Highlights
- •Assess effect of a physical activity measuring system with feedback during hospitalisation
- •Across all patients the visual feedback provided no reduction in time spent out of bed.
- •Feedback group spent 81 minutes and control spent 64 minutes per day out of bed.
- •Group difference was 18 minutes per day potentially in favour of the visual feedback.
- •In a subgroup with independent mobility, feedback resulted in 51 minutes more out of bed.
Abstract
Background
Physical inactivity is common during hospitalisation and poses a threat to functional
capacity and independency in the elderly.
Aim
We aimed to assess the effect of physical activity measurements with visual feedback
about time spent in various activities on the average daily time spent out of bed
during hospitalisation.
Methods
We recorded physical activity during hospitalisation by accelerometers and compared
the effect of the visual feedback (intervention) with no feedback (control) on time
spent out of bed. Patients admitted to the pulmonary ward were invited and assigned
to intervention with feedback or control with no feedback in 6 alternating waves of
approximately 18 patients each. The order of feedback/no feedback was randomised at
the outset of the study. The visual feedback intervention group was provided with
visual feedback of the daily time spent in bed, sitting, standing, and walking. The
control group did not receive feedback.
Results
93 patients completed the study with a median length of stay of 5 days. Across all
patients there were no statistically significant group differences in daily time out
of bed; however, patients with independent mobility spent 51 minutes (95% CI 0 to
102; P = .049) more out of bed when provided with visual feedback compared to no feedback.
Conclusions
A simple technology assisted physical activity intervention with visual feedback to
encourage mobility was not effective at increasing time spent out of bed among hospitalised
patients. With feedback, a subgroup of patients with independent walking abilities
increased time out of bed and may benefit from this type of intervention.
Trial registration: clinicaltrials.gov Identifier: NCT01945749.
Keywords
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Article info
Publication history
Published online: September 04, 2019
Accepted:
August 20,
2019
Received in revised form:
August 19,
2019
Received:
May 8,
2019
Identification
Copyright
© 2019 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
