Social Incentives to Increase Mobility
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Chronic Obstructive Pulmonary Disease, Pneumonia, Cardiology, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/12/2018 |
| Start Date: | January 11, 2018 |
| End Date: | May 2019 |
Social Incentives to Increase Mobility Among Hospitalized Patients: The MOVE IT Randomized Trial
This study aims to assess the effectiveness of a social incentive-based gamification
intervention to increase physical activity in the 3 months after hospital discharge.
intervention to increase physical activity in the 3 months after hospital discharge.
This study aims to assess the effectiveness of a social incentive-based gamification
intervention to increase physical activity in the 3 months after hospital discharge. To do
this, the investigators will conduct a two-arm randomized, controlled trial during the
3-months after hospital discharge comparing a control group that uses a wearable device to
track physical activity to an intervention group that uses the same wearable devices and
receives a supportive social incentive-based gamification intervention to adhere to a step
goal program. Patients will be enrolled during hospitalization from medicine and oncology
floors into three phases. In phase 1 (hospitalization), patients inpatient step counts will
be monitored. In phase 2 (week 1 post-discharge), patients will have a baseline step count
estimated. In phase 3 (weeks 2-13 post-discharge), patients will be randomly assigned to the
control or intervention group. Patients will be considered enrolled in the trial if they
complete the run-in periods (phases 1 and 2) and then are randomized into phase 3.
The enrollment phase will be part of another randomized trial which evaluates the impact of
three recruitment strategies on patient enrollment. This trial will be completed and unmasked
to patients before they begin the phase 1 of our study.
The investigators will also explore patients' physical activity while in the hospital and if
that differs across floors that have or have not deployed a nursing mobility protocol.
Changes in patient functional decline and 30-day hospital readmission will also be explored.
intervention to increase physical activity in the 3 months after hospital discharge. To do
this, the investigators will conduct a two-arm randomized, controlled trial during the
3-months after hospital discharge comparing a control group that uses a wearable device to
track physical activity to an intervention group that uses the same wearable devices and
receives a supportive social incentive-based gamification intervention to adhere to a step
goal program. Patients will be enrolled during hospitalization from medicine and oncology
floors into three phases. In phase 1 (hospitalization), patients inpatient step counts will
be monitored. In phase 2 (week 1 post-discharge), patients will have a baseline step count
estimated. In phase 3 (weeks 2-13 post-discharge), patients will be randomly assigned to the
control or intervention group. Patients will be considered enrolled in the trial if they
complete the run-in periods (phases 1 and 2) and then are randomized into phase 3.
The enrollment phase will be part of another randomized trial which evaluates the impact of
three recruitment strategies on patient enrollment. This trial will be completed and unmasked
to patients before they begin the phase 1 of our study.
The investigators will also explore patients' physical activity while in the hospital and if
that differs across floors that have or have not deployed a nursing mobility protocol.
Changes in patient functional decline and 30-day hospital readmission will also be explored.
Inclusion Criteria:
- Age 18 or older
- Admitted to medicine or oncology floor in the hospital
Exclusion Criteria:
- Inability to provide informed consent
- Does not have daily access to a smartphone compatible with the wearable device
- Already enrolled in another physical activity program
- Inpatient mobility score of 0 or 1 indicating that physical activity is not
appropriate for the patient
- Any other medical conditions that would prohibit participation in a 3-month physical
activity program
- Unable to complete the run-in phases (e.g. not discharged from the hospital within 60
days of enrolling; not willing to use the wearable device for the 3-month
post-discharge intervention).
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