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Evaluating the effects of increasing physical activity to optimize rehabilitation outcomes in hospitalized older adults (MOVE Trial): Study protocol for a randomized controlled trial
Said, Catherine M. Morris, Meg E. McGinley, Jennifer L. Szoeke, Cassandra Workman, Barbara Liew, Danny Hill, Keith David Woodward, Michael Clifford Wittwer, Joanne E. Churilov, Leonid
Said, Catherine M.
Morris, Meg E.
McGinley, Jennifer L.
Szoeke, Cassandra
Workman, Barbara
Liew, Danny
Hill, Keith David
Woodward, Michael Clifford
Wittwer, Joanne E.
Churilov, Leonid
Abstract
Background: Older adults who have received inpatient rehabilitation often have significant mobility disability at discharge. Physical activity levels in rehabilitation are also low. It is hypothesized that providing increased physical activity to older people receiving hospital-based rehabilitation will lead to better mobility outcomes at discharge. Methods/Design: A single blind, parallel-group, multisite randomized controlled trial with blinded assessment of outcome and intention-to-treat analysis. The cost effectiveness of the intervention will also be examined. Older people ( age > 60 years ) undergoing inpatient rehabilitation to improve mobility will be recruited from geriatric rehabilitation units at two Australian hospitals. A computer-generated blocked stratified randomization sequence will be used to assign 198 participants in a 1:1 ratio to either an ‘enhanced physical activity’ ( intervention ) group or a ‘usual care plus’ ( control ) group for the duration of their inpatient stay. Participants will receive usual care and either spend time each week performing additional physical activities such as standing or walking ( intervention group ) or performing an equal amount of social activities that have minimal impact on mobility such as card and board games ( control group ). Self-selected gait speed will be measured using a 6-meter walk test at discharge ( primary outcome ) and 6 months follow-up ( secondary outcome ). The study is powered to detect a 0.1 m/sec increase in self-selected gait speed in the intervention group at discharge. Additional measures of mobility ( Timed Up and Go, De Morton Mobility Index ), function ( Functional Independence Measure ) and quality of life will be obtained as secondary outcomes at discharge and tertiary outcomes at 6 months follow-up. The trial commenced recruitment on 28 January 2014. Discussion: This study will evaluate the efficacy and cost effectiveness of increasing physical activity in older people during inpatient rehabilitation. These results will assist in the development of evidenced-based rehabilitation programs for this population. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000884707 ( Date of registration 08 August 2013 ); ClinicalTrials.gov Identifier NCT01910740 ( Date of registration 22 July 2013 ).
Keywords
mobility limitation, rehabilitation, exercise therapy, hospitalization, randomized controlled trial
Date
2015
Type
Journal article
Journal
Trials
Book
Volume
16
Issue
1
Page Range
1-9
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
File Access
Open
Notes
© 2015 Said et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.