Browsing by Subject "mobility"

Now showing 1 - 5 of 5
  • Thumbnail Image
    ItemOpen Access
    Early Mobility in the Hospital: Lessons Learned from the STRIDE Program.
    (Geriatrics (Basel, Switzerland), 2018-12) Hastings, Susan Nicole; Choate, Ashley L; Mahanna, Elizabeth P; Floegel, Theresa A; Allen, Kelli D; Van Houtven, Courtney H; Wang, Virginia
    Immobility during hospitalization is widely recognized as a contributor to deconditioning, functional loss, and increased need for institutional post-acute care. Several studies have demonstrated that inpatient walking programs can mitigate some of these negative outcomes, yet hospital mobility programs are not widely available in U.S. hospitals. STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans) is a supervised walking program for hospitalized older adults that fills this important gap in clinical care. This paper describes how STRIDE works and how it is being disseminated to other hospitals using the Replicating Effective Programs (REP) framework. Guided by REP, we define core components of the program and areas where the program can be tailored to better fit the needs and local conditions of its new context (hospital). We describe key adaptations made by four hospitals who have implemented the STRIDE program and discuss lessons learned for successful implementation of hospital mobility programs.
  • Thumbnail Image
    ItemOpen Access
    Epidemiology in Motion: Traumatic Brain Injuries in Mumbai
    (South Asia: Journal of South Asia Studies, 2021-01-01) Solomon, H
    This paper is an ethnographic account of traumatic brain injuries (TBIs) based on a study of a public hospital trauma ward in urban India. It explores the contexts, causes and consequences of TBIs in order to make several broader claims. Across two case studies, I argue that epidemiological transitions towards non-infectious disease regimens must be understood as problems of somatic movement. The implication is that bodies make transitions through actual and imagined changes in bodily movements that define how persons become patients, how traumatic injury pulls on clinical resources, and how differences in gender, sexuality, class and caste affect the social dynamics of brain injury in urban settings at every turn.
  • Thumbnail Image
    ItemOpen Access
    Physical and mental decline and yet rather happy? A study of Danes aged 45 and older.
    (Aging Ment Health, 2015) Vestergaard, Sonja; Thinggaard, Mikael; Jeune, Bernard; Vaupel, James W; McGue, Matt; Christensen, Kaare
    OBJECTIVES: Little is known about whether the feeling of happiness follows the age-related decline in physical and mental functioning. The objective of this study was to analyze differences with age in physical and mental functions and in the feeling of happiness among Danes aged 45 years and older. METHOD: Three Danish population-based surveys including 11,307 participants aged 45+ years, of whom 2411 were in the age group of 90+, were conducted in the period 1995-2001. The participation rate in the three surveys was between 63% and 82% and the same design and the same instrument were used. Self-reported mobility, a cognitive composite score, and a depression symptomatology score including a question about happiness were assessed. T-score metric was used to compare across domains and age groups. RESULTS: Overall, successively older age groups performed worse than the youngest age group (45-49 years), and the estimated linear decline was greater after age 70 than before age 70. For example, when comparing the oldest age group (90+ years) with the youngest, the T-score differences were found to be the largest for the mobility score (men: 40.2, women: 41.4), followed by the cognitive function (men: 22.0, women: 24.9), and the total depression symptomatology score (men: 15.5, women: 17.4). Conversely, the T-score difference in happiness was small (men: 5.6, women: 6.0). CONCLUSION: Despite markedly poorer physical and mental functions with increasing age, in this Danish sample age did not seem to affect happiness to a similarly notable extent, although, in this study, cohort and age effects cannot be disentangled.
  • Thumbnail Image
    ItemOpen Access
    Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19.
    (Gerontology & geriatric medicine, 2020-01) Jennings, Stephen C; Manning, Kenneth M; Bettger, Janet Prvu; Hall, Katherine M; Pearson, Megan; Mateas, Catalin; Briggs, Brandon C; Oursler, Krisann K; Blanchard, Erin; Lee, Cathy C; Castle, Steven; Valencia, Willy M; Katzel, Leslie I; Giffuni, Jamie; Kopp, Teresa; McDonald, Michelle; Harris, Rebekah; Bean, Jonathan F; Althuis, Katherine; Alexander, Neil B; Padala, Kalpana P; Abbate, Lauren M; Wellington, Toby; Kostra, James; Allsup, Kelly; Forman, Daniel E; Tayade, Arti S; Wesley, Alan D; Holder, Alice; Morey, Miriam C
    Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants' physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.
  • Thumbnail Image
    ItemOpen Access
    Walking All over COVID-19: The Rapid Development of STRIDE in Your Room, an Innovative Approach to Enhance a Hospital-Based Walking Program during the Pandemic.
    (Geriatrics (Basel, Switzerland), 2021-11) Hughes, Jaime M; Bartle, John T; Choate, Ashley L; Mahanna, Elizabeth P; Meyer, Cassie L; Tucker, Matthew C; Wang, Virginia; Allen, Kelli D; Van Houtven, Courtney H; Hastings, Susan Nicole
    Hospitalization is common among older adults. Prolonged time in bed during hospitalization can lead to deconditioning and functional impairments. Our team is currently working with Department of Veterans Affairs (VA) medical centers across the United States to implement STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans), a hospital-based walking program designed to mitigate the risks of immobility during hospitalization. However, the COVID-19 pandemic made in-person, or face-to-face, walking challenging due to social distancing recommendations and infection control concerns. In response, our team applied principles of implementation science, including stakeholder engagement, prototype development and refinement, and rapid dissemination and feedback, to create STRIDE in Your Room (SiYR). Consisting of self-guided exercises, light exercise equipment (e.g., TheraBands, stress ball, foam blocks, pedometer), the SiYR program provided safe alternative activities when face-to-face walking was not available during the pandemic. We describe the methods used in developing the SiYR program; present feedback from participating sites; and share initial implementation experiences, lessons learned, and future directions.