The WALK-Copenhagen Trial (WALK-Cph): a Mixed Methods Study

NCT03825497 | Terminated

• 1 other identifier: H-18027877
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

The WALK-Copenhagen project aims at enhancing physical activity during and after hospitalization in older medical patients by an intervention developed in co-operation with key stakeholders

Conditions

Hospitalization; Activity

Keywords

older medical patient; mobility; hospitalization; activity monitoring; cross sectoral

Outcome Measures

Primary Outcomes (1)

• Upright time measured by an ActivPal (PAL Technologies Ltd) activity monitor

  Between group difference in time spent standing or walking per day (Upright time)

  Mean number of hours per day spent upright during hospitalization (up to 7 days)

Secondary Outcomes (8)

• Number of steps measured by an ActivPal (PAL Technologies Ltd) activity monitor

  Mean number of steps per day during hospitalization (up to 7 days)

• Time spent lying/sitting measured by an ActivPal (PAL Technologies Ltd) activity monitor

  Mean number of hours per day spent lying/sitting during hospitalization (up to 7 days)

• Change in upright time measured by an ActivPal (PAL Technologies Ltd) activity monitor

  Change in mean number of hours per day spent upright between hospitalization and 4 weeks after discharge

• Change in number of steps measured by an ActivPal (PAL Technologies Ltd)activity monitor

  Change in mean number of steps per day between hospitalization and 4 weeks after discharge

• Change in time spent lying/sitting measured by an ActivPal (PAL Technologies Ltd) activity monitor

  Change in mean number of hours per day spent lying/sitting between hospitalization and 4 weeks after discharge

Study Arms (2)

Intervention

EXPERIMENTAL

1\) On admission, patients will receive a welcome folder focusing on physical activity; 2) daily during hospitalization, patients will be encouraged to walk along a walk path in the hallway; 3) during hospitalization, patients will be encouraged to consult and use posters with exercises (sit to stand, heel raise, balance); 4) on admission, patients will receive a prescribed walk plan with 3 daily walking sessions to perform during hospitalization (3 times 1 minute, 5 minutes or 10 minutes); 5) during hospitalization patients will be motivated to pick up of clothes and beverages themselves; 6) patients will be discharged with a walk plan to use at home; 7) after discharge the municipality will follow up on patients receiving home care and patients with a rehabilitation plan

Other: Promotion of activity during and after hospitalization

Usual care

NO INTERVENTION

All patients admitted to the control wards will receive usual care during and after hospitalization.

Interventions

Promotion of activity during and after hospitalization OTHER

1\) a welcome folder encouraging physical activity; 2) encouragement to use a walk path established in the ward; 3) encouragement to use posters containing exercise suggestions;4) prescription of a walk-plan for in-hospital use; 5) encouragement to pick up clothes and beverages by oneself; 6) prescription of a walk-plan at discharge for at home use 7) follow-up on walk plan after discharge by municipality

Intervention

Eligibility Criteria

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

You may qualify if:

• +65 years
• acutely admitted to intervention wards
• able to walk independently with or without walking aid

You may not qualify if:

• in isolation
• inability to cooperate
• not able to speak or understand Danish
• in treatment for cancer
• terminally ill
• transferred to intensive care unit or another ward within 24 hours after admission

Sponsors & Collaborators

• Copenhagen University Hospital, Hvidovre: lead
• Velux Fonden: collaborator
• Danske Fysioterapeuter: collaborator

Study Sites (1)

Copenhagen University Hospital, Hvidovre

Hvidovre, 2650, Denmark

Location

Related Publications (1)

• Pedersen BS, Kirk JW, Olesen MK, Gronfeldt BM, Stefansdottir NT, Brodsgaard R, Tjornhoj-Thomsen T, Nilsen P, Andersen O, Bandholm T, Pedersen MM. Feasibility and implementation fidelity of a co-designed intervention to promote in-hospital mobility among older medical patients-the WALK-Copenhagen project (WALK-Cph). Pilot Feasibility Stud. 2022 Apr 9;8(1):80. doi: 10.1186/s40814-022-01033-z.

  PMID: 35397574 DERIVED

Related Links

• A tailored strategy for designing the Walk-Copenhagen (WALK-Cph) intervention to increase mobility in hospitalised older medical patients: a protocol for the qualitative part of the WALK-Cph project

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Mette M Pedersen, PhD

  Postdoc, Clinical Research Centre, Hvidovre Hospital, Denmark

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: All patients at the intervention wards will receive the intervention why neither investigators nor outcome assessors will be blinded to the intervention. Patients at intervention and control wards will get equal information regarding the study and will be asked to participate in equal assessments
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Postdoctoral Fellow

Model Details: A feasibility study at Medical Wards (intervention wards) in Oct 2018, January 2019 and February 2019 prior to a cluster randomized trial. Medical wards at 4 different hospitals representing clusters - 2 intervention clusters and 2 control clusters.

Study Record Dates

• First Submitted: October 5, 2018
• First Posted: January 31, 2019
• Study Start: September 25, 2018
• Primary Completion: October 31, 2019
• Study Completion: October 31, 2019
• Last Updated: November 22, 2019

Record last verified: 2019-11

Locations

DK (1)