{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:25:50Z","timestamp":1790180750305,"version":"4.1.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T00:00:00Z","timestamp":1599782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Hospital in Motion is a multidimensional implementation project aiming to improve movement behavior during hospitalization. The purpose of this study was to investigate the effectiveness of Hospital in Motion on movement behavior.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This prospective study used a pre-implementation and post-implementation design. Hospital in Motion was conducted at 4 wards of an academic hospital in the Netherlands. In each ward, multidisciplinary teams followed a 10-month step-by-step approach, including the development and implementation of a ward-specific action plan with multiple interventions to improve movement behavior. Inpatient movement behavior was assessed before the start of the project and 1\u00a0year later using a behavioral mapping method in which patients were observed between 9:00\u00a0am and 4:00\u00a0pm. The primary outcome was the percentage of time spent lying down. In addition, sitting and moving, immobility-related complications, length of stay, discharge destination home, discharge destination rehabilitation setting, mortality, and 30-day readmissions were investigated. Differences between pre-implementation and post-implementation conditions were analyzed using the chi-square test for dichotomized variables, the Mann Whitney test for non-normal distributed data, or independent samples t test for normally distributed data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Patient observations demonstrated that the primary outcome, the time spent lying down, changed from 60.1% to 52.2%. For secondary outcomes, the time spent sitting increased from 31.6% to 38.3%, and discharges to a rehabilitation setting reduced from 6 (4.4%) to 1 (0.7%). No statistical differences were found in the other secondary outcome measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The implementation of the multidimensional project Hospital in Motion was associated with patients who were hospitalized spending less time lying in bed and with a reduced number of discharges to a rehabilitation setting.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>Inpatient movement behavior can be influenced by multidimensional interventions. Programs implementing interventions that specifically focus on improving time spent moving, in addition to decreasing time spent lying, are recommended.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzaa160","type":"journal-article","created":{"date-parts":[[2020,9,5]],"date-time":"2020-09-05T19:10:04Z","timestamp":1599333004000},"page":"2090-2098","source":"Crossref","is-referenced-by-count":29,"title":["The Effectiveness of Hospital in Motion, a Multidimensional Implementation Project to Improve Patients\u2019 Movement Behavior During Hospitalization"],"prefix":"10.1093","volume":"100","author":[{"given":"Lotte M M","family":"van Delft","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science and Sport , , Utrecht University, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands"},{"name":"University Medical Centre Utrecht , , Utrecht University, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Bor","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science and Sport , University Medical Centre Utrecht, Utrecht University; and UMC Utrecht Brain Center,"},{"name":"Utrecht University , University Medical Centre Utrecht, Utrecht University; and UMC Utrecht Brain Center,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Valkenet","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science and Sport, University Medical Centre Utrecht ,"},{"name":"Utrecht University ,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjen J C","family":"Slooter","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Centre Utrecht , Utrecht University; and UMC Utrecht Brain Center,"},{"name":"Utrecht University , Utrecht 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