{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:55:51Z","timestamp":1780408551376,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30\u2010CA014236"],"award-info":[{"award-number":["P30\u2010CA014236"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K24 AG049077\u201002"],"award-info":[{"award-number":["K24 AG049077\u201002"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG028716\u201001"],"award-info":[{"award-number":["P30 AG028716\u201001"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Understanding the factors that influence hospital mobility, especially in the context of a heightened focus on falls prevention, is needed to improve care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This qualitative study uses a socioecological framework to explore factors that influence hospital mobility in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative research<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Semi\u2010structured interviews and focus groups were conducted with medically\u2010ill hospitalized older adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a019) and providers (hospitalists, nurses, and physical and occupational therapists (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a048) at two hospitals associated with an academic health system.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>Interview and focus group guides included questions on perceived need for mobility, communication about mobility, hospital mobility culture, and awareness of patients' walking activity. Data were analyzed thematically and mapped onto the constructs of the socioecological model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>A consistent theme among patients and providers was that \u201cmobility is medicine.\u201d Categories of factors reported to influence hospital walking activity included intrapersonal factors (patients' health status, fear of falls), interpersonal factors (patient\u2010provider communication about mobility), organizational factors (clarity about provider roles and responsibilities, knowledge of safe patient handling, reliance on physical therapy for mobility), and environmental factors (falls as a never event, patient geographical locations on hospital units). Several of these factors were identified as potentially modifiable targets for intervention. Patients and providers offered recommendations for improving awareness of patient's ambulatory activity, assigning roles and responsibility for mobility, and enhancing education and communication between patients and providers across disciplines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients and providers identified salient factors for future early mobility initiatives targeting hospitalized older adults. Consideration of these factors across all stages of intervention development and implementation will enhance impact and sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17109","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T13:12:11Z","timestamp":1616505131000},"page":"1846-1855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Towards \u201cmobility is medicine\u201d: Socioecological factors and hospital mobility in older adults"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9047-0051","authenticated-orcid":false,"given":"Juliessa M.","family":"Pavon","sequence":"first","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Medical Center  Durham North Carolina USA"},{"name":"Claude D. Pepper Older Americans Independence Center Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7296-3063","authenticated-orcid":false,"given":"Laura J.","family":"Fish","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7681-8624","authenticated-orcid":false,"given":"Cathleen S.","family":"Col\u00f3n\u2010Emeric","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Medical Center  Durham North Carolina USA"},{"name":"Claude D. Pepper Older Americans Independence Center Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9834-2011","authenticated-orcid":false,"given":"Katherine S.","family":"Hall","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Medical Center  Durham North Carolina USA"},{"name":"Claude D. Pepper Older Americans Independence Center Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1230-7590","authenticated-orcid":false,"given":"Miriam C.","family":"Morey","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Medical Center  Durham North Carolina USA"},{"name":"Claude D. Pepper Older Americans Independence Center Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0891-745X","authenticated-orcid":false,"given":"Amy M.","family":"Pastva","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Claude D. Pepper Older Americans Independence Center Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5750-8820","authenticated-orcid":false,"given":"Susan N.","family":"Hastings","sequence":"additional","affiliation":[{"name":"Duke University  Durham North Carolina USA"},{"name":"Geriatric Research Education Clinical Center Durham Veteran Affairs Medical Center  Durham North Carolina USA"},{"name":"Claude D. 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