ArticlePhysical therapy2020
The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients' Movement Behavior During Hospitalization.
Article in Physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- The Better By Moving study: A multifaceted intervention to improve physical activity in adults during hospital stay.Clinical rehabilitation · 2022Trial
- Evaluation of the implementation of a mobility plan in a geriatric clinic in Switzerland - a quality improvement study.BMC geriatrics · 2026Article
- Exploring the role of patient activity in the clinical decision-making processes of health care practitioners working in hospital care: A qualitative study.Clinical rehabilitation · 2026Article
- Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.Clinical rehabilitation · 2025Article
- Implementing an Activity and Mobility Promotion Approach to Improve Patient Mobility.The American journal of nursing · 2025Article
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- Development of a goal-directed movement intervention (GOAL) using a movement sensor for hospitalized patients: An intervention mapping approach.Clinical rehabilitation · 2024Article
- Improving physical activity in hospitalized patients: The preliminary effectiveness of a goal-directed movement intervention.Clinical rehabilitation · 2023Article
- 'Life is about movement-everything that is alive moves': a mixed methods study to understand barriers and enablers to inpatient mobility from the older patient's perspective.Age and ageing · 2023Article
- Sleep Should Be Focused on When Analyzing Physical Activity in Hospitalized Older Adults after Trunk and Lower Extremity Fractures-A Pilot Study.Healthcare (Basel, Switzerland) · 2022Article
- Healthcare professionals feel empowered by implementing a hospital-based multifaceted intervention: a qualitative study using inductive thematic analysis.BMC health services research · 2022Article
- Barriers and enablers to physical activity in patients during hospital stay: a scoping review.Systematic reviews · 2021Article
- Optimization and Validation of a Classification Algorithm for Assessment of Physical Activity in Hospitalized Patients.Sensors (Basel, Switzerland) · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHospital in Motion is a multidimensional implementation project aiming to improve movement behavior during hospitalization. The purpose of this study was to investigate the effectiveness of Hospital in Motion on movement behavior.
methodsThis prospective study used a pre-implementation and post-implementation design. Hospital in Motion was conducted at 4 wards of an academic hospital in the Netherlands. In each ward, multidisciplinary teams followed a 10-month step-by-step approach, including the development and implementation of a ward-specific action plan with multiple interventions to improve movement behavior. Inpatient movement behavior was assessed before the start of the project and 1 year later using a behavioral mapping method in which patients were observed between 9:00 am and 4:00 pm. The primary outcome was the percentage of time spent lying down. In addition, sitting and moving, immobility-related complications, length of stay, discharge destination home, discharge destination rehabilitation setting, mortality, and 30-day readmissions were investigated. Differences between pre-implementation and post-implementation conditions were analyzed using the chi-square test for dichotomized variables, the Mann Whitney test for non-normal distributed data, or independent samples t test for normally distributed data.
resultsPatient observations demonstrated that the primary outcome, the time spent lying down, changed from 60.1% to 52.2%. For secondary outcomes, the time spent sitting increased from 31.6% to 38.3%, and discharges to a rehabilitation setting reduced from 6 (4.4%) to 1 (0.7%). No statistical differences were found in the other secondary outcome measures.
conclusionThe implementation of the multidimensional project Hospital in Motion was associated with patients who were hospitalized spending less time lying in bed and with a reduced number of discharges to a rehabilitation setting. IMPACT: Inpatient movement behavior can be influenced by multidimensional interventions. Programs implementing interventions that specifically focus on improving time spent moving, in addition to decreasing time spent lying, are recommended.
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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.