Trial reportAnnals of internal medicine2023
Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals : A Stepped-Wedge, Cluster Randomized Trial.
Trial report in Annals of internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03300336 (Optimizing Function and Independence Through STRIDE), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Optimizing Function and Independence Through STRIDE (QUE 16-170)
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Role of recruitment bias in stepped-wedge cluster randomised controlled trials: a systematic review.BMJ open · 2025Pooled it
- Feasibility and Usability of a Post-Hospital Behavioral Intervention to Improve Mobility in Veterans.Inquiry : a journal of medical care organization, provision and financingTrial
- Associations Between Social Drivers of Health and Intervention Reach During Implementation of a Supervised Walking Program.Medical care · 2026Observational
- Comparing Approaches to Support Implementation of a Hospital Walking Program: Evidence from a Cluster Randomized Trial.Journal of general internal medicine · 2026Article
- An Observational Study of Nursing Delivery of Mobility Assistance in Acute Care.Journal of the American Medical Directors Association · 2025Observational
- Clinical progress note: Interventions for improving outcomes among hospitalized older adults.Journal of hospital medicine · 2025Article
- Features of effective hospital fall prevention trials: an intervention component analysis.BMC geriatrics · 2024Article
- Introduction of enhanced weekend physiotherapy for patients with hip fracture is associated with improved early mobility outcomes.Australasian journal on ageing · 2024Article
- Mobility Assessment Instruments.Seminars in oncology nursing · 2024Review
- Evaluation of strategies to support implementation of a hospital walking program: protocol for a type III effectiveness-implementation hybrid trial.Implementation science communications · 2024Article
- Organizational Characteristics of Hospitals Meeting STRIDE Program Adoption Benchmarks to Support Mobility for Hospitalized Persons.Inquiry : a journal of medical care organization, provision and financingArticle
- Implementation of the Age-Friendly Health Systems Initiative in the Department of Veterans Affairs: 5 Years of Improving Quality for Older Veterans.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
- Erratum issued
Authors and funding
14 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundIn trials, hospital walking programs have been shown to improve functional ability after discharge, but little evidence exists about their effectiveness under routine practice conditions.
objectiveTo evaluate the effect of implementation of a supervised walking program known as STRIDE (AssiSTed EaRly MobIlity for HospitalizeD VEterans) on discharge to a skilled-nursing facility (SNF), length of stay (LOS), and inpatient falls.
designStepped-wedge, cluster randomized trial. (ClinicalTrials.gov: NCT03300336).
setting8 Veterans Affairs hospitals from 20 August 2017 to 19 August 2019. PATIENTS: Analyses included hospitalizations involving patients aged 60 years or older who were community dwelling and admitted for 2 or more days to a participating medicine ward.
interventionHospitals were randomly assigned in 2 stratified blocks to a launch date for STRIDE. All hospitals received implementation support according to the Replicating Effective Programs framework. MEASUREMENTS: The prespecified primary outcomes were discharge to a SNF and hospital LOS, and having 1 or more inpatient falls was exploratory. Generalized linear mixed models were fit to account for clustering of patients within hospitals and included patient-level covariates.
resultsPatients in pre-STRIDE time periods ( LIMITATION: Direct program reach was low.
conclusionAlthough the reach was limited and variable, hospitalizations occurring during the STRIDE hospital walking program implementation period had lower odds of discharge to a SNF, with no change in hospital LOS or inpatient falls. PRIMARY FUNDING SOURCE: U.S. Department of Veterans Affairs Quality Enhancement Research Initiative (Optimizing Function and Independence QUERI).
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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.