Preventing Frailty in Hospital Through Mobilizing
This study aims to understand if encouraging hospital patients, particularly those aged 50 and over, to move more during their stay can improve their health and recovery. Many older patients can become weaker or less able to do everyday tasks after a hospital stay, a condition called frailty. This can lead to longer hospital stays and readmissions. We're building on previous research that showed moving around can help. We're now comparing how patients fare if they receive our standard support to get active versus more frequent check-ins and help. We'll use special activity trackers and health checks to see if increased activity reduces frailty, shortens hospital stays, and lowers the chance of them coming back to the hospital soon after discharge.
At a glance
What is this study about?
When people get older, their health can vary a lot, even if they're the same age. Some older adults can become 'frail,' which means they are more vulnerable, weaker, and can struggle more with everyday activities. If someone is frail when they go into hospital, they are much more likely to find it harder to get back to their usual self afterwards. They might have difficulty with things like eating, getting out of bed, or using the toilet, and might even need to stay in hospital for longer or come back soon after being discharged.
We know that staying active and moving around, rather than lying or sitting for long periods, can really help prevent and improve frailty. Even just walking outside your room once a day in hospital can lead to a shorter stay. We've previously done some work in a hospital in Canada where specialists called Kinesiologists helped patients move around regularly. We saw good results, with patients becoming less frail.
Now, we're taking this a step further in another hospital. They already have Kinesiologists helping patients move daily on certain wards. We want to see how well this program is working and if giving patients even more support and encouragement to be active – like visiting them multiple times a day instead of just once – makes an even bigger difference. We'll be using special devices to track activity and doing health checks to see if these efforts help patients leave the hospital healthier and reduce their chances of needing to come back.
Key takeaways
- This study evaluates how supporting hospital patients to move more can reduce frailty.
- Frailty can make hospital recovery harder and increase readmission risks.
- We are comparing different levels of support from exercise specialists (Kinesiologists).
- Participation involves safely increasing activity and regular health checks.
- The aim is for patients to leave hospital healthier with a reduced risk of returning.
- You can stop participating at any time without affecting your care.
Who may be eligible?
To be able to take part in this study, you would need to be at least 50 years old and expected to stay in the hospital for at least three days. You also shouldn't be sharing a room with another person who is already in the study.
It's important that you are able to understand what the study involves and agree to take part yourself. If you're not able to give your consent, a close family member or caregiver can do so on your behalf.
However, you wouldn't be able to join if you are already taking part in another clinical study or if you've already received a treatment or intervention that could affect the results of this particular research.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 50 years old or older?
- Are you likely to stay in hospital for at least three days?
- Are you able to agree to take part, or do you have a family member who can?
- Are you NOT currently part of another clinical study?
- Are you NOT sharing a room with another study participant?
What does participation involve?
If you decide to take part, you'll be encouraged to move around more during your hospital stay. Depending on which group you're in, you might receive visits from a Kinesiologist once a day or multiple times a day. A Kinesiologist is an exercise specialist who can help you with safe ways to be more active. We'll also use special activity sensors, like those worn on your wrist, to keep track of how much you move. Before you start and when you leave the hospital, we'll do some health checks to see how your frailty levels have changed. We'll also keep track of how long your hospital stay is and if you need to be readmitted. The total duration of your participation would be for the length of your hospital stay and any follow-up related to readmissions.
Potential risks and benefits
Locations (1)
- Dr. Georges-L.-Dumont University Hospital CentreVerified postcodeMoncton, Canada· Recruiting
Common questions
What is 'frailty'?
Frailty means you might feel weaker, have less energy, or find everyday activities harder. It can make recovering from illness or hospital stays more difficult.
Will I have to do difficult exercises?
No, the Kinesiologists will help you with safe and gentle movements that are appropriate for your health and ability, aiming to get you moving a bit more than you might otherwise.
How long will I be in the study?
You'll be part of the study for the duration of your hospital stay, and we'll track if you are readmitted to hospital afterwards.
Will this affect my usual hospital care?
No, taking part in this study will not affect the usual medical care you receive from the hospital staff.
What if I get tired or don't feel like moving?
You can always tell the Kinesiologist if you're not feeling up to it. Your comfort and safety are the most important things, and you won't be forced to do anything you don't want to.
How to find out more
Myles W O'Brien, PhD
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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