Daily feedback from accelerometers increases time spent walking outside of therapy for patients in post-acute care rehabilitation [synopsis]

摘要

Summary of: Peel NM, Paul SK, Cameron ID, Crotty M, Kurrie SE, Grey activity goals. The control group received usual care including setting LC. Promoting activity in geriatric rehabilitation: a randomized mobility goals but neither staff nor Fp$ITD[D2F0_] articipants received their accel- controlled trial of accelerometry. PLoS One 2016;11:e0160906. erometer data on walking times to aid the setting of walking time Question: Does providing data about daily physical activity to targets. Outcome measures: The primary outcome was walking time patients and clinicians improve the time spent walking by patients per day, in minutes, within and outside therapy sessions over a 4- in post-acute care rehabilitation? Design: Randomised, controlled week period. Secondary outcome measures were lower extremity trial with concealed allocation. Setting: Three post-acute care geriat- function, quality of life, discharge destination and hospital readmis- ric rehabilitation or geriatric evaluation and management units in sions within 28 days. Results: A total of 255 participants completed Australia. Participants: Inclusion criteria were patients: admitted for the study. At the end of the 4-week monitoring period, the average post-acute DF[D1T3$_IF]care rehabilitation, aged 60 years, who had an expected walking time per day outside therapy sessions was significantly more length of stay of at least 2 weeks, F1I4]_DTD[aF$ nd who were able to ambulate in the FDe2T$I]1F[_D xperimental group by 7 minutes (95% CI 3 to I2_FT1D2$]DF[ 1). The average independently or with supervision/assistance, [_15T$DDFIF]or who had a rehabili- walking time per day within therapy sessions was also significantly tation goal to become ambulant during their admission. Exclusion more in the [2$e1]TFDFDI_ xperimental group by 0.7 minutes (95% CI 0.1 to 1.3). The criteria were: lower limb amputation, delirium/agitated dementia, or groups did not significantly differ for any of the secondary outcomes. not expected to walk within 4 weeks of admission. Randomisation of Conclusion: Daily feedback from accelerometer data to participants 270 participants allocated 135 to receive daily feedback on walking and therapists on time spent walking increased walking times during time and 135 to a usual[16-_FTDDF$]I care control group. post-acute care rehabilitation. Objective monitoring of physical ac-Interventions: The DTF1IF[_]D$7 experimental group participants and their therapists received daily tivity can provide therapists with clinically important information feedback fromaccelerometers on the time spentwalking the previous about walking time to assist with mobility goal setting. day outside of therapy. Together, ]DF$D8FTp1[I_ articipants in the experimental [95% CIs calculated by the CAP Editor.] group and their therapists set mobility goals including targets for daily walking time. Goals were reviewed weekly and modified to Provenance: Invited. Not peer rFIF]D_T32D[$ eviewed. motivate the participant to improve incidental activity levels outside Nora ShieldsT_D9$F1FI[D] of therapy sessions and reach set targets. Walking time data were 1$DDT[_SIF1]F chool of Allied Health, La Trobe University and Northern Health, made available at weekly case conferences. Staff were trained to use Australia accelerometry data and asked to encourage 20TIDF$FD]p[_ articipants tomeet their http://dx.doi.org/10.1016/j.jphys.2017.02.004.