MOVIN Program for Early Mobility in Aging Adults

Not currently recruiting at 2 trial locations

Overseen By Linsey M Steege, PhD

Age: 65+

Sex: Any

Trial Phase: Academic

Sponsor: University of Wisconsin, Madison

Disqualifiers: Power of attorney, Amputation, Hospice, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

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. ^{1 2 3 4 5}

Why 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. ^{1 3 4 6 7}

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

I am 65 years old or older.

able to speak and understand English

admitted to hospital's general adult medical unit

Exclusion Criteria

You have a medical condition that cannot be cured and require palliative care.

You are currently receiving hospice care.

I have had an amputation of part of my leg.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Pre-intervention

Recruitment of older adult patients on units across hospitals before the implementation of the MOVIN intervention

6-8 months

Intervention

Implementation of the MOVIN intervention to improve patient ambulation and change nursing practice

14 weeks

Post-intervention

Follow-up and data collection on patient outcomes and healthcare utilization post-MOVIN implementation

6 months

Follow-up

Participants are monitored for functional ability and healthcare utilization at discharge, and 1, 3, and 6 months post-discharge

7 months

What Are the Treatments Tested in This Trial?

Interventions

• MOVIN

Trial Overview The MOVIN program aims to get older adult patients walking more during their hospital stay to improve their mobility and reduce healthcare needs after leaving the hospital. It changes how nurses encourage walking. All patients on certain units will experience MOVIN once it starts.

How Is the Trial Designed?

Group I: Post-intervention Experimental Treatment 1 Intervention

160-200 older adult patients (age 65 or older) will be recruited on four units across two hospitals (two units per hospital) over 6-8 months after MOVIN has been implemented on the unit.

Group II: Nurses Experimental Treatment 1 Intervention

Nurses will complete surveys and provide qualitative data to assess barriers to implementation

Group III: Pre-intervention/control Active Control 1 Intervention

160-200 older adult patients (age 65 or older) will be recruited on four units across two hospitals (two units per hospital) over 6-8 months prior to implementation of the unit-based MOVIN intervention.

Who Is Running the Clinical Trial?

University of Wisconsin, Madison

Lead Sponsor

Trials

1,249

Recruited

3,255,000+

Wake Forest University Health Sciences

Collaborator

Trials

1,432

Recruited

2,506,000+

Aurora Health Care

Collaborator

Trials

46

Recruited

16,400+

Agency for Healthcare Research and Quality (AHRQ)

Collaborator

Trials

415

Recruited

6,777,000+

Published Research Related to This Trial

A 12-month multifactorial intervention significantly improved mobility-related disability in 241 frail older adults, as evidenced by better scores on the Goal Attainment Scale and Life Space Assessment compared to the control group.

Participants in the intervention group also demonstrated a slight increase in walking speed and higher scores on activity measures, indicating enhanced mobility and participation in daily life activities.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of a multifactorial interdisciplinary intervention on mobility-related disability in frail older people: randomised controlled trial. Fairhall, N., Sherrington, C., Kurrle, SE., et al.[2022]

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT03887572

Adaption of Mobilizing Older Adult Patients Via a Systems ... Our pilot study of MOVIN demonstrated a statistically significant increase in frequency and weekly distance of patient ambulation as well as changes in nursing ...

2. withpower.com withpower.com/trial/phase-iatrogenic-disease-2-2021-9448e

MOVIN Program for Early Mobility in Aging Adults A 12-month multifactorial intervention significantly improved mobility-related disability in 241 frail older adults, as evidenced by better scores on the Goal ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC6236485/

Mobility Programs for the Hospitalized Older Adult: A Scoping ... Noticeable outcomes from the program included an increased number of patients who could bear weight and pivot to a chair, with ambulation ...

4. aacnjournals.org aacnjournals.org/ajcconline/article/33/3/171/32431/Early-Mobility-Index-and-Patient-Outcomes-A

Early Mobility Index and Patient Outcomes: A Retrospective ... Early mobility interventions in intensive care units (ICUs) are safe and improve outcomes in subsets of critically ill adults.

5. knowledgeconnection.mainehealth.org knowledgeconnection.mainehealth.org/cgi/viewcontent.cgi?article=1036&context=nurseresidency

The Importance of Early Mobilization in the Inpatient Setting Conclusion: The implementation of the early mobility bundle was associated with shorter hospital stays, reduced readmission rates, and improved patient mobility ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11069628/

Mobilizing Progress: A Comprehensive Review of the ... Extensive research has demonstrated that early mobilization is feasible, safe, and effective in reducing the length of ICU stays, improving ...

7. trialsjournal.biomedcentral.com trialsjournal.biomedcentral.com/articles/10.1186/s13063-023-07501-y

Assisted ambulation to improve health outcomes for older ... The AMBULATE study aims to determine whether MT-assisted ambulation improves mobility status and decreases adverse events for older medical inpatients.