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https://doi.org/10.1093/ageing/afy202.02
Copy DOIJournal: Age and Ageing | Publication Date: Feb 1, 2019 |
Citations: 1 |
Introduction: sedentary behaviour among older inpatients is associated with increased risk of functional decline, institutionalisation and death. Studies have shown that exercise and mobility interventions can reduce the risks of some of these adverse effects. However, most studies use paid staff to deliver such interventions. We explored the feasibility and acceptability of training volunteers to promote increased physical activity among older inpatients. Methods: this pre-post mixed methods study was conducted on acute medical wards for older people. Eligible patients were aged ≥70 years, mobile prior to admission and able to provide written consent. Physical activity levels were measured using two accelerometers: the ankle-worn StepWatch Activity Monitor and wrist-worn GENEActiv. Volunteers were trained and supported by therapists to deliver individual twice-daily activity sessions, which consisted of walking, chair, and/or bed exercises. Six nurses, seven therapists, six volunteers and six patients were interviewed to determine their views of the intervention. Results: 50 participants pre-intervention (mean age 87 years, SD 4.6) had a median daily step count of 626 (IQR 298–1468) and mean daily acceleration of 9.1 milligravity (SD 3.3) ( Conclusions: findings from this study demonstrate the sedentary behaviour of older medical inpatients. Trained volunteers can safely deliver mobility and exercise interventions for older inpatients. A controlled trial is required to determine the impact of trained volunteers on patient outcomes.
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