Evidence map›Paper›PMID 31653204›Full record

ArticleBMC geriatrics2019

Scaling-up implementation in community hospitals: a multisite interrupted time series design of the Mobilization of Vulnerable Elders (MOVE) program in Alberta.

Jayna Holroyd-Leduc, Charmalee Harris, Jemila S Hamid, Joycelyne E Ewusie, Jacquelyn Quirk, Karen Osiowy, Julia E Moore, Sobia Khan, Barbara Liu, Sharon E Straus and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
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

11 authors at 6 institutions in 1 country.

Jayna Holroyd-LeducDepartments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada. Jayna.Holroyd-Leduc@ahs.ca.ORCID 0000-0002-4120-0792
Charmalee HarrisLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Jemila S HamidDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Joycelyne E EwusieDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Jacquelyn QuirkLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Karen OsiowyDepartments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Julia E MooreLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Sobia KhanLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Barbara LiuRegional Geriatric Program of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Sharon E StrausLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
MOVE AB Collaboration
St. Michael's Hospital · CAAlberta Health Services · CAChildren's Hospital of Eastern Ontario · CASunnybrook Health Science Centre · CAUniversity of Calgary · CAUniversity of Ottawa · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundAs the population ages, older hospitalized patients are at increased risk for hospital-acquired morbidity. The Mobilization of Vulnerable Elders (MOVE) program is an evidence-informed early mobilization intervention that was previously evaluated in Ontario, Canada. The program was effective at improving mobilization rates and decreasing length of stay in academic hospitals. The aim of this study was to scale-up the program and conduct a replication study evaluating the impact of the evidence-informed mobilization intervention on various units in community hospitals within a different Canadian province.

methodsThe MOVE program was tailored to the local context at four community hospitals in Alberta, Canada. The study population was patients aged 65 years and older who were admitted to medicine, surgery, rehabilitation and intensive care units between July 2015 and July 2016. The primary outcome was patient mobilization measured by conducting visual audits twice a week, three times a day. The secondary outcomes included hospital length of stay obtained from hospital administrative data, and perceptions of the intervention assessed through a qualitative assessment. Using an interrupted time series design, the intervention was evaluated over three time periods (pre-intervention, during, and post-intervention).

resultsA total of 3601 patients [mean age 80.1 years (SD = 8.4 years)] were included in the overall analysis. There was a significant increase in mobilization at the end of the intervention period compared to pre-intervention, with 6% more patients out of bed (95% confidence interval (CI) 1, 11; p-value = 0.0173). A decreasing trend in median length of stay was observed, where patients on average stayed an estimated 3.59 fewer days (95%CI -15.06, 7.88) during the intervention compared to pre-intervention period.

conclusionsMOVE is a low-cost, effective and adaptable intervention that improves mobilization in older hospitalized patients. This intervention has been replicated and scaled up across various units and hospital settings.

Indexed as

HospitalizationAgedAged, 80 and overAlbertaEarly AmbulationFemaleHospitals, CommunityHumansInterrupted Time Series AnalysisLength of StayMalemobilityMobilizationMOVEolder adultsscale and spread

Identifiers

PMID31653204
PMCPMC6815022
OpenAlexW2981501202

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.