ArticleJournal of general internal medicine2026
Comparing Approaches to Support Implementation of a Hospital Walking Program: Evidence from a Cluster Randomized Trial.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04868656 (Implementing a Hospital-Based Walking Program), which is not on this map. Not yet cited in PubMed.
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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.
Implementing a Hospital-Based Walking Program (STRIDE): Function QUERI 2.0 (QUE 20-023)
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Authors and funding
16 authors.
Funding
Abstract
backgroundHospital mobility programs align with age-friendly care principles by promoting functional recovery for older adults; however, optimal strategies for implementing such programs remain unclear.
objectiveTo compare two approaches for implementing the STRIDE hospital mobility program across Veterans Affairs (VA) hospitals.
designParallel cluster randomized controlled trial in 35 VA hospitals, with hospitals assigned to foundational (n = 19) or enhanced (n = 16) support arms.
participantsGeneral medicine hospitalizations among patients aged 60 years and older.
interventionsFoundational support included access to standardized program materials, online resources, data dashboards, and peer mentoring. Enhanced support included tailored 1:1 facilitation sessions for hospitals failing to meet initial program activity benchmarks. MAIN MEASURES: Primary outcomes were penetration (hospitalizations with ≥ 1 STRIDE walk), fidelity (hospital days meeting walking activity benchmarks), and program adoption. KEY
resultsDuring the 10-month observation period, median number of hospitalizations with a STRIDE walk was 70 in the foundational arm (IQR 3-131; range 0-374) and 34 in the enhanced arm (IQR 15-72; range 0-370). At 10-months, in adjusted models, there were no differences between arms in estimated percentage of hospitalizations with at least one STRIDE walk (1.9% in enhanced support and 4.0% in foundational support with estimated mean difference of -2.1% [95% CI -5.0%, 0.8%; p = 0.15]), or STRIDE hospital days meeting fidelity metrics (37.7% in enhanced support and 32.3% in foundational support with estimated mean difference of 5.3% [95% CI -6.0%, 16.6%; p = 0.34]). Overall rates of STRIDE initiation were 81% (n = 13) in the enhanced arm and 74% (n = 14) in the foundational arm. Barriers and facilitators to implementation were similar across arms.
conclusionsThis study found no significant advantage of enhanced over foundational support for implementing the STRIDE hospital mobility program. Development of targeted implementation strategies to improve reach is needed to enhance overall impact of hospital mobility programs and age-friendly care initiatives. CLINICAL TRIALS: ClinicalTrials.gov (identifier NCT04868656).
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