A contraindication to walking (as reported by the attending medical specialists in the medical record).Able to walk independently 2 weeks before admission, as scored on the Functional Ambulation Categories (FAC >3).Sufficient understanding of the Dutch language.
Wearing a small accelerometer and using Hospital Fit 2.0 should not be a burden to patients. The intervention group will use Hospital Fit 2.0 additionally. The control group will receive usual care physiotherapy and will wear an accelerometer. Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The burden and risks on patients are minimal. 7 days) and the mILAS score per day (max. 7 days), number of times walking longer than 5 minutes per day and the average number measured over total measurement time (max.7 days), number of times sitting/lying longer than 30 minutes per day and the average number measured over total measurement time (max. 7 days), number of transitions per day and average number of transitions measured over total measurement time (max. Secondary outcome parameters: time spent standing per day (min.), average time spent standing and walking (min.) measured over total measurement time (max. Main study parameters/endpoints: Primary outcome parameter: time spent walking per day (min). The control group receives usual care physiotherapy (n=39), while the intervention group uses Hospital Fit additionally (n=39). Intervention (if applicable): PA will be measured with an accelerometer until discharge with a maximum of seven days in all patients. Study population: 78 patients hospitalised equally distributed over the department of Internal Medicine and the department of Pulmonology at the Maastricht University Medical Center. Study design: Assessor blinded randomised controlled trial.
Objective: To investigate if using Hospital Fit 2.0 as part of the usual care physiotherapy treatment will result in an increase in the amount of PA performed compared to patients who did not use Hospital Fit 2.0 as part of the usual care physiotherapy treatment. It is hypothesized that using Hospital Fit 2.0 as part of the physiotherapy treatment of hospitalised patients will result in an increase in the amount of PA performed compared to patients who do not use Hospital Fit 2.0 as part of the physiotherapy treatment. Improvements in the accelerometer algorithm are made, a goalsetting and reminder function are added, and data from the app can be linked to the electronic medical record. Hospital Fit 1.0 has recently been updated, resulting in the improved Hospital Fit 2.0. It enables objective activity monitoring, provides patients insight in their recovery progress and offers a tailored exercise program. We therefore developed Hospital Fit 1.0 a smartphone application with accelerometer, designed for hospitalised patients. Digital health tools could be valuable to prevent negative effects of inactivity. Rationale: Low physical activity (PA) levels are common in hospitalised patients. Why Should I Register and Submit Results?.
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