An explorative study of current strategies to reduce sedentary behaviour in hospital wards

Alexandra Mavroeidi; Lianne McInally; Flavio Tomasella; Philippa M. Dall; Dawn A. Skelton; Alexandra Mavroeidi; Lianne McInally; Flavio Tomasella; Philippa M. Dall; Dawn A. Skelton

doi:10.3934/medsci.2019.4.285

AIMS Medical Science

2019, Volume 6, Issue 4: 285-295. doi: 10.3934/medsci.2019.4.285

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Research article Special Issues

An explorative study of current strategies to reduce sedentary behaviour in hospital wards

1.
School of Psychological Sciences and Health, University of Strathclyde, Glasgow, G1 1QE, UK
2.
Quality Directorate, NHS Lanarkshire, Bothwell, UK
3.
School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, UK
4.
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK

Received: 19 March 2019 Accepted: 22 October 2019 Published: 12 November 2019

Prolonged sitting (or sedentary behaviour—SB) has profound detrimental effects on health and is associated with increased risk of chronic disease, hospitalisation and premature death. However, while in hospital, a person will spend the vast majority of the day sitting or lying down. A number of strategies have started to be implemented to counteract this phenomenon and get patients up and moving. This is the first explorative study that used device-based measurements of the postural physical activity of older hospitalised adults taking part in such initiatives. A total of 43 patients, mean age 83.8y (SD 8.3), wore a waterproofed activity monitor (activPAL3) for 4 days (including overnight); physical activity was analysed for waking hours. Interventions designed to get patients up and moving were introduced sequentially. Participants were grouped based on the highest level of intervention they received. There were 4 groups: “control” (n = 12), “education” (advice on SB reduction via infographics on the ward noticeboards, n = 12), “#endpjparalysis” (up and dressed by the nurses before 11: 30 am, n = 9), “personalised activity passports” (agreed by Occupational Therapists and other members of the multidisciplinary team with patients, on SB reduction, n = 10). ANOVA revealed the absence of any differences between the 4 groups for total sitting time (p = 0.989), time spent upright (standing and walking) (p = 0.700), number of sitting events (i.e. sit to stand transitions) (p = 0.418) and longest upright period (p = 0.915). This small explorative study of sequential initiatives within a ward setting to reduce SB found they were not successful. The cross-sectional service-improvement nature of the study limited the ability to assess change in individuals as interventions were introduced. Further work is warranted to untangle the determinants of SB in hospital settings and implement interventions of sustainable SB change in this setting.
- older adults,
- sedentary behaviour,
- physical inactivity,
- hospitalisation,
- personalised activity passports
Citation: Alexandra Mavroeidi, Lianne McInally, Flavio Tomasella, Philippa M. Dall, Dawn A. Skelton. An explorative study of current strategies to reduce sedentary behaviour in hospital wards[J]. AIMS Medical Science, 2019, 6(4): 285-295. doi: 10.3934/medsci.2019.4.285

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Abstract

Prolonged sitting (or sedentary behaviour—SB) has profound detrimental effects on health and is associated with increased risk of chronic disease, hospitalisation and premature death. However, while in hospital, a person will spend the vast majority of the day sitting or lying down. A number of strategies have started to be implemented to counteract this phenomenon and get patients up and moving. This is the first explorative study that used device-based measurements of the postural physical activity of older hospitalised adults taking part in such initiatives. A total of 43 patients, mean age 83.8y (SD 8.3), wore a waterproofed activity monitor (activPAL3) for 4 days (including overnight); physical activity was analysed for waking hours. Interventions designed to get patients up and moving were introduced sequentially. Participants were grouped based on the highest level of intervention they received. There were 4 groups: “control” (n = 12), “education” (advice on SB reduction via infographics on the ward noticeboards, n = 12), “#endpjparalysis” (up and dressed by the nurses before 11: 30 am, n = 9), “personalised activity passports” (agreed by Occupational Therapists and other members of the multidisciplinary team with patients, on SB reduction, n = 10). ANOVA revealed the absence of any differences between the 4 groups for total sitting time (p = 0.989), time spent upright (standing and walking) (p = 0.700), number of sitting events (i.e. sit to stand transitions) (p = 0.418) and longest upright period (p = 0.915). This small explorative study of sequential initiatives within a ward setting to reduce SB found they were not successful. The cross-sectional service-improvement nature of the study limited the ability to assess change in individuals as interventions were introduced. Further work is warranted to untangle the determinants of SB in hospital settings and implement interventions of sustainable SB change in this setting.

Acknowledgments

Many thanks to the Occupational Therapy, Physiotherapy and Nursing teams at Kello Hospital (NHS Lanarkshire) and the patients who agreed to take part in the study.

Conflict of interest

D. Skelton is a Director of a not for profit training company, Later Life Training, which provides training to health and leisure professionals to deliver strength and balance training. The rest of the authors have nothing to disclose. The authors have no conflicts of interest.

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