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Trial registered on ANZCTR
Registration number
ACTRN12616001274460
Ethics application status
Approved
Date submitted
27/07/2016
Date registered
9/09/2016
Date last updated
11/10/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Walk to improve hospitalization outcomes for older adults
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Scientific title
Evaluation of mobility intervention for prevention of acquired hospitalization functional decline among older adults
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Secondary ID [1]
289779
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N/A
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Secondary ID [2]
290086
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None
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Universal Trial Number (UTN)
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Trial acronym
WALK FOR
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hospitalized older adults
299666
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Hospital aquired functional decline
299667
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Mobility decline
299668
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Condition category
Condition code
Physical Medicine / Rehabilitation
299610
299610
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
We will be involved in the evaluation of the changes associated with the new practice that will be implemented in the hospital. However, the new practice will be conducted by the hospital and we will no be not involved in the intervention phase. In each of the two stages we will recruit 200 participants to evaluate their level of mobility. All eligible participants will be invited to participate. The new practice will include brochures that explain the importance of in hospital mobility that will distribute by the nurses, encouragement to walk by the nursing assistants, marks on the floor of meters (to acknowledge the patients of distance walked) and record mobility in the medical records by the medical and nursing team.
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Intervention code [1]
295679
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Not applicable
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Comparator / control treatment
Standard of care defined as the standard treatment in internal wards in Israel i.e., changing position, encouragement to sit on chair instead of lying in bed. Data is collected before implementation of practice change within the same hospital.
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Control group
Active
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Outcomes
Primary outcome [1]
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Modified Barthel Index (MBI)
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Assessment method [1]
299081
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Timepoint [1]
299081
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Discharge from hospital
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Secondary outcome [1]
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Phone interview that includes Modified Barthel Index (MBI)
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Assessment method [1]
326088
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Timepoint [1]
326088
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one month post discharge
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Eligibility
Key inclusion criteria
Cognitively intact patients age 65 and older being ambulatory with or without an assistive device in the 2 weeks before admissions
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who, on admission, had a major stroke or were in a coma, suffered from delirium (ATM4 score, 0) , were mechanically ventilated, admitted for end of life care, required staying in isolation, prescribed mobility restriction for 24 hours or longer, or were completely not mobile prior to hospitalization
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
ANCOVA to compare functional outcomes between the pre practice change and post practice change while controlling for personal risk factors.Based on G power calculation and an effect size of o.o5, 400 participants will recruit to detect significant change in function.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/09/2015
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Date of last participant enrolment
Anticipated
30/11/2016
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Actual
30/09/2016
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Date of last data collection
Anticipated
31/03/2017
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Actual
31/03/2017
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Sample size
Target
400
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Accrual to date
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Final
406
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Recruitment outside Australia
Country [1]
8056
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Israel
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State/province [1]
8056
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Funding & Sponsors
Funding source category [1]
294159
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Hospital
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Name [1]
294159
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HaEmek Medical Center
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Address [1]
294159
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Yitzhak Rabin Boulevard 21, Afula 1834111 Israel
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Country [1]
294159
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Israel
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Primary sponsor type
Hospital
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Name
HaEmek Medical Center
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Address
Yitzhak Rabin Boulevard 21, Afula 1834111 Israel
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Country
Israel
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Secondary sponsor category [1]
292992
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University
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Name [1]
292992
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University of Haifa
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Address [1]
292992
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Abba Khoushy Ave 199, Haifa, 3498838, Israel
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Country [1]
292992
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Israel
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295567
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University of Haifa Faculty of Health and Social Welfare
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Ethics committee address [1]
295567
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Abba Khoushy Ave 199, Haifa, 3498838, Israel
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Ethics committee country [1]
295567
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Israel
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Date submitted for ethics approval [1]
295567
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03/03/2016
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Approval date [1]
295567
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14/04/2016
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Ethics approval number [1]
295567
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1314
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Ethics committee name [2]
295568
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HaEmek Medical Center
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Ethics committee address [2]
295568
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Yitzhak Rabin Boulevard 21, Afula 1834111
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Ethics committee country [2]
295568
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Israel
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Date submitted for ethics approval [2]
295568
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27/07/2015
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Approval date [2]
295568
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08/08/2015
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Ethics approval number [2]
295568
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0100-15-EMC
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Summary
Brief summary
Functional decline post hospitalization is a common condition among older adults regardless their initial diagnosis. Several studies shows that in hospital mobility level is a modifiable factor however most studies that addressed mobility did not relay on the hospital resources and local changes of practice. The current study aims to evaluate whether practice changes can increase patients' mobility during hospitalization and thus improve their function at discharge.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
None
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Contacts
Principal investigator
Name
67790
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Dr Maayan Agmon
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Address
67790
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University of Haifa, Abba Khoushy Ave 199, Haifa, 3498838, Israel
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Country
67790
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Israel
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Phone
67790
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+972-54-9001609
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Fax
67790
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Email
67790
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[email protected]
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Contact person for public queries
Name
67791
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Anna Zisberg
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Address
67791
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University of Haifa, Abba Khoushy Ave 199, Haifa, 3498838, Israel
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Country
67791
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Israel
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Phone
67791
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+972-58-4877772
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Fax
67791
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Email
67791
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[email protected]
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Contact person for scientific queries
Name
67792
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Maayan Agmon
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Address
67792
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University of Haifa, Abba Khoushy Ave 199, Haifa, 3498838, Israel
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Country
67792
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Israel
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Phone
67792
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+972-54-9001609
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Fax
67792
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Email
67792
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF