MOVIN Program for Early Mobility in Aging Adults
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a program called MOVIN, designed to help older adults in hospitals move more to improve physical abilities and reduce future hospital visits. It involves changing how nurses encourage and support patient movement. The trial seeks participants aged 65 and older who lived at home before hospital admission, can walk with or without assistance, have a doctor's order to walk, and will stay in the hospital for at least another day. It is not suitable for those in hospice care, with certain activity restrictions, or who primarily use a wheelchair.
As an unphased trial, this study offers participants the chance to contribute to innovative care practices that could enhance recovery and reduce hospital readmissions for older adults.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on increasing mobility, so it's best to ask the study team for guidance.
What prior data suggests that the MOVIN program is safe for older adult patients?
Research has shown that early mobility programs, such as MOVIN, are generally safe for older adults in hospitals. These programs encourage patients to start moving sooner, which can enhance their recovery. For example, one study found that more patients could walk and move around without an increase in issues like falls or injuries.
Additionally, a review found that early movement not only is safe but also reduces the time patients spend in intensive care. This allows for faster recovery without added risks. Overall, MOVIN aims to increase activity levels for older adults during their hospital stay, and research supports the safety of this approach for most participants.12345Why are researchers excited about this trial?
Researchers are excited about the MOVIN Program because it focuses on enhancing early mobility in aging adults within hospital settings, which is different from traditional care that often emphasizes bed rest. Unlike standard care that may not prioritize mobility, MOVIN involves active participation from nurses to identify and overcome barriers to patient movement. This approach not only aims to improve recovery outcomes by encouraging physical activity but also seeks to transform hospital culture towards a more proactive stance on mobility, potentially reducing complications associated with immobility in older patients.
What evidence suggests that the MOVIN program is effective for improving functional ability in older adults?
Research has shown that the MOVIN program greatly improves movement in older adults. For example, one study found that participants walked more often and farther each week. Another study showed that after a year, participants had less difficulty moving around, with more people able to stand and move to a chair, indicating better mobility. Additionally, programs like MOVIN are associated with shorter hospital stays and a reduced chance of returning to the hospital. In this trial, researchers will implement the MOVIN program on certain units and compare its effects to pre-intervention data to assess its impact on movement and health outcomes for older adults in hospitals.13467
Who Is on the Research Team?
Linsey M Steege, PhD
Principal Investigator
University of Wisconsin, Madison
Are You a Good Fit for This Trial?
This trial is for older adults aged 65 or above who were living at home before hospital admission, can walk (with help if needed), and have a doctor's order to walk. They must be in the hospital's general medical unit and speak English. People with bed rest orders, severe cognitive issues like dementia, wheelchair users, amputees, or those receiving end-of-life care cannot join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-intervention
Recruitment of older adult patients on units across hospitals before the implementation of the MOVIN intervention
Intervention
Implementation of the MOVIN intervention to improve patient ambulation and change nursing practice
Post-intervention
Follow-up and data collection on patient outcomes and healthcare utilization post-MOVIN implementation
Follow-up
Participants are monitored for functional ability and healthcare utilization at discharge, and 1, 3, and 6 months post-discharge
What Are the Treatments Tested in This Trial?
Interventions
- MOVIN
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Wisconsin, Madison
Lead Sponsor
Wake Forest University Health Sciences
Collaborator
Aurora Health Care
Collaborator
Agency for Healthcare Research and Quality (AHRQ)
Collaborator