A multicomponent intervention to decrease sedentary time during hospitalization: a quasi-experimental pilot study

Conijn, D.; Bodegom‐Vos, Leti van; Volker, W.G.; Mertens, Bart; Vermeulen, H.; Huurman, Volkert A. L.; Schaik, Jan van; Vlieland, T. P. M. Vliet; Meesters, J.

doi:10.1177/0269215520920662

Cited by 5 publications

(18 citation statements)

References 39 publications

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Section: Resultsmentioning

confidence: 99%

“…Four studies were conducted in Australia, 4 in Europe, 3 in Asia, 3 in North America, and 1 in the Middle East . Sample sizes ranged from 41 to 255, with a total sample of 1911 across all studies . The mean (SD) age of participants ranged from 52.5 (10.4) to 81 (8) years, and 13 studies were mixed sex, with more females represented overall (range, 37%-100%).…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes ranged from 41 to 255, with a total sample of 1911 across all studies . The mean (SD) age of participants ranged from 52.5 (10.4) to 81 (8) years, and 13 studies were mixed sex, with more females represented overall (range, 37%-100%). Populations included 4 surgical cohorts, 3 stroke rehabilitation studies, 3 orthopedic rehabilitation studies, 3 mixed rehabilitation studies, and 2 mixed medical studies .…”

Section: Resultsmentioning

confidence: 99%

“…The mean (SD) age of participants ranged from 52.5 (10.4) to 81 (8) years, and 13 studies were mixed sex, with more females represented overall (range, 37%-100%). Populations included 4 surgical cohorts, 3 stroke rehabilitation studies, 3 orthopedic rehabilitation studies, 3 mixed rehabilitation studies, and 2 mixed medical studies . Studies were published between 2013 and 2021, with 12 studies published since 2018 (Table).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies provided the intervention during hospitalization and postdischarge, with durations ranging between 1 to 6 months. Six studies tailored WAT interventions to individuals, 6 studies did not tailor interventions, and 3 of the multicomponent interventions tailored some aspects of the intervention but not WAT use . Only 2 studies reported that their intervention was based on theory, including Bandura Self-efficacy Theory and the System Engineering Initiative for Patient Safety theoretical model .…”

Section: Resultsmentioning

confidence: 99%

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Interventions Using Wearable Activity Trackers to Improve Patient Physical Activity and Other Outcomes in Adults Who Are Hospitalized

et al. 2023

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ImportanceLow levels of physical activity during hospitalization are thought to contribute to a range of poor outcomes for patients. Using wearable activity trackers during hospitalization may help improve patient activity, sedentary behavior, and other outcomes.ObjectiveTo evaluate the association of interventions that use wearable activity trackers during hospitalization with patient physical activity, sedentary behavior, clinical outcomes, and hospital efficiency outcomes.Data SourcesOVID MEDLINE, CINAHL, Embase, EmCare, PEDro, SportDiscuss, and Scopus databases were searched from inception to March 2022. The Cochrane Central Register for Controlled trials, ClinicalTrials.gov, and World Health Organization Clinical Trials Registry were also searched for registered protocols. No language restrictions were imposed.Study SelectionRandomized clinical trials and nonrandomized clinical trials of interventions that used wearable activity trackers to increase physical activity or reduce sedentary behavior in adults (aged 18 years or older) who were hospitalized were included.Data Extraction and SynthesisStudy selection, data extraction, and critical appraisal were conducted in duplicate. Data were pooled for meta-analysis using random-effects models. The Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline was followed.Main Outcomes and MeasuresThe primary outcomes were objectively measured physical activity or sedentary behavior. Secondary outcomes included clinical outcomes (eg, physical function, pain, mental health), and hospital efficiency outcomes (eg, length of stay, readmission).ResultsFifteen studies with a total of 1911 participants were included, representing various surgical cohorts (4 studies), stroke rehabilitation (3 studies), orthopedic rehabilitation (3 studies), mixed rehabilitation (3 studies), and mixed medical (2 studies). All studies were included in meta-analyses. There was a significant association between wearable activity tracker interventions with higher overall physical activity (standardized mean difference, 0.35; 95% CI, 0.15 to 0.54; I2 = 72%; P &lt; .002) and less sedentary behavior (mean difference, −35.46 min/d; 95% CI, −57.43 to −13.48 min/d; I2 = 0; P = .002), and a significant association between wearable activity tracker interventions with improvements in physical function (standardized mean difference, 0.27; 95% CI, 0.08 to 0.46; I2 = 0; P = .006) compared with usual care. There was no significant association between wearable activity tracker interventions with pain, mental health, length of stay, or readmission risk.Conclusions and RelevanceIn this systematic review and meta-analysis, interventions that used wearable activity trackers with patients who are hospitalized were associated with higher physical activity levels, less sedentary behavior, and better physical functioning compared with usual care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions Using Wearable Activity Trackers to Improve Patient Physical Activity and Other Outcomes in Adults Who Are Hospitalized

