Effect of Using a Reminder to Encourage Patients to be Active During Their Hospital Stay.
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorGroupe Hospitalier du Havre
About this trial
Around 30% of patients aged 65 and over experience functional decline due to hospitalization. Physical inactivity, often without medical justification, is common during hospital stays.This immobility leads to loss of autonomy, muscle strength, and increases post-discharge risks.
Slow walking for 25-40 minutes daily significantly improves functional capacity. However, it could be difficult to reach this time of walking due to a lack of physiotherapist in hospital.
A vibrating watch may encourage patients to walk or perform strengthening exercises. This simple intervention aims to improve function without requiring additional staff or resources
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 50 or over with a score of 4 or above on the Clinical Frailty Scale (vulnerable but not dependent patients, symptoms limiting activities, patients who are slower/more fatigued).
Must be able to get up from a chair without assistance.
Patients must be able to communicate with staff, understand instructions, give consent, and cooperate with staff.
Disqualifiers
Patients with an estimated hospital stay of less than 5 days.
Contraindications to physical activity determined by the medical team (e.g., cardiovascular instability, orthopedic contraindications, etc.).
Terminal illness.
Patients scheduled for surgery.
Trial design
Design model
Parallel
Treatments tested in this trial
Vibrating reminder
DeviceThe exercises will be prescribed according to the patient's physical abilities and environmental constraints. A vibrating reminder will be given to the patient, set to go off six times a day.
Control group
DeviceThe exercises will be prescribed according to the patient's physical abilities and environmental constraints. A vibrating reminder will be given to the patient, set to go off once time a day.
Treatment groups
204 Participants
are divided into 2 treatment groupsGroup A: InterventionExperimental treatment 1 intervention
Group B: controlSham comparator 1 intervention
Trial outcomes
Primary outcomes
1
SPPB
The SPPB (Short Physical Performance Battery) is the sum of scores on three criteria: the balance test, the walking speed test, and the chair rise test. This test assesses an individual's physical performance. The score ranges from 0 (lowest) to 12 (highest). The magnitude of change considered clinically relevant for the SPPB is 1 point.
Time frame
Within 24 hours of admission and within 48 hours prior to discharge from hospital.Secondary outcomes
1
Volume and intensity of physical activity
The number of steps per day and the number of movements per minute will be measured.An accelerometer will be placed on the wrist of the non-dominant limb. Data will be measured 24 hours a day.
Time frame
Within 24 hours of admission and within 48 hours prior to discharge from hospital.2
functional independancy
Will be measured using the Barthel Index, based on the patient's level of independancy during the week prior to hospitalization and upon discharge from the hospital. The Barthel Index assesses a person's ability to perform ten essential activities of daily living.
Time frame
Within 24 hours of admission and within 48 hours prior to discharge from hospital.3
Patient compliance to the prescribed exercises
Compliance will be measured using a compliance record sheet. This will enable us to note whether the exercises have been performed, and if so, the number of times per day, the schedule, the type, the reason for interruption, and whether or not there has been any pain, rated from 0 to 10.
Time frame
Within 24 hours of baseline and within 48 hours prior to discharge from hospital4
falls
number of falls during hospitalization
Time frame
Within 24 hours of baseline and within 48 hours prior to discharge from hospital ; and at 3 months after discharge.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Groupe Hospitalier du Havre
Lead sponsor
Centre Hospitalier de Valence
Collaborator
Centre Hospitalier of Chartres
Collaborator
Source ClinicalTrials.gov