For hospitalized older adults, every day of immobility is associated with short- and long-term functional decline. To examine the effect of WALK-FOR, in-hospital mobility program, on post-hospitalization outcomes we conducted a quasi-experimental pre-post two-group comparative study in internal-medical units. Premorbid, discharge and 1-month post-discharge basic-function and mobility were assessed in intervention (N=173) and control (N=177) groups. All participants (75.1 ± 7 years old) wore accelerometers to assess in-hospital mobility. Patients in the intervention group were encouraged to walk more than 900 steps/day and hospital-units specific challenges toward patients’ mobility were addressed. The intervention increased significantly the number of patients walking more than 900 steps/day (83.6% vs 58.7%, p<.000). In a multilevel analysis, controlling for intervening factors, the intervention group’s functional decline was significantly lower than in the control group on discharge and 1-month post-discharge. Similar trend was observed in community-mobility outcome. WALK-FOR intervention has the potential to reduce post-hospitalization functional decline.
|Number of pages||1|
|Journal||Innovation in Aging|
|Issue number||Suppl 1|
|State||Published - 2018|
|Event||21st International Association of Gerontology and Geriatrics (IAGG) World Congress - Moscone West San Francisco, San Francisco, United States|
Duration: 23 Jul 2017 → 27 Jul 2017