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Early Mobility in the Hospital: Lessons Learned from the STRIDE Program

1
Center of Innovation for Health Services Research in Primary Care, Durham VA Health Care System, Durham, NC 27705, USA
2
Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA
3
Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC 27710, USA
4
Geriatrics Research, Education, and Clinical Center, Durham VA Health Care System, Durham, NC 27705, USA
5
College of Nursing, East Carolina University, Greenville, NC 27858, USA
6
Department of Medicine & Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
7
Duke Department of Population Health Sciences, Duke University School of Medicine, Durham, NC 27701, USA
*
Author to whom correspondence should be addressed.
Geriatrics 2018, 3(4), 61; https://doi.org/10.3390/geriatrics3040061
Received: 25 July 2018 / Revised: 17 September 2018 / Accepted: 21 September 2018 / Published: 26 September 2018
(This article belongs to the Special Issue Geriatric Care Models)
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PDF [196 KB, uploaded 26 September 2018]

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. View Full-Text
Keywords: mobility; hospitalization; older adults; implementation mobility; hospitalization; older adults; implementation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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MDPI and ACS Style

Hastings, S.N.; Choate, A.L.; Mahanna, E.P.; Floegel, T.A.; Allen, K.D.; Van Houtven, C.H.; Wang, V. Early Mobility in the Hospital: Lessons Learned from the STRIDE Program. Geriatrics 2018, 3, 61.

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