil status, frailty), and the patients will be asked about their: daily activities, walking ability, life space activity, present activity, use of walking aids, and falls. On inclusion, the patients will be assessed for their basic mobility, cognition, gait speed, and their level of mobility. The Acute Care Mobility Assessment will be validated on the initial 5-10 patients via cognitive debriefing interviews.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: July 15, 2024
• Est. primary completion date: July 15, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• 65 years
• no delirium
• ability to ambulate

Exclusion Criteria:

• in isolation
• teminally ill

Related Conditions & MeSH terms

• Acute Disease
• Old Age

Intervention

Behavioral:
• Activity monitoring and validity of the Danish Version of the Acute Care Mobility Assessement
24- hour activity will be assessed by SENS motion acitivity monitors, and the Acute Care mobility assessment will be validated by cognitive debriefing interviews in 5-10 patients

Locations

Country	Name	City	State
Denmark	Copenhagen University Hospital, Hvidovre	Hvidovre

Sponsors (1)

Lead Sponsor	Collaborator
Copenhagen University Hospital, Hvidovre

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Daily steps	Number of daily steps taken assessed by a SENS motion accelerometer from inclusion and throughout hospitalization	7 days
Secondary	Self-reported mobility	Self-reported mobility by the Acute Care Mobility Assessment. A score of 0-12 can be obtained, with 0 reflecting poor mobility and 12 reflecting a high level of mobility.	Days 2, 4 and 6 after inclusion
Secondary	Life Space mobility	By the Life Space Assessment-DK, which measure mobility and level of dependence in mobility. A score of 0-120 can be obtained, with 0 reflecting poor mobility and 120 reflecting high mobility.	At inclusion
Secondary	Self-reported pre-admission mobility	By the New Mobility Score, which assesses the ability to walk indoors and outdoors and the ability to go shopping. A score from 0-9 can be obtained, with 0 reflecting low mobility and 9 reflecting high mobility.	At inclusion
Secondary	Frailty	By the Clinical Frailty Scale, which is a clinical evaluation of the degree of frailty of a person. It is scored by health care professionals on a scale from 1 (very fit) to 9 (terminally ill)	At inclusion
Secondary	Cognitive status	By the Orientation Memory Concentration Test, which is a screening of cognitive function. A score from 0 to 28 i obtained with lower scores reflecting poorer cognition (0-7: highly impaired; 8-17 points: moderately imparied; 18-24 points: mildly impaired; 25-28 points: no or insignificatn impairment).	At inclusion
Secondary	Activities of daily living	By the Katz index, which assesses independence in 6 Activities of Daily Living on a scale from 0 to 6 with 0 reflecting dependence in all activities and 6 reflecting independence in all activities.	At inclusion
Secondary	Basic mobility	By the The Cummulated Ambulation Score, which assessed the ability of a person to get in an out of bed, sit to stand from a chair and walk. It is scored from 0 to 6 with 0 reflecting inability to perform the 3 activities and a score of 6 refelcting independence in the three activities.	Days 2, 4 and 6 after inclusion
Secondary	Highest level of mobility	By the Johns Hopkins Higest Level of Mobility Scale which evaluates a patient's level of mobiltiy on a 1 (lying) to 8 (waling more than 250 feet) point scale	At inclusion
Secondary	Gait speed	By the 4 meter habitual gait speed test. It assesses the patient's habitual gait speed on a 4-meter course. The test is scored in m/s.	At inclusion
Secondary	Daily walking	Daily time spent walking assessed by a SENS motion accelerometer from inclusion and throughout hospitalization	7 days
Secondary	Daily standing	Daily time spent standing assessed by a SENS motion accelerometer from inclusion and throughout hospitalization	7 days
Secondary	Daily lying/sitting	Daily time spent sitting/lying assessed by a SENS motion accelerometer from inclusion and throughout hospitalization	7 days