Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

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

Version 1 : Received: 25 July 2018 / Approved: 25 July 2018 / Online: 25 July 2018 (16:03:50 CEST)

A peer-reviewed article of this Preprint also exists.

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. 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.

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 is a supervised walking program for hospitalized older adults that fills this important gap in clinical care. Herein we describe 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 4 hospitals who have implemented the STRIDE program and discuss lessons learned for successful implementation of hospital mobility programs.

Keywords

mobility; hospitalization; older adults; implementation

Subject

Public Health and Healthcare, Nursing

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