Bergsma Dominique, Panait Claudia, Leist Pascal, Mooser Blandine, Pantano Lynn, Liechti Fabian D, Gentizon Jenny, Baumgartner Christine, Mancinetti Marco, Méan Marie, Schmidt Leuenberger Joachim M, Aubert Carole E
Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Internal Medicine, Fribourg Cantonal Hospital, Fribourg, Switzerland.
Gerontol Geriatr Med. 2023 Sep 30;9:23337214231202148. doi: 10.1177/23337214231202148. eCollection 2023 Jan-Dec.
To reduce adverse outcomes of low hospital mobility, we need interventions that are scalable in everyday practice. This study assessed the feasibility and acceptability of the INTOMOB multilevel intervention addressing barriers to hospital mobility without requiring unavailable resources. The INTOMOB intervention, targeting older patients, healthcare professionals (HCPs) and the hospital environment, was implemented on acute general internal medicine wards of three hospitals (12/2022-03/2023). Feasibility and acceptability of the intervention were assessed and two types of accelerometers compared in a mixed methods study (patient and HCP surveys and interviews). Quantitative data were analyzed descriptively and qualitative data using a deductive approach. Results were integrated through meta-inferences. Of 20 patients (mean age 74.1 years), 90% found the intervention helpful and 82% said the environment intervention (posters) stimulated mobility. The majority of 44 HCPs described the intervention as clear and helpful. There was no major implementation or technical issue. About 60% of patients and HCPs preferred a wrist-worn over an ankle-worn accelerometer. The INTOMOB intervention is feasible and well accepted. Patients' and HCPs' feedback allowed to further improve the intervention that will be tested in a cluster randomized trial and provides useful information for future mobility-fostering interventions.
为减少低医院活动能力带来的不良后果，我们需要在日常实践中可扩展的干预措施。本研究评估了INTOMOB多层次干预措施的可行性和可接受性，该措施旨在解决医院活动能力的障碍，且无需不可用的资源。针对老年患者、医护人员（HCPs）和医院环境的INTOMOB干预措施在三家医院的急性普通内科病房实施（2022年12月至2023年3月）。在一项混合方法研究（患者和HCPs调查及访谈）中评估了干预措施的可行性和可接受性，并比较了两种类型的加速度计。对定量数据进行描述性分析，对定性数据采用演绎法分析。通过元推理整合结果。20名患者（平均年龄74.1岁）中，90%认为干预措施有帮助，82%表示环境干预（海报）促进了活动能力。44名HCPs中的大多数将干预措施描述为清晰且有帮助。没有重大的实施或技术问题。约60%的患者和HCPs更喜欢佩戴在手腕上而非脚踝上的加速度计。INTOMOB干预措施是可行的且广受接受。患者和HCPs的反馈有助于进一步改进该干预措施，该措施将在一项整群随机试验中进行测试，并为未来促进活动能力的干预措施提供有用信息。
