Department of Physical Therapy, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Department of Rehabilitation, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Sensors (Basel). 2024 Sep 12;24(18):5920. doi: 10.3390/s24185920.
This study investigates the effectiveness of using Hospital Fit as part of usual care physiotherapy on the physical activity (PA) behavior of hospitalized patients compared to patients who received physiotherapy before implementation of Hospital Fit. In addition, a process evaluation is conducted. A prospective, multi-center, mixed-methods stepped wedge cluster randomized trial was performed at the cardiology and medical oncology departments of two Dutch university medical centers. Patients were included in the non-intervention or intervention phase. During the non-intervention phase, patients received usual care physiotherapy. During the intervention phase, Hospital Fit was additionally used. Mean time spent walking, standing, lying/sitting per day and the number of postural transitions from lying/sitting to standing/walking positions were measured using an accelerometer and analyzed using linear mixed models. A process evaluation was performed using questionnaires and semi-structured interviews with patients and focus-group interviews with healthcare professionals. A total of 77 patients were included, and data from 63 patients were used for data analysis. During the intervention phase, the average time spent walking per day was 20 min (95% confidence interval: -2 to 41 min) higher than during the non-intervention phase ( = 0.075). No significant differences were found for mean time spent standing per day, mean time spent lying/sitting per day, or the number of postural transitions per day either. During the intervention phase, 87% of patients used Hospital Fit at least once, with a median daily use of 2.5 to 4.0 times. Patients and healthcare professionals believed that Hospital Fit improved patients' PA behavior and recovery. Insufficient digital skills and technical issues were described as challenges. Although patients and healthcare professionals described Hospital Fit as an added value, no statistically significant effects were found.
本研究旨在调查将 Hospital Fit 作为常规物理治疗的一部分用于住院患者的身体活动 (PA) 行为的效果，与接受 Hospital Fit 实施前的物理治疗的患者相比。此外，还进行了过程评估。这是一项在荷兰两所大学医学中心的心脏病学和肿瘤医学科进行的前瞻性、多中心、混合方法、阶梯式楔形集群随机试验。患者被纳入非干预或干预阶段。在非干预阶段，患者接受常规护理物理治疗。在干预阶段，还额外使用了 Hospital Fit。使用加速度计测量每天平均行走、站立、躺着/坐着的时间以及从躺着/坐着到站立/行走位置的姿势转换次数，并使用线性混合模型进行分析。使用问卷和患者半结构化访谈以及医疗保健专业人员焦点小组访谈进行了过程评估。共纳入 77 名患者，其中 63 名患者的数据用于数据分析。在干预阶段，每天平均行走时间比非干预阶段高出 20 分钟（95%置信区间：-2 至 41 分钟）（ = 0.075）。每天平均站立时间、每天平均躺着/坐着时间或每天姿势转换次数也没有显著差异。在干预阶段，87%的患者至少使用过一次 Hospital Fit，中位数每天使用 2.5 到 4.0 次。患者和医疗保健专业人员认为 Hospital Fit 改善了患者的 PA 行为和康复。他们还描述了数字技能不足和技术问题是挑战。尽管患者和医疗保健专业人员认为 Hospital Fit 具有附加价值，但没有发现统计学上的显著效果。
