Early Mobilization in Cardiovascular Units

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal

Status: Not yet enrolling

Conditions: Cardiovascular Diseases

Treatments: Behavioral: Applying the Early Mobilization Program

Study type: Interventional

Funder types: Other

Identifiers

NCT06393829

2024-4090

Details and patient eligibility

About

Insufficient mobility contributes to functional decline in hospitalized cardiac patients. Early mobilization programs were shown to improve functional status, increase the likelihood of home discharges, and reduce the length of stay [1]. Therefore, there is a need to adapt and implement early mobilization programs in Quebec hospitals. The overall goal of this study is to adapt and implement an early mobilization program in the Cardiovascular units of the Jewish General Hospital (JGH).

Full description

Background: Insufficient mobility contributes to functional decline in cardiovascular units. Early mobilization programs were shown to improve functional status, increase the likelihood of home discharges, and reduce the length of stay [1]. One example is the Level of Function (LOF) Mobility Scale implemented in the Cardiovascular units at the Jewish General Hospital, an academic tertiary care centre in Montreal, Quebec [2]. Despite evidence supporting the benefits of early mobilization programs, hospitalized individuals in cardiovascular units spend most of the day in bed [1-6]. Therefore, there is a need to adapt and implement early mobilization programs in Quebec hospitals. This project is research nested in a quality improvement initiative for the Jewish General Hospital Cardiovascular units.

Objectives: 1) Adapt an early mobilization program in a hospital setting; 2) Develop strategies to overcome individual and organizational barriers to implementing an early mobilization program; 3) Assess the reach, acceptability, and fidelity of implementing an early mobilization program; and 4) Assess the program's impact on patients and the organization.

Methods: A 3-phase study using an iterative participative approach. Phase 1: a qualitative design to adapt an early mobilization program. Phase 2: mixed methods repeated measures design to assess barriers and facilitators to implementing the program and develop implementation strategies.

Phase 3: An interrupted time series design to assess the implementation and the impact of the program.

Expected contribution: Early mobilization programs in the Cardiovascular units can improve the quality of care provided to these patients and promote further clinician-researcher partnerships, contributing to improved uptake of best practices in this clinical context.

Enrollment: 350 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All healthcare professionals working in the cardiovascular unit at the Jewish General Hospital.
• All patients admitted to the cardiovascular unit at the Jewish General Hospital.

Exclusion criteria

• Patients who don't speak English or French.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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350 participants in 3 patient groups

pre-implementation

No Intervention group

Description:

The proportion of patients mobilized pre-intervention period

Implementation

Experimental group

Description:

The proportion of patients mobilized during the intervention implementation period

Treatment:

Behavioral: Applying the Early Mobilization Program

Post-implementation

No Intervention group

Description:

The proportion of patients mobilized post-intervention period