Early Mobility in the Hospital: Lessons Learned from the STRIDE Program.
Abstract
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.
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https://hdl.handle.net/10161/26159Published Version (Please cite this version)
10.3390/geriatrics3040061Publication Info
(2018). Early Mobility in the Hospital: Lessons Learned from the STRIDE Program. Geriatrics (Basel, Switzerland), 3(4). pp. 61. 10.3390/geriatrics3040061. Retrieved from https://hdl.handle.net/10161/26159.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Kelli Dominick Allen
Adjunct Professor in the Department of Medicine
* Improving care and outcomes for individuals with osteoarthritis and other musculoskeletal
conditions with an emphasis on non-pharmacological therapies including physical activity,
weight management, rehabilitation services, and pain coping* Understanding rand reducing
disparities in musculoskeletal conditions* Musculoskeletal conditions in U.S. military
Veterans* Pragmatic clinical trials* Adaptive interventions
Susan Nicole Hastings
Professor of Medicine
Courtney Harold Van Houtven
Professor in Population Health Sciences
Dr. Courtney Van Houtven is a Professor in The Department of Population Health Science,
Duke University School of Medicine and Duke-Margolis Center for Health Policy. She
is also a Research Career Scientist in The Center of Innovation to Accelerate Discovery
and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System. Dr.
Van Houtven’s aging and economics research interests encompass long-term care financing,
intra-household decision-making, unpaid family and friend car
Virginia Wang
Associate Professor in Population Health Sciences
Dr. Virginia Wang is an Associate Professor in Population Health Sciences and Medicine
at the Duke University School of Medicine and Core Faculty in the Duke-Margolis Center
for Health Policy. She is also a Core Investigator in the Health Services Research
Center of Innovation to Accelerate Discovery and Practice Transformation at the Durham
Veterans Affairs Health Care System. Dr. Wang received her PhD in Health Policy and
Management, with a focus on organizational behavior. Her research exa
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