Association Between Inpatient Steps Per Day and Patient Functional Status/Disposition

NCT03595605 | Completed

• 1 other identifier: 17-01792
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

This study will incorporate the use of wearable actigraphy devices (Fitbit) on research participants admitted to medicine inpatient units at Tisch Hospital and/or NYU Brooklyn. The investigator's sample size will be 600 randomized into two groups, with basic inclusion criteria including age greater than 65 years and pre-hospital ambulatory status. While both groups will be monitored in terms of their activity (specifically pedometer data), the intervention group will have twice daily encouragement of ambulation. Once a subject is enrolled, data will be collected daily and at time of discharge.

Conditions

Physical Medicine

Outcome Measures

Primary Outcomes (1)

• Determine how many steps patients admitted to the medicine units are taking at baseline

  Steps will be measured using a wearable device (FitBit) designed to track number of steps for the duration of their hospital stay

  1 Day

Study Arms (2)

FitBit Group

EXPERIMENTAL

Will receive a wearable device (FitBit) designed to track number of steps for the duration of their hospital stay. They will receive nudges twice/day to ambulate

Behavioral: Ambulation

Control Group-Standard of Care

ACTIVE COMPARATOR

300 subjects who will receive usual standard of care on a general inpatient medicine unit with the addition of a wearable device (FitBit) to track usual mobility in this setting. will complete their admission without push for increased activity (although having the device may influence their steps taken).

Other: Standard of Care

Interventions

Ambulation BEHAVIORAL

This group will be encouraged twice daily to ambulate

FitBit Group

Standard of Care OTHER

Care as usual at inpatient NYU Langone

Control Group-Standard of Care

Eligibility Criteria

• Age: 66 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Admitted to acute inpatient medicine unit
• Ambulatory without assistive device prior to hospitalization
• Medical clearance to ambulate on the unit
• Active MyChart account or willing to activate MyChart account
• iOS or Android device

You may not qualify if:

• Patients less than or equal to 65 years old
• Not Admitted to acute inpatient medicine unit
• Ambulatory with assistive device prior to hospitalization
• No Medical clearance to ambulate on the unit
• Inactive MyChart account and not willing to activate MyChart account
• No iOS or Android device
• In addition, an individual who meets any of the following criteria will be excluded from participation in this study:
• Oxygen requirement at rest
• Lower extremity prosthesis
• Admitted for joint replacement surgery
• History of frequent falls
• Admitted for syncope.
• If patients have specifically opted out of being contacted about research (visible in the Epic header while in their chart)
• Admitted from nursing home

Sponsors & Collaborators

• NYU Langone Health: lead

Study Sites (1)

New York University School of Medicine

New York, New York, 10016, United States

Location

MeSH Terms

Interventions

Walking; Standard of Care

Intervention Hierarchy (Ancestors)

Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity; Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Gavriil Ilizarov

  NYU Langone Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 22, 2018
• First Posted: July 23, 2018
• Study Start: May 16, 2018
• Primary Completion: March 30, 2019
• Study Completion: March 30, 2019
• Last Updated: May 29, 2020

Record last verified: 2020-05

Locations

US (1)