ArticleJournal of the American Geriatrics Society2021
Towards "mobility is medicine": Socioecological factors and hospital mobility in older adults.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Perspectives of health professionals on physical activity and sedentary behaviour in hospitalised adults: A systematic review and thematic synthesis.Clinical rehabilitation · 2023Pooled it
- Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis.BMJ open quality · 2023Pooled it
- Facilitators and barriers to enhancing physical activity in older patients during acute hospital stay: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Life-Space of Older Adults after Discharge from Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2024Trial
- Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals : A Stepped-Wedge, Cluster Randomized Trial.Annals of internal medicine · 2023Trial
- Organizational barriers and enablers of adult mobility in general acute hospital units: a scoping review.Physical therapy · 2026Article
- Hospitalized Older Patients' Readiness to Use mHealth Mobility Apps.Aging medicine (Milton (N.S.W)) · 2025Article
- Factors involved in the development of hospital-acquired conditions in older patients in acute care settings: a scoping review.BMC health services research · 2025Article
- Risk factors for prolonged length of stay after first single-level lumbar microdiscectomy.Acta neurochirurgica · 2024Article
- Evaluation of strategies to support implementation of a hospital walking program: protocol for a type III effectiveness-implementation hybrid trial.Implementation science communications · 2024Article
- Perspectives of patients and clinicians on older patient mobility on acute medical wards: a qualitative study.BMC geriatrics · 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
- Self-Organization of Interprofessional Staff to Improve Mobility of Hospitalized Patients with STRIDE: a Complexity Science-Informed Qualitative Study.Journal of general internal medicine · 2022Article
- COVID-19 Mental Health Stressors of Health Care Providers in the Pandemic Acceptance and Commitment to Empowerment Response (PACER) Intervention: Qualitative Study.JMIR formative research · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundUnderstanding the factors that influence hospital mobility, especially in the context of a heightened focus on falls prevention, is needed to improve care.
objectiveThis qualitative study uses a socioecological framework to explore factors that influence hospital mobility in older adults.
designQualitative research
participantsSemi-structured interviews and focus groups were conducted with medically-ill hospitalized older adults (n = 19) and providers (hospitalists, nurses, and physical and occupational therapists (n = 48) at two hospitals associated with an academic health system. APPROACH: Interview and focus group guides included questions on perceived need for mobility, communication about mobility, hospital mobility culture, and awareness of patients' walking activity. Data were analyzed thematically and mapped onto the constructs of the socioecological model. KEY
resultsA consistent theme among patients and providers was that "mobility is medicine." Categories of factors reported to influence hospital walking activity included intrapersonal factors (patients' health status, fear of falls), interpersonal factors (patient-provider communication about mobility), organizational factors (clarity about provider roles and responsibilities, knowledge of safe patient handling, reliance on physical therapy for mobility), and environmental factors (falls as a never event, patient geographical locations on hospital units). Several of these factors were identified as potentially modifiable targets for intervention. Patients and providers offered recommendations for improving awareness of patient's ambulatory activity, assigning roles and responsibility for mobility, and enhancing education and communication between patients and providers across disciplines.
conclusionPatients and providers identified salient factors for future early mobility initiatives targeting hospitalized older adults. Consideration of these factors across all stages of intervention development and implementation will enhance impact and sustainability.
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