{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:53:37Z","timestamp":1791039217362,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospital\u2010associated deconditioning (HAD) affects up to 30% of older adults during acute hospitalization, leading to functional and cognitive decline and adverse long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To develop and pilot \u201cLet's Move,\u201d an implementation\u2010oriented early exercise program designed to support mobility in hospitalized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An action\u2010research study was conducted at a tertiary hospital in two stages: (i) program design based on an electronic health record (EHR) needs assessment and targeted protocol review; and (ii) pilot implementation among clinically stable adults aged \u2265\u00a018\u00a0years, hospitalized for \u2265\u00a048\u00a0h, without physiotherapy referral. Outcomes included Hopkins Highest Level of Mobility (JH\u2010HLM) functional status, adherence, and safety, complemented by qualitative interviews and a focus group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In Stage 1, 1399 adult inpatients without rehabilitation referral were identified (median age, 65\u00a0years [IQR, 46\u201378]; length of stay, 3\u00a0days [IQR, 2\u20134]) with circulatory diseases predominating (57.18%). Among 26 participants enrolled in the pilot, 17 were evaluable for adherence, with 13 (76.5%) classified as adherent. Walking \u2265\u00a075\u00a0m was the most frequent JH\u2010HLM assessment category, no adverse events or in\u2010hospital deaths occurred, and 25\/26 participants (96.2%) achieved individualized goals. Qualitative findings supported relevance and feasibility and informed refinements, including sessions every 2\u00a0days and standardized educational materials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\u201cLet's Move\u201d is a structured early\u2010mobilization program developed through action research that integrates brief patient education with low\u2010intensity exercise for routine inpatient care. It provides a practical workflow to support early mobility and warrants broader evaluation to assess its effectiveness and scalability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70358","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:20:02Z","timestamp":1791037202000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Design of an Early Exercise Program for Hospitalized Patients: \u201cLet's Move\u201d"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4833-3707","authenticated-orcid":false,"given":"Adriana Marcela Jacome","family":"Hortua","sequence":"first","affiliation":[{"name":"Universidad de Santander Facultad de Ciencias M\u00e9dicas y de la Salud  Bucaramanga Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9101-1706","authenticated-orcid":false,"given":"Luis Felipe Anaya","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidad de Santander Facultad de Ciencias M\u00e9dicas y de la Salud  Bucaramanga Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aura M.","family":"C\u00e1ceres","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2567-4151","authenticated-orcid":false,"given":"Zully Rocio","family":"Rincon","sequence":"additional","affiliation":[{"name":"Universidad de Santander Facultad de Ciencias M\u00e9dicas y de la Salud  Bucaramanga Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8287-2871","authenticated-orcid":false,"given":"Cristhian","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7377-2920","authenticated-orcid":false,"given":"Alejandra","family":"Mendoza\u2010Monsalve","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3634-8821","authenticated-orcid":false,"given":"Edgar Fabi\u00e1n","family":"Manrique\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3001-2374","authenticated-orcid":false,"given":"Alexandra","family":"Hurtado\u2010Ortiz","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"},{"name":"Postgraduate Department in Infectious Disease Universidad de Santander  Bucaramanga Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-9890","authenticated-orcid":false,"given":"Maricel","family":"Licht\u2010Ardila","sequence":"additional","affiliation":[{"name":"Hospital Internacional de Colombia HIC\u2010Fundaci\u00f3n Cardiovascular de Colombia FCV\u2010Universidad Corporativa FCV  Floridablanca Santander Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"ATLAS.ti.2025. 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