{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T16:38:10Z","timestamp":1793896690565,"version":"4.8.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of Physical and Occupational Therapy at Bispebjerg-Frederiksberg Hospital"},{"DOI":"10.13039\/501100004928","name":"Association of Danish Physiotherapists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004928","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001275","name":"Oak Foundation","doi-asserted-by":"publisher","award":["OCAY-18-774-OFIL"],"award-info":[{"award-number":["OCAY-18-774-OFIL"]}],"id":[{"id":"10.13039\/100001275","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Hospitalization is associated with physical inactivity, resulting in loss of functional capacity and elevated risk of complications for medical patients. The aim of the study is to assess the effect of an accelerometer-based physical activity monitoring system with visual feedback and encouragement to increase walking activity on time spent out of bed during hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This study is a cluster randomized trial performed in a tertiary hospital in Denmark. A total of 354 adults with independent ambulatory function were admitted to one of four medical wards (two cardiology, one respiratory, and one geriatric). Intervention group was encouraged to walk via the accelerometer-based physical activity recording system with visual feedback on a tablet placed on the bedside table for 1\u20137 days. Control group had the same physical activity recording but without feedback or encouragement. Primary outcome was the average time spent out of bed in minutes per day. Secondary outcomes included number of steps, length of stay, readmission, and mortality. Mean age of the participants was 72.9 years, and 53% were females. On average, the intervention and control groups spent 143.5 (SD 96.6) and 120.8 (SD 75.2) min\/day out of bed, respectively. Intervention group spent 23.6\u2005min more out of bed per day (95% CI 13.7\u201333.5) and took 440 steps\/day more than the control group. No significant differences were observed between groups for length of stay, readmissions, falls, or mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among hospitalized patients, technology-assisted physical activity monitoring with visual feedback significantly increases daily time out of bed, approaching clinically meaningful thresholds for improving functional outcomes and reducing adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>ClinicalTrial.gov.: NCT04555330<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwag210","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:43:08Z","timestamp":1782852188000},"source":"Crossref","is-referenced-by-count":1,"title":["Technology-assisted physical activity among hospitalized medical patients: a cluster randomized trial"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-0980","authenticated-orcid":false,"given":"Christian Have","family":"Dall","sequence":"first","affiliation":[{"name":"Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]},{"name":"Department of Cardiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]},{"name":"Department of Clinical Medicine, Faculty of Health, University of Copenhagen , Blegdamsvej 3b, 2200 Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Durita Videroe","family":"Gunnarsson","sequence":"additional","affiliation":[{"name":"Department of Physical and Occupational Therapy, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8063-6508","authenticated-orcid":false,"given":"Charlotte","family":"Suetta","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health, University of Copenhagen , Blegdamsvej 3b, 2200 Copenhagen ,","place":["Denmark"]},{"name":"Department of Geriatric and Palliative Medicine, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health, University of Copenhagen , Blegdamsvej 3b, 2200 Copenhagen ,","place":["Denmark"]},{"name":"Department of Respiratory Medicine and Infectious Diseases, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4134-0349","authenticated-orcid":false,"given":"Eva","family":"Prescott","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Bispebjerg Bakke 23, 2400 Copenhagen ,","place":["Denmark"]},{"name":"Department of Clinical Medicine, Faculty of Health, University of Copenhagen , Blegdamsvej 3b, 2200 Copenhagen ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1091-2962","authenticated-orcid":false,"given":"Marius","family":"Henriksen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health, University of Copenhagen , Blegdamsvej 3b, 2200 Copenhagen ,","place":["Denmark"]},{"name":"The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg , Fasanvej 57, 2000 Frederiksberg ,","place":["Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"2026063015080959300_zwag210-B1","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1111\/j.1532-5415.2009.02393.x","article-title":"The underrecognized epidemic of low mobility during hospitalization of older adults","volume":"57","author":"Brown","year":"2009","journal-title":"J Am Geriatr Soc"},{"key":"2026063015080959300_zwag210-B2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1093\/gerona\/gls165","article-title":"Twenty-four-hour mobility during acute hospitalization in older medical patients","volume":"68","author":"Pedersen","year":"2013","journal-title":"J Gerontol A Biol Sci Med 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