The Better By Moving study: A multifaceted intervention to improve physical activity in adults during hospital stay.
The Better By Moving study: A multifaceted intervention to improve physical activity in adults during hospital stay.
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DOI：
10.1177/02692155221105337
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发表时间：
2022-10
影响因子：
3
通讯作者：
van der Schaaf, Marike
中科院分区：
文献类型：
--
作者：
Geelen, Sven J. G.;Giele, Boukje M.;Veenhof, Cindy;Nollet, Frans;Engelbert, Raoul H. H.;van der Schaaf, Marike
“动起来更好”是一项与患者和医疗保健专业人员合作开发和实施的多方面干预措施，旨在改善住院成年人的身体活动。这项研究旨在通过评估结果和实施过程，了解“运动得更好”是否、如何以及为什么会导致更高水平的身体活动。根据医学研究委员会的指导，采用混合方法进行研究。三级医院。外科、血液科、传染病和心脏病科病房的成年病人，以及医疗保健专业人员。在住院期间的上午8点至晚上8点之间随机选取一天，使用身体活动监测仪AM400对实施前后的身体活动进行评估。此外，还调查了卧床时间、住院时间和出院地点。通过审计跟踪、调查和访谈对执行过程进行了评价。在实施前后的身体活动（中位数[IQR] 23[12-51]对27[17-55]分钟，P = 0.107）和次要结局方面没有观察到显著差异。干预成分的覆盖范围中等，患者和医疗保健专业人员的采用率较低。患者表示，他们从环境中感受到更多的鼓励，并更频繁地进行锻炼，医疗保健专业人员表示，同事之间的意识和信心有所提高。支持（优先事项、资源和参与）被认为是影响实施和结果的关键背景因素。虽然在我们的中心实施“运动改善”并没有显著改善结果，但过程评估产生了重要的见解，可以提高实施旨在改善住院期间身体活动的多方面干预措施的有效性。
‘Better By Moving’ is a multifaceted intervention developed and implemented in collaboration with patients and healthcare professionals to improve physical activity in hospitalized adults. This study aimed to understand if, how and why ‘Better By Moving’ resulted in higher levels of physical activity by evaluating both outcomes and implementation process. Mixed-methods study informed by the Medical Research Council guidance. Tertiary hospital. Adult patients admitted to surgery, haematology, infectious diseases and cardiology wards, and healthcare professionals. Physical activity was evaluated before and after implementation using the Physical Activity Monitor AM400 on one random day during hospital stay between 8 am and 8 pm. Furthermore, the time spent lying on bed, length of stay and discharge destination was investigated. The implementation process was evaluated using an audit trail, surveys and interviews. There was no significant difference observed in physical activity (median [IQR] 23 [12–51] vs 27 [17–55] minutes, P = 0.107) and secondary outcomes before-after implementation. The intervention components’ reach was moderate and adoption was low among patients and healthcare professionals. Patients indicated they perceived more encouragement from the environment and performed exercises more frequently, and healthcare professionals signalled increased awareness and confidence among colleagues. Support (priority, resources and involvement) was perceived a key contextual factor influencing the implementation and outcomes. Although implementing ‘Better By Moving’ did not result in significant improvements in outcomes at our centre, the process evaluation yielded important insights that may improve the effectiveness of implementing multifaceted interventions aiming to improve physical activity during hospital stay.
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DOI：
10.1136/bmj.h1258
发表时间：
2015-03-19
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moore GF;Audrey S;Barker M;Bond L;Bonell C;Hardeman W;Moore L;O'Cathain A;Tinati T;Wight D;Baird J
通讯作者：
Baird J
影响因子：
2.2
作者：
Koenders, Niek;van Oorsouw, Roel;Hoogeboom, Thomas J.
通讯作者：
Hoogeboom, Thomas J.
DOI：
10.1186/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
DOI：
10.1186/s13012-014-0152-6
发表时间：
2014-10-06
期刊：
Implementation science : IS
影响因子：
--
作者：
Squires JE;Sullivan K;Eccles MP;Worswick J;Grimshaw JM
通讯作者：
Grimshaw JM
DOI：
10.1186/s13012-017-0605-9
发表时间：
2017-06-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Atkins L;Francis J;Islam R;O'Connor D;Patey A;Ivers N;Foy R;Duncan EM;Colquhoun H;Grimshaw JM;Lawton R;Michie S
通讯作者：
Michie S