Evidence map›Paper›PMID 38216182›Full record

ArticleBMJ open2024

Staying Active with Multimorbidity In Acute hospital settings (StAMInA) trial: protocol for a feasibility randomised controlled trial of allied health assistant mobility rehabilitation for patients with multimorbidity.

David A Snowdon, Yi Tian Wang, Michele L Callisaya, Taya A Collyer, Laura Jolliffe, Nathan Johns, Peggy Vincent, Nandhinee Pragash, Nicholas F Taylor

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
    Pooled it
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

9 authors.

David A SnowdonPeninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia david.snowdon@monash.edu.ORCID 0000-0003-2041-3120
Yi Tian WangDepartment of Physiotherapy, Peninsula Health, Frankston, Victoria, Australia.
Michele L CallisayaPeninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia.ORCID 0000-0003-2122-1622
Taya A CollyerPeninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia.ORCID 0000-0001-8612-1724
Laura JolliffePeninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia.ORCID 0000-0002-1369-9442
Nathan JohnsDepartment of Rehabilitation Medicine, Peninsula Health, Frankston, Victoria, Australia.
Peggy VincentDepartment of Physiotherapy, Peninsula Health, Frankston, Victoria, Australia.
Nandhinee PragashAcademic Unit, Peninsula Health, Frankston, Victoria, Australia.
Nicholas F TaylorSchool of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0001-9474-2504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKey to improving outcomes for patients with multimorbidity is increasing mobility through prescription of a physical activity programme, but this can be difficult to achieve in acute hospital settings. One approach that would assist physiotherapists to increase levels of physical activity is delegation of rehabilitation to allied health assistants. We aim to conduct a randomised controlled trial to determine the feasibility of an allied health assistant providing daily inpatient mobility rehabilitation for patients with multimorbidity. METHODS AND ANALYSIS: Using a parallel group randomised controlled design, participants will be allocated to allied health assistant mobility rehabilitation or physiotherapist mobility rehabilitation. Adult inpatients (n=60) in an acute hospital with a diagnosis of multimorbidity who walked independently preadmission will be included. The experimental group will receive routine mobility rehabilitation, including daily mobilisation, from an allied health assistant under the supervision of a physiotherapist. The comparison group will receive routine rehabilitation from a physiotherapist. Feasibility will be determined using the following areas of focus in Bowen's feasibility framework: Acceptability (patient satisfaction); demand (proportion of patients who participate); implementation (time allied health assistant/physiotherapist spends with participant, occasions of service); and practicality (cost, adverse events). Staff involved in the implementation of allied health assistant rehabilitation will be interviewed to explore their perspectives on feasibility. Secondary outcomes include: Physical activity (daily time spent walking); daily mobilisation (Y/N); discharge destination; hospital readmission; falls; functional activity (Modified Iowa Level of Assistance Scale); and length of stay. Descriptive statistics will be used to describe feasibility. Secondary outcomes will be compared between groups using Poisson or negative binomial regression, Cox proportional hazards regression, survival analysis, linear regression or logistic regression. ETHICS AND DISSEMINATION: Ethics approval was obtained from Peninsula Health (HREC/97 431/PH-2023). Findings will be disseminated in peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trial Registry ACTRN12623000584639p.

Indexed as

MultimorbidityPhysical Therapy ModalitiesAdultAustraliaFeasibility StudiesHospitalsHumansRandomized Controlled Trials as Topicgeneral medicine (see internal medicine)health services for the agedphysical therapy modalitiesrehabilitation medicine

Identifiers

PMID38216182
PMCPMC10806632

What OpenQuestion holds

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LicenceCC BY-NC
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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.