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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04760392
Other study ID # GoMob-in
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 13, 2021
Est. completion date April 18, 2023

Study information

Verified date September 2023
Source Insel Gruppe AG, University Hospital Bern
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Immobilization in general internal medicine inpatients is a major contributor to morbidity and mortality. Goal-directed mobilization (GDM) may improve mobility. The aim of this study is to assess, if GDM increases physical activity (DEMMI score) during hospitalization and improves quality of care until 3 months after hospitalization.


Recruitment information / eligibility

Status Completed
Enrollment 160
Est. completion date April 18, 2023
Est. primary completion date January 23, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - All consenting patients aged = 18 years admitted to the Department of General Internal Medicine, Inselspital, Bern University Hospital, Bern, Switzerland, who have an indication for physiotherapy (prescription by the resident in charge or the care coordinator). - Participants must be randomized at latest on the second day after hospital admission. - Written informed consent. Exclusion Criteria: - Inability to follow study procedures, i.e., due to language problems (unable to read, speak or understand German), psychological disorders, severe dementia (defined as to levels 5 - 7 in the Global Deterioration Scale), blindness, Patients unable to provide informed consent themselves - Expected hospital stay for < 5 days - Medically indicated bedrest for more than 24 h, e.g. after surgery - Injuries or neurologic deficits of one or both lower extremities directly impairing walking capacity (e.g. fractures, hemiplegia, previous use of a wheelchair or bedriddenness) - Terminal illness - Pregnancy or breast feeding - Previous enrolment in this study - Enrolment of the investigator, his/her family members, employees and other dependent persons

Study Design


Intervention

Behavioral:
Goal-directed mobilization
A short educational intervention with handout of a leaflet on GDM. Definition of personal mobility goal level. Communication of the mobility goal level to involved stakeholders. Regular reassessment of the mobility goal level and "booster sessions" by physiotherapists.

Locations

Country Name City State
Switzerland Inselspital, Bern University Hospital Bern BE

Sponsors (2)

Lead Sponsor Collaborator
Insel Gruppe AG, University Hospital Bern University of Bern

Country where clinical trial is conducted

Switzerland, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change from baseline of the DEMMI score Change of the de Morton Mobility Index (DEMMI) score (range 0 to 100 with 0 indicating poor physical activity and 100 indicating a high level of independent physical activity) from baseline (at study inclusion), assessed by independent, blinded physiotherapist Day 5±2
Secondary Change from baseline of the DEMMI score Change of the de Morton Mobility Index (DEMMI) score (range 0 to 100 with 0 indicating poor physical activity and 100 indicating a high level of independent physical activity) from baseline (at study inclusion), assessed by independent, blinded physiotherapist Hospital discharge (max. day 14±2)
Secondary Mobilization time Mobilization time measured by accelerometer (i.e., time "moving" as total of time "inactive" and "static", excluding time "not worn") Day 5±2
Secondary Mobilization time Mobilization time measured by accelerometer (i.e., time "moving" as total of time "inactive" and "static", excluding time "not worn") During hospitalization (max. 14±2 days)
Secondary Number of delirium episodes As recorded in the discharge letter and nurse's protocol During hospitalization (max. 14±2 days)
Secondary Number of in-hospital falls As recorded in the nurse's protocol ("fall protocol") During hospitalization (max. 14±2 days)
Secondary Length-of-hospital-stay Length-of-hospital-stay 3 months
Secondary Total number of falls (with / without injuries) By telephone interview with participant (if not available the patients next of kin or family doctor) 3 months after study inclusion
Secondary Number of re-hospitalizations and all-cause mortality By telephone interview with participant (if not available the patients next of kin or family doctor) 3 months after study inclusion
Secondary Independence during activities of daily living: change in Barthel index between (German version) By telephone interview with participant 3 months after study inclusion
Secondary Concerns of falling: change in Falls Efficacy Scale - International (FES-I, German version) Change (range 16 to 64 with 16 indicating no fear of falling and 64 indicating a high level of fear of falling) from baseline (at study inclusion), assessed by telephone interview with participant. 3 months after study inclusion
Secondary Quality of life: change in EuroQol (EQ-5D-5L, German version) Change (range from 0 to 100 with 0 indicating no problem and indicating 100 extreme problems) from baseline (at study inclusion), assessed by telephone interview with participant. 3 months after study inclusion
Secondary Destination Destination may include: death, acute care hospital, rehabilitation, home, nursing home, others 3 months after study inclusion
Secondary Reaching MCID Reaching the minimal clinically important difference (MCID) of a change in DEMMI score (9 points) between baseline and discharge Hospital discharge (max. day 14±2)
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