AMP Implementation for Immobility

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Johns Hopkins Hospital, Baltimore, MD
Immobility+1 More
AMP Implementation - Other
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a mobility program can improve mobility and reduce hospital length of stay for hospitalized patients.

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Eligible Conditions

  • Immobility
  • Disability

Treatment Effectiveness

Study Objectives

This trial is evaluating whether AMP Implementation will improve 3 primary outcomes and 6 secondary outcomes in patients with Immobility. Measurement will happen over the course of 39 months.

39 months
% of patients meeting daily mobility goal
% of patients receiving physical and/or occupational therapy consults
% of patients with mobility measurements documented daily
Discharge disposition status
Employee injuries resulting from patient mobilization
Hospital length of stay (days)
Number of hospital-acquired morbidities
Number of patients with 30-day readmissions
Number of physical and occupational therapy visits received during inpatient stay

Trial Safety

Trial Design

1 Treatment Group

AMP Implementation
1 of 1
Experimental Treatment

This trial requires 2400 total participants across 1 different treatment group

This trial involves a single treatment. AMP Implementation is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

AMP Implementation
Other

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 39 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 39 months for reporting.

Closest Location

Johns Hopkins Hospital - Baltimore, MD

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 2 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
were started on enteral feeding within hours of admission All adult patients admitted to the study hospital unit were started on enteral feeding within hours of admission. show original
The analysis will only include those people who have stayed for three days or more. show original

Patient Q&A Section

What causes disability?

"The most prevalent disability in the sample was related to physical activity, regardless of gender or age. The strongest correlation among physical activity, activity limitations, and functional status suggests that there is a possible causal link between these variables but the mechanism for the relation is unknown. Exercise programs need to be developed to promote physical activity, particularly for patients with high levels of disability. Clinicians should consider the possibility of a disability-related etiology for functional limitations." - Anonymous Online Contributor

Unverified Answer

How many people get disability a year in the United States?

"Almost half the US population ages 19 to 74 has at least one disability. It is difficult to estimate how many people get a disability a year because of the small number of people who meet the criteria for the disability. However, it is clear that more people need support in this area than are being provided." - Anonymous Online Contributor

Unverified Answer

What are the signs of disability?

"As the number of women and men between the ages of 35-65 increases, the number of people affected by a diagnosis of disability also rises as does the expenditure on that disability. Given this increasing trend, the health system should take action to prevent, or at least control, disability." - Anonymous Online Contributor

Unverified Answer

What is disability?

"A person's disability is characterized by their function. This is assessed by their ability to perform daily routine activities and/or to engage in meaningful and valued activities (eg, leisure, sporting activities, meaningful work). Function can be measured in a variety of ways. Functional measures can then be used to determine what the impairments are and how they might be prevented. Functional measures also relate to health and health-related costs and health services use." - Anonymous Online Contributor

Unverified Answer

Can disability be cured?

"Data from a recent study has shown that many indicators of improved health status can be achieved when a significant disability is controlled for. However, some disabled individuals still report significant health concerns, despite significant health gains. Data from a recent study suggest that achieving and maintaining a significant disability is not sufficient to cure the psychological and physical health concerns of adults and children with disabilities." - Anonymous Online Contributor

Unverified Answer

What are common treatments for disability?

"Individuals with disabilities may require a variety of health services, but only 11% of respondents used at least 4 services in the previous 30 days. Although most of those with disabilities use health services, not all use services recommended by the U.S. Preventative Services Task Force or by the American Psychiatric Association. Further research regarding the use of a wide range of health services among those with disabilities is needed." - Anonymous Online Contributor

Unverified Answer

Does disability run in families?

"Results from a recent paper support the hypothesis that disability running in families is attributable to genetic factors, and that disability caused by disability running in families is related to shared environment and family functioning." - Anonymous Online Contributor

Unverified Answer

Is amp implementation safe for people?

"The authors found an association between use of amp at the hospital and higher odds of no adverse event. This finding of no clear evidence of adverse event warrants a large, higher-quality study to further investigate these findings." - Anonymous Online Contributor

Unverified Answer

What is the latest research for disability?

"Current research is shifting the focus away from [work capacity assessment|medical fitness assessment] and towards physical therapy. The medical assessment and treatment is being modified and integrated seamlessly to ensure that it's not an extra burden for patients with disabilities; which means that there's no need for repeated testing or repeated visits to the office. The only test that needs to be done (and also probably has more value) are assessments of one's functional capacity. There are several factors which can be addressed, but the single factor of 'performance time'- which is typically measured in days- is probably the greatest determinant of long-term disability.\n" - Anonymous Online Contributor

Unverified Answer

What is amp implementation?

"The findings of the study suggested that the existing process for implementing new equipment was insufficient for making equipment available to all the individuals needing it." - Anonymous Online Contributor

Unverified Answer

Has amp implementation proven to be more effective than a placebo?

"The implementation of the AIP and AMP programs resulted in significant overall improvements in the care of elderly persons with physical impairment in comparison with a control setting. We believe this program can be adopted rapidly in similar settings." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating disability?

"No therapies have been discovered that can help treat disability; however, new treatments, such as stem cell transplants, may become increasingly important over time. As disability increases in a person to a point where daily tasks must be performed with help, they may have fewer options for treating disability. The disability must be evaluated routinely, and therapists may find new ways of treating disability. If a person has many diseases, it can be quite difficult to evaluate where a person is coming from. In the U.S. people are able to register through the National Institute for Health and Disability Studies (NIHD) and they have a place on NIHD's registry. People with disabilities can join studies that address different treatment options." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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