{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T19:21:36Z","timestamp":1770837696984,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Despite heightened interest, measurement of hospital mobility remains challenging. Available assessment tools lack patient input regarding level and frequency of hospital mobility. The purpose of this study was to validate a brief self-reported mobility assessment to measure out-of-bed activity during hospitalization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We recruited cognitively intact hospitalized adults (age\u2005\u2265\u200565 years) who walked prior to admission, to wear an accelerometer for 24 hours, and to complete the Acute Care Mobility Assessment (ACMA), a self-report of mobility that ranges from bed rest to walking off the hospital unit in the prior 24 hours. For each mobility level from sitting in a chair to walking off the unit, patients reported the frequency of the activity and the need for help from another person or equipment. Spearman correlation coefficients were calculated using several scoring algorithms to compare ACMA to accelerometer data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Fifty-one patients (mean age 74.3 [standard deviation 6.2] years, 63% female, 39% Black) had complete data. Steps taken in 24 hours ranged from 10 to 2\u00a0831. Correlation analyses identified strong associations between ACMA scores and total steps, and moderate correlations with total time walking using all algorithms. However, the unweighted frequency count using the 3 ambulation levels only (walking in room, in hall, and off ward) had the highest correlation with total steps (r\u2005=\u20050.84; p\u2005&amp;lt;\u2005.001) and total time walking (r\u2005=\u20050.66; p\u2005&amp;lt;\u2005.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>ACMA is a valid measure of mobility among cognitively intact hospitalized older adults. The ACMA may add value to our current armamentarium of tools by adding patient reports of hospital mobility.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/gerona\/glae012","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T02:07:12Z","timestamp":1704852432000},"source":"Crossref","is-referenced-by-count":2,"title":["Preliminary Validation of the Acute Care Mobility Assessment as a Measure of Hospital Mobility"],"prefix":"10.1093","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-5507","authenticated-orcid":false,"given":"Cynthia J","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Medicine, Louisiana State University Health Sciences Center , New Orleans, Louisiana , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Loyd","sequence":"additional","affiliation":[{"name":"Department of Clinical and Diagnostic Sciences, School of Health Professions, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J Tyler","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, School of Medicine, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garner","family":"Boogaerts","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Halifax Health Medical Center , Daytona Beach, Florida , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4638-126X","authenticated-orcid":false,"given":"Richard E","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham , Birmingham, Alabama , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"2024061909310371700_CIT0001","first-page":"1660","article-title":"The underrecognized epidemic of low mobility during hospitalization of older adults","volume-title":"J Am Geriatr Soc.","author":"Brown","year":"2009"},{"key":"2024061909310371700_CIT0002","first-page":"305","article-title":"Barriers to mobility during hospitalization from the perspectives of older patients and their nurses and physicians","volume-title":"J Hosp Med.","author":"Brown","year":"2007"},{"key":"2024061909310371700_CIT0003","first-page":"1263","article-title":"Prevalence and outcomes of low mobility in hospitalized older patients","volume-title":"J Am Geriatr 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