Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
Clin Rehabil. 2020 Jul;34(7):901-915. doi: 10.1177/0269215520920662. Epub 2020 May 31.
The aim of this study was to evaluate the feasibility and preliminary effects of a multicomponent intervention to decrease sedentary time during and shortly after hospitalization.
This is a quasi-experimental pilot study comparing outcomes in patients admitted before and after the implementation of the intervention.
The study was conducted in a university hospital.
Participants were adult patients undergoing elective organ transplantation or vascular surgery.
In the control phase, patients received usual care, whereas in the intervention phase, patients also received a multicomponent intervention to decrease sedentary time. The intervention comprised eight elements: paper and digital information, an exercise movie, an activity planner, a pedometer and Fitbit Flex™, a personal activity coach and an individualized digital training program.
Measures of feasiblity were the self-reported use of the intervention components (yes/no) and satisfaction (low-high = 0-10). Main outcome measure was the median % of sedentary time measured by an accelerometer worn during hospitalization and 7-14 days thereafter.
A total of 42 controls (mean age = 59 years, 62% male) and 52 intervention patients (58 years, 52%) were included. The exercise movie, paper information and Fitbit Flex were the three most frequently used components, with highest satisfaction scores for the fitbit, paper information, exercise movie and digital training. Median sedentary time decreased from 99.6% to 95.7% and 99.3% to 91.0% between Days 1 and 6 in patients admitted in the control and intervention phases, respectively. The difference at Day 6 reached statistical significance (difference = 41 min/day, = 0.01). No differences were seen after discharge.
Implementing a multicomponent intervention to reduce sedentary time appeared feasible and may be effective during but not directly after hospitalization.
本研究旨在评估一项多组分干预措施在住院期间和出院后不久减少久坐时间的可行性和初步效果。
这是一项比较干预措施实施前后患者结局的准实验性试点研究。
研究在一所大学医院进行。
接受择期器官移植或血管手术的成年患者。
在对照阶段，患者接受常规护理，而在干预阶段，患者还接受了一项多组分干预措施以减少久坐时间。该干预措施包括八项内容：纸质和数字信息、运动电影、活动计划、计步器和 Fitbit Flex™、个人活动教练和个性化数字培训计划。
可行性测量指标为患者自我报告的干预措施组件使用情况（是/否）和满意度（低-高=0-10）。主要结局测量指标为住院期间和出院后 7-14 天佩戴加速度计测量的久坐时间中位数百分比。
共纳入 42 例对照患者（平均年龄=59 岁，62%为男性）和 52 例干预患者（58 岁，52%）。运动电影、纸质信息和 Fitbit Flex 是使用最多的三个组件，Fitbit、纸质信息、运动电影和数字培训的满意度得分最高。在对照和干预阶段入院的患者中，第 1 天至第 6 天期间，中位数久坐时间从 99.6%分别降至 95.7%和 99.3%至 91.0%。第 6 天的差异具有统计学意义（差异=41 分钟/天，=0.01）。出院后没有差异。
实施多组分干预措施以减少久坐时间似乎是可行的，并且在住院期间可能有效，但在出院后直接应用可能无效。
