Progressing to Objective Measures of Daily Mobility in Hospitalized Older Adults.

Accurate mobility assessment of hospitalized older adults is necessary to aid nurses in planning and providing appropriate mobility support; however, nurses cite lack of resources and time limitations as barriers. Accelerometry enables a detailed objective measurement of predominant hospital mobility activities in the older adult population, such as percent time sitting, and the sit-to-stand (STS) transition. The current exploratory study examined the use of a novel, unobtrusive accelerometry technique to obtain postural and STS metrics on 27 older adults during their hospital stay.

Tailored physical activity behavior change interventions: challenges and opportunities.

A physically active lifestyle provides innumerable benefits; yet, few individuals are physically active enough to reap those benefits. Tailored physical activity interventions may address low rates of physical activity by offering individualized strategies that consider a person's characteristics, needs, preferences, and/or context, rather than the traditional one-size-fits-all approach. However, the tailoring methodology is in its nascency, and an understanding of how best to develop such interventions is needed.

Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture.

Objective: This study uses Leader-Member Exchange theory to explore the associations between contact frequency (CF) of nurse leaders and their team members, leader-member relationship, and patient safety culture.

Background: Leader-member relationships are an important part of patient safety culture development. The behaviors of leaders to achieve these relationships are unknown.

STepped exercise program for patients with knee OsteoArthritis (STEP-KOA): protocol for a randomized controlled trial.

Background: Physical therapy (PT) and other exercise-based interventions are core components of care for knee osteoarthritis (OA), but both are underutilized, and some patients have limited access to PT services. This clinical trial is examining a STepped Exercise Program for patients with Knee OsteoArthritis (STEP-KOA). This model of care can help to tailor exercise-based interventions to patient needs and also conserve higher resource services (such as PT) for patients who do not make clinically relevant improvements after receiving less costly interventions.

Patients experience of fatigue in advanced heart failure.

Explore the experience of living with fatigue in persons with advanced heart failure. Single-setting, qualitative interview study. In-depth interviews were conducted from November 2012 - June 2013.

Composite measures of physical activity and pain associate better with functional assessments than pain alone in knee osteoarthritis.

Introduction: Recent research showed that physical activity (PA)-adjusted pain measures were more strongly associated with radiographic osteoarthritis (OA) severity than an unadjusted pain measure. This exploratory study examined whether PA-adjusted pain measures were more closely associated with other key OA-related measures, compared to unadjusted pain scores.

Method: Participants were 122 Veterans (mean age = 61.

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

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.

The lived experience of breathlessness for people diagnosed with heart failure: a qualitative synthesis of the literature.

Purpose Of Review: The experience of breathlessness in patients with heart failure is understudied. This review was aimed at evaluating the most recent qualitative findings regarding the experience of breathlessness in persons diagnosed with heart failure.

Recent Findings: A literature search was conducted using Pubmed, Psycinfo, BNI, Cinahl and Google Scholar including studies on breathlessness experience in patients with heart failure, published between 2017 and 2018.

A pilot study examining activity monitor use in older adults with heart failure during and after hospitalization.

Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93.

Factors associated with physical activity in African Americans with hypertension.

Background: Pharmacological management only controls 58% of those with hypertension. Combining pharmacological therapy with physical activity is important in controlling hypertension.

Aim: To examine factors associated with physical activity (PA) adherence in African Americans (AAs) with hypertension and antihypertensive medication adherence.

Association of Posture and Ambulation With Function 30 Days After Hospital Discharge in Older Adults with Heart Failure.

Purpose: The aim of this work was to investigate the predictive value of in-hospital posture and ambulatory activity for 30 days following discharge on functional status in older patients with heart failure.

Methods And Results: We undertook a prospective observational pilot study of 27 patients (78 ± 9.8 y, 51.

Validation of Consumer-Based Hip and Wrist Activity Monitors in Older Adults With Varied Ambulatory Abilities.

Background: The accuracy of step detection in consumer-based wearable activity monitors in older adults with varied ambulatory abilities is not known.

Methods: We assessed the validity of two hip-worn (Fitbit One and Omron HJ-112) and two wrist-worn (Fitbit Flex and Jawbone UP) activity monitors in 99 older adults of varying ambulatory abilities and also included the validity results from the ankle-worn StepWatch as a comparison device. Nonimpaired, impaired (Short Physical Performance Battery Score < 9), cane-using, or walker-using older adults (62 and older) ambulated at a self-selected pace for 100 m wearing all activity monitors simultaneously.

An integrative review of physical activity/exercise intervention effects on function and health-related quality of life in older adults with heart failure.

This paper reviews randomized, controlled trials (RCTs) that have used a physical activity/exercise intervention in older adults with heart failure and reported outcomes of physical function and/or health-related quality of life. An integrative review was necessary because a literature search indicated no reviews have been done regarding these outcomes which are deemed very important by the older adult population. Computerized database search strategies by authors between 2002 and 2015 resulted in 163 studies, with 12 meeting inclusion criteria.

Intervention markers of physical activity maintenance in older adults.

Objectives: To identify intervention components that may promote longterm changes of physical activity among older adults in a behavioral theory-based physical activity trial.

Methods: Participants (N = 24; aged 65 ± 8.79 years) shared perceptions of intervention components at the end of the intervention and physical activity was assessed at 18 months.