{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T05:02:26Z","timestamp":1789794146189,"version":"4.0.1"},"reference-count":49,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["T32 HS029590"],"award-info":[{"award-number":["T32 HS029590"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospitalized older adults are at high risk for hospital\u2010associated disability, but one\u2010to\u2010one physical therapy (PT) models often cannot meet demand for skilled mobility progression. Group\u2010based PT is effective in outpatient and rehabilitation settings, but its feasibility in acute inpatient care is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single\u2010site, prospective quality improvement implementation of acute care group\u2010based PT (AC\u2010GBPT) on a 39\u2010bed medical\u2010surgical geriatrics unit at an academic medical center. Sessions were offered weekly during routine clinical operations without additional staffing. Eligible patients were 60\u2009years and older, had an active PT plan of care, were medically stable, and could transfer to a chair with human assistance. Feasibility outcomes included number of sessions delivered, participants per session, recruitment, reasons for non\u2010participation, and adverse events. We also summarized participant characteristics and therapist productivity on days with versus without a group session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From March 19, 2025, through February 18, 2026, 37 sessions were delivered, with a mean of 4.22 participants per session (range 3\u20136). Across the period, 156 unique patient participations were recorded, and 69% of patients approached participated. At the time of participation, mean age was 77.9\u2009years and mean time since admission was 8.6\u2009days. No safety events occurred during or immediately after group sessions. Mean therapist productivity was notably higher on group days than on non\u2010group days (1.59 vs. 1.31 patients\/h; approximately 21% higher).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A once\u2010weekly AC\u2010GBPT model for selected hospitalized older adults was feasible to deliver using existing resources and showed promising reach, safety, and operational performance, suggesting it may extend PT to more patients. Further work should assess patient acceptability, fully characterize staff time requirements, and assess patient\u2010centered outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70718","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T04:26:31Z","timestamp":1789791991000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Care Group\u2010Based Physical Therapy on an Inpatient Geriatrics Unit: Preliminary Data"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0019-1471","authenticated-orcid":false,"suffix":"Jr","given":"James P.","family":"Crick","sequence":"first","affiliation":[{"name":"Division of Physical Therapy School of Health and Rehabilitation Sciences, the Ohio State University  Columbus Ohio USA"},{"name":"Learning Health System Collaborative School of Health and Rehabilitation Sciences, the Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hull","sequence":"additional","affiliation":[{"name":"University Hospitals, the Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Maag","sequence":"additional","affiliation":[{"name":"University Hospitals, the Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6458-6897","authenticated-orcid":false,"given":"Gabriel N.","family":"Alain","sequence":"additional","affiliation":[{"name":"Learning Health System Collaborative School of Health and Rehabilitation Sciences, the Ohio State University  Columbus Ohio USA"},{"name":"Division of Health Information Management &amp; Systems School of Health and Rehabilitation Sciences, the Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.17.2115"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.09.015"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16349"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1556"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13193"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.9.M569"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2009.02393.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzx076"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001708"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2025.2609880"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa181"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3673"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.08.017"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100296"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAT.0000000000000058"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAT.0000000000000110"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAT.0000000000000235"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16699"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13095"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000404"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2018.02.006"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2546"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14364"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0b013e318225aa23"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2008.05.007"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.209"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnr044"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2010.01.001"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2022.10.014"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.4081\/ejtm.2022.10984"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.3609"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15183"},{"key":"e_1_2_10_34_1","volume-title":"The Improvement Guide","author":"Langley G. 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