Technology Assisted Nudging to Increase Physical Activity Among Hospitalised Medical Patients

NCT06336252 | Completed

• 1 other identifier: F-23059441
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

Primary Objective To investigate if patients hospitalised for older adults with a decreased level of physical function, either related to a chronic condition e.g., COPD, Congestive heart failure, renal failure; infections; frailty and tendency of falling; orthopaedic surgery - after hip fracture will increase their time spent out of bed during hospitalisation and 3 months after discharge through visual feedback and motivational intervention about physical activities from a new mobile technology. Hypothesis Patients hospitalised for medical disease will increase their physical activity level during hospitalisation and 3 months after discharge through visual feedback and motivational intervention from a new mobile technology.

Conditions

COPD; Heart Failure; Parkinson Disease; Arthritis; Old Age; Cachexia; Stroke Sequelae

Outcome Measures

Primary Outcomes (1)

• Time spent out of bed measured in minutes related to the total accelerometer wear time (minutes)

  To assess physical activity a small tri-axial accelerometers is used. The accelerometer measures activity data in minutes per day.

  3 month

Secondary Outcomes (7)

• Readmission within 90 days

  3 month

• Length of stay (days)

  3 month assessment

• Time spent lying down, sitting, standing, and walking measured in minutes related to the total accelerometer wear time (minutes)

  3 month

• Time spent out of bed in hospital in minutes related to the total accelerometer wear time (minutes)

  3 month assessment

• Time spent out of bed after discharge in minutes related to the total accelerometer wear time (minutes)

  3 month

Study Arms (2)

Arm 1 digital nudging

EXPERIMENTAL

In hospital Participants in the intervention group will receive usual hospital care and be provided with a sensor collecting data on physical activity level during hospitalisation AND a monitor placed at their bedside that displays information about their physical activity level, in terms of time spent bedridden, sitting, standing, and walking. This information will be visible to the health personnel, the patients, and their relatives. This feedback system is developed and provided by SENS Innovation. After discharge The visual feedback system from SENS will be continued after discharge and include an E-sport biking system provided by 4Mvideo. This integrated new system will combine an ergometer bike or sofa bike installed in the patient's own home or nursing home, and data from the sensor that the participants continue to wear after discharge will go into the SENS system, feeding back a visual track of their activities

Behavioral: Digital nudging intervention target to change behavior

Arm 2 usual care

NO INTERVENTION

The participants in the non-exposed cohort will receive usual hospital care and be provided with a sensor collecting data on activity level during hospitalisation.

Interventions

Digital nudging intervention target to change behavior BEHAVIORAL

In hospital Participants in the intervention group will receive usual hospital care and be provided with a sensor collecting data on physical activity level during hospitalisation AND a monitor placed at their bedside that displays information about their physical activity level, in terms of time spent bedridden, sitting, standing, and walking. This information will be visible to the health personnel, the patients, and their relatives. This feedback system is developed and provided by SENS Innovation. After discharge The visual feedback system from SENS will be continued after discharge and include an E-sport biking system provided by 4Mvideo. This integrated new system will combine an ergometer bike or sofa bike installed in the patient's own home or nursing home, and data from the sensor that the participants continue to wear after discharge will go into the SENS system, feeding back a visual track of their activities

Arm 1 digital nudging

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• An individual will be eligible for study participation if he/she meets the following criteria:
• Aged ≥60
• Is admitted to one of the participating departments
• Has signed informed consent
• Reads and speaks Danish, Norwegian, Italian, or English

You may not qualify if:

• An individual will be excluded from the study if he/she meets any of the following criteria:
• Any condition that, in the opinion of the investigator, makes the person unfit for participation, e.g., delirium and/or psychotic symptoms; moderate or severe depression (GDS\>8 (short form)); major surgery; moderate/severe dementia (MoCA≤18); chemotherapy or radiation treatment ongoing at enrolment; moderate/severe frailty (CFS≥6)
• Expected hospitalisation less than 24 hours
• Has allergy towards band aid
• Enrolled in any other clinical study within the duration of the current study.

Sponsors & Collaborators

• Bispebjerg Hospital: lead
• AAL: collaborator
• Innovationsfonden: collaborator

Study Sites (1)

Christian Dall

Copenhagen, 2400, Denmark

Location

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Heart Failure; Parkinson Disease; Arthritis; Cachexia

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Heart Diseases; Cardiovascular Diseases; Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases; Joint Diseases; Musculoskeletal Diseases; Weight Loss; Body Weight Changes; Body Weight; Signs and Symptoms; Thinness

Study Officials

• Morten T Kristensen, Professor

  Bispebjerg Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Primary outcome (accelerometer data) blinded for the investigator and assesor.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Model Details: 1/1 allocation

Study Record Dates

• First Submitted: March 13, 2024
• First Posted: March 28, 2024
• Study Start: May 3, 2024
• Primary Completion: June 7, 2025
• Study Completion: June 7, 2025
• Last Updated: September 4, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)