et al. 2023

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Monitoring postures and motions of hospitalized patients using sensor technology: a scoping review

Becker,

Hurkmans,

Verhaar

et al. 2024

Annals of Medicine

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Rapid Improvements in Physical Activity and Sedentary Behavior in Patients With Acute Myocardial Infarction Immediately Following Hospital Discharge

Bakel¹,

Koning²,

Bakker³

et al. 2023

JAHA

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Background Little is known about changes in physical activity (PA) and sedentary behavior (SB) patterns in the acute phase of a myocardial infarction (MI). We objectively assessed PA and SB during hospitalization and the first week after discharge. Methods and Results Consecutively admitted patients hospitalized with an MI were approached to participate in this prospective cohort study. SB, light‐intensity PA, and moderate‐vigorous intensity PA were objectively assessed for 24 h/d during hospitalization and up to 7 days after discharge in 165 patients. Changes in PA and SB from the hospital to home phase were evaluated using mixed‐model analyses, and outcomes were stratified for predefined subgroups based on patient characteristics. Patients (78% men) were aged 65±10 years and diagnosed with ST‐segment–elevation MI (50%) or non–ST‐segment–elevation MI (50%). Sedentary time was high during hospitalization (12.6 [95% CI, 11.8–13.7] h/d) but substantially decreased following transition to the home environment (−1.8 [95% CI, −2.4 to −1.3] h/d). Furthermore, the number of prolonged sedentary bouts (≥60 minutes) decreased between hospital and home (−1.6 [95% CI, −2.0 to −1.2] bouts/day). Light‐intensity PA (1.1 [95% CI, 0.8–1.6] h/d) and moderate‐vigorous intensity PA (0.2 [95% CI, 0.1–0.3] h/d) were low during hospitalization but significantly increased following transition to the home environment (light‐intensity PA: 1.8 [95% CI, 1.4–2.3] h/d; moderate‐vigorous intensity PA: 0.4 [95% CI, 0.3–0.5] h/d; both P <0.001). Improvements in PA and SB were similar across groups, except for patients who underwent coronary artery bypass grafting and who did not improve their PA patterns after discharge. Conclusions Patients with MI demonstrate high levels of SB and low PA volumes during hospitalization, which immediately improved following discharge at the patient's home environment. Registration URL: trialsearch.who.int/; Unique identifier: NTR7646.

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A multicomponent intervention to decrease sedentary time during hospitalization: a quasi-experimental pilot study

Cited by 5 publications

References 39 publications

Interventions Using Wearable Activity Trackers to Improve Patient Physical Activity and Other Outcomes in Adults Who Are Hospitalized

Interventions Using Wearable Activity Trackers to Improve Patient Physical Activity and Other Outcomes in Adults Who Are Hospitalized

Monitoring postures and motions of hospitalized patients using sensor technology: a scoping review

Rapid Improvements in Physical Activity and Sedentary Behavior in Patients With Acute Myocardial Infarction Immediately Following Hospital Discharge

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