Evidence map›Paper›PMID 27965846›Full record

ArticlePilot and feasibility studies2016

A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol.

Kinda Ibrahim, Carl May, Harnish P Patel, Mark Baxter, Avan A Sayer, Helen Roberts

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 144 citations in OpenAlex.

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  11. Evaluation of Hand-Grip Strength Measurement Using the Pablo Virtual Reality System in Young Adults.Medical science monitor : international medical journal of experimental and clinical research · 2025
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kinda IbrahimAcademic Geriatric Medicine, Mailpoint 807, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK ; NIHR CLAHRC: Wessex, Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ UK.
Carl MayNIHR CLAHRC: Wessex, Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ UK.
Harnish P PatelAcademic Geriatric Medicine, Mailpoint 807, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK ; Medicine for Older People, Mailpoint 63, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK.
Mark BaxterMedicine for Older People, Mailpoint 63, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK.
Avan A SayerAcademic Geriatric Medicine, Mailpoint 807, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK ; NIHR CLAHRC: Wessex, Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ UK ; Medicine for Older People, Mailpoint 63, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK ; Institute of Ageing and Institute of Health and Society, Campus for Ageing and Vitality, Newcastle University, Newcastle, NE4 5PL UK.
Helen RobertsAcademic Geriatric Medicine, Mailpoint 807, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK ; NIHR CLAHRC: Wessex, Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ UK ; Medicine for Older People, Mailpoint 63, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK.
Southampton General Hospital · GBUniversity of Southampton · GB

Funding

Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

backgroundHandgrip strength is a non-invasive marker of muscle strength, and low grip strength in hospital inpatients is associated with poor healthcare outcomes including longer length of stay, increased functional limitations, and mortality. Measuring grip strength is simple and inexpensive. However, grip strength measurement is not routinely used in clinical practice. The aim of this study is to evaluate the feasibility of implementing grip strength measurement into routine clinical practice. METHODS/

designThis feasibility study is a mixed methods design combining qualitative, quantitative, and economic elements and is based on the acute medical wards for older people in one hospital. The study consists of three phases: phase 1 will define current baseline practice for the identification of inpatients at high risk of poor healthcare outcomes, their nutrition, and mobility care through interviews and focus groups with staff as well as a review of patients' clinical records. Phase 2 will focus on the feasibility of developing and implementing a training programme using Normalisation Process Theory to enable nursing and medical staff to measure and interpret grip strength values. Following the training, grip strength will be measured routinely for older patients as part of admission procedures with the use of a care plan for those with low grip strength. Finally, phase 3 will evaluate the acceptability of grip strength measurement, its adoption, coverage, and basic costs using interviews and focus groups with staff and patients, and re-examination of clinical records. DISCUSSION: The results of this study will inform the translation of grip strength measurement from a research tool into clinical practice to improve the identification of older inpatients at risk of poor healthcare outcomes.

trial registrationClinicaltrials.gov NCTO2447445.

Indexed as

Clinical practiceGrip strengthHospitalImplementationInpatientsOlder

Identifiers

PMID27965846
PMCPMC5154137
OpenAlexW2398905564

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.