Improving physical activity in hospitalized patients

Authors Juul van Grootel, Petra Bor, Jolien Netjes, Cindy Veenhof, Karin Valkenet
Published in Clinical Rehabilitation
Publication date 2023
Research groups Innovation of Movement Care
Type Article


Objective: To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients. Design: Prospective, pre-post study. Setting: A university medical center. Participants: Patients admitted to the pulmonology and nephrology/gastro-enterology wards. Intervention: The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day. Main measures: Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention. Results: A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38 ± 21 minutes (mean ± SD) per day, and post-implementation 50 ± 31 minutes per day (Δ12, P = 0.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0-10) (Δ1.7, P = 0.008). No significant differences were found in other secondary outcomes. Conclusions: The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.

On this publication contributed

  • Cindy Veenhof portret
    Cindy Veenhof
    • Professor
    • Research group: Innovation of Movement Care

Language English
Published in Clinical Rehabilitation
Year and volume 37 11
Key words intervention, accelerometer, goal setting, hospitalization, physical activity
Digital Object Identifier 10.1177/02692155231189607
Page range 1501-1509

Innovation of Movement Care