Promoting activity in geriatric rehabilitation: a randomized controlled trial of accelerometry

Peel, Nancye M., Paul, Sanjoy K., Cameron, Ian D., Crotty, Maria, Kurrle, Susan E. and Gray, Leonard C. (2016) Promoting activity in geriatric rehabilitation: a randomized controlled trial of accelerometry. Plos One, 11 8: . doi:10.1371/journal.pone.0160906

Author Peel, Nancye M.
Paul, Sanjoy K.
Cameron, Ian D.
Crotty, Maria
Kurrle, Susan E.
Gray, Leonard C.
Title Promoting activity in geriatric rehabilitation: a randomized controlled trial of accelerometry
Journal name Plos One   Check publisher's open access policy
ISSN 1932-6203
Publication date 2016-08-26
Year available 2016
Sub-type Article (original research)
DOI 10.1371/journal.pone.0160906
Open Access Status DOI
Volume 11
Issue 8
Total pages 13
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Language eng
Abstract Background
Formatted abstract
Background: Low activity levels in inpatient rehabilitation are associated with adverse outcomes. The study aimed to test whether activity levels can be increased by the provision of monitored activity data to patients and clinicians in the context of explicit goal setting.

Methods: A randomized controlled trial in three sites in Australia included 255 inpatients aged 60 and older who had a rehabilitation goal to become ambulant. The primary outcome was patients' walking time measured by accelerometers during the rehabilitation admission. Walking times from accelerometry were made available daily to treating therapists and intervention participants to motivate patients to improve incidental activity levels and reach set goals. For the control group, 'usual care' was followed, including the setting of mobility goals; however, for this group, neither staff nor patients received data on walking times to aid the setting of daily walking time targets.

Results: The median daily walking time in the intervention group increased from 10.3 minutes at baseline to 32.1 minutes at day 28, compared with an increase from 9.5 to 26.5 minutes per day in the control group. Subjects in the intervention group had significantly higher non-therapy walking time by about 7 minutes [mean (95% CI): 24.6 (21.7, 27.4)] compared to those in the control group [mean(95% CI): 17.3 (14.4, 20.3)] (p = 0.001).

Conclusions: Daily feedback to patients and therapists using an accelerometer increased walking times during rehabilitation admissions. The results of this study suggest objective monitoring of activity levels could provide clinicians with information on clinically important, mobility-related activities to assist goal setting.

Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12611000034932
Keyword Multidisciplinary Sciences
Science & Technology - Other Topics
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID APP1007886
Institutional Status UQ

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