Impact of a Mobility Program

Status Completed

Clinical Trial Summary

After hospitalization, many older adults experience more difficulty getting around in the community and performing one or more of their basic activities of daily living (ADLs) like bathing or dressing. The goals of this study are to test the effectiveness of a mobility intervention, compared to usual care, on change in mobility after hospitalization, to determine the impact on one-year outcomes such as nursing home placement and to identify which Veterans benefit the most from the intervention. Ultimately, the goal is to improve recovery after hospitalization and reduce disability in hospitalized Veterans.

Clinical Trial Description

For this high impact study the investigators propose to use a stepped wedge cluster randomization design on five VA hospital wards to compare a mobility program (MP) to usual care (UC) among a cohort of Veterans age 50 years. The investigators will examine pre to post-hospital mobility and adverse outcomes including functional decline, nursing home admission, emergency department (ED) visits, hospitalization and death in the MP and UC groups in the year after hospital discharge. The primary outcome of mobility will be measured by the University of Alabama at Birmingham (UAB) Life-Space Assessment (LSA).10-13 Secondary measures of mobility will include self-reported ability to walk mile and drive a car, as described by Gill, et al.14 The investigators will identify patient specific characteristics that modify the effect of the mobility intervention on post-hospital mobility and adverse outcomes to determine which hospitalized patients are most likely to benefit from this intervention. ;

Study Design

Related Conditions & MeSH terms

Hospitalization

Clinical Trial Details

NCT number	NCT02674503
Study type	Interventional
Source	VA Office of Research and Development
Contact
Status	Completed
Phase	N/A
Start date	December 12, 2016
Completion date	September 30, 2021

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03297567` - Physical Therapy Guidelines For Hospitalized Elderly	N/A
Terminated	`NCT03825497` - The WALK-Copenhagen Trial (WALK-Cph): a Mixed Methods Study	N/A
Completed	`NCT06293768` - Continuous Wireless Monitoring for Patients in the Internal Medicine UOC. Randomized Controlled Trial (GreenLineH-T)	N/A
Completed	`NCT03296423` - Bacillus Calmette-guérin Vaccination to Prevent Infections of the Elderly	Phase 4
Not yet recruiting	`NCT05550272` - Hospitalizations in Neonatal Period and Early Discharge of Maternity
Completed	`NCT02614638` - Evaluation of the Impact of the Presence of a Pharmacy Technician on the Quality and Cost of Drug Therapy	N/A
Completed	`NCT01931553` - A Pragmatic Cluster Randomized Controlled Trial to Standardize Attending Morning Rounds in Medicine	N/A
Completed	`NCT00527774` - Effect of HCV Infection on Insulin Resistance and Malnutrition-inflammation Complex Syndrome in Regular Hemodialysis Patients	N/A
Completed	`NCT02598115` - Impact of Collaborative Pharmaceutical Care on Hospital Admission Drug Prescriptions for Patients 65 Years of Age and Older	N/A
Recruiting	`NCT05366075` - The Preventing Functional Decline in Acutely Hospitalized Older Patients (PREV_FUNC) Study	Phase 3
Not yet recruiting	`NCT05522647` - Detection of Risk Behaviors: Pilot Observational Study With Bedridden and Agitated Patients.
Terminated	`NCT04257422` - Intentional Rounding in Internal Medicine	N/A
Completed	`NCT00370916` - Reducing Transition Drug Risk	N/A
Completed	`NCT00244673` - Randomized Study of Not Giving Diphteria-tetanus-pertussis Vaccination With or After Measles Vaccination	Phase 4
Recruiting	`NCT04078334` - Personalized Exercises Program Prescription to Prevent Functional Decline Throughout Older Adults Hospitalization	N/A
Active, not recruiting	`NCT04235374` - Implementation of Function Focused Care in Acute Care	N/A
Recruiting	`NCT03651414` - Safety Issues and SurvIval For Medical Outliers
Completed	`NCT05247060` - Orthostatic Hypotension in Hypertensive Patient Hospitalized in Internal Medicine
Terminated	`NCT05518474` - Self-proning and Repositioning in COVID-19 Outpatients at Risk of Complicated Illness	N/A
Recruiting	`NCT05036824` - Intensive Dose Tinzaparin in Hospitalized COVID-19 Patients