{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:09:38Z","timestamp":1787242178274,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010409","name":"Nationaal Regieorgaan Praktijkgericht Onderzoek SIA","doi-asserted-by":"publisher","award":["(KIEM K21.01.037)"],"award-info":[{"award-number":["(KIEM K21.01.037)"]}],"id":[{"id":"10.13039\/501100010409","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, pre-post study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A university medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients admitted to the pulmonology and nephrology\/gastro-enterology wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>The movement intervention consisted of (1) self-monitoring of patients\u2019 physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38\u2009\u00b1\u200921\u2005minutes (mean\u2009\u00b1\u2009SD) per day, and post-implementation 50\u2009\u00b1\u200931\u2005minutes per day (\u039412, P\u2009=\u20090.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0\u201310) (\u03941.7, P\u2009=\u20090.008). No significant differences were found in other secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155231189607","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T16:37:32Z","timestamp":1690216652000},"page":"1501-1509","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Improving physical activity in hospitalized patients: The preliminary effectiveness of a goal-directed movement intervention"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2357-0183","authenticated-orcid":false,"given":"JWM","family":"van Grootel","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands"},{"name":"Research Center of Healthy and Sustainable Living, Research group Innovation of Movement Care, HU University of Applied Sciences Utrecht, Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8494-349X","authenticated-orcid":false,"given":"P","family":"Bor","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JA","family":"Netjes","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Veenhof","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands"},{"name":"Research Center of Healthy and Sustainable Living, Research group Innovation of Movement Care, HU University of Applied Sciences Utrecht, Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4715-685X","authenticated-orcid":false,"given":"K","family":"Valkenet","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Utrecht, The Netherlands"},{"name":"Research Center of Healthy and Sustainable Living, Research group Innovation of Movement Care, HU University of Applied Sciences Utrecht, Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"bibr1-02692155231189607","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03276.x"},{"key":"bibr2-02692155231189607","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2536"},{"key":"bibr3-02692155231189607","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2020.11.012"},{"key":"bibr4-02692155231189607","unstructured":"Knight J, Nigam Y and Jones A. 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