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Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients
Sponsor: The Cleveland Clinic
Summary
The investigator proposes to conduct a randomized trial of supervised ambulation delivered by mobility technician (MT) up to three times daily, including weekends, to hospitalized medical patients. The aims of the study are to compare the short and intermediate-term outcomes of patients randomized to the intervention versus those patients randomized to receive usual care, to identify patients who are most likely to benefit from the intervention and to assess whether the intervention increases or decreases overall costs of an episode of care, including the cost of the MTs, the index hospitalization and the first 30 days post enrollment.
Official title: Randomized Trial of Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
INTERVENTIONAL
Enrollment
3000
Start Date
2023-05-15
Completion Date
2026-10-11
Last Updated
2025-07-30
Healthy Volunteers
No
Interventions
Mobility technician
Designated mobility technicians (MT) will ambulate hospitalized medical patients up to 3 times daily, 7 days per week, until discharge or a maximum of 10 days. Each day, the MT will visit the patient 4 times or until the patient successfully ambulates 3 times that day. In cases where a PT has provided a recommendation in the patient's chart, the MT will follow the recommendation, if feasible. Otherwise, the MT will execute the standard mobility protocol. The mobility protocol will allow the MT to assist a patient with an appropriate out-of-bed activity based on their 6-clicks score from the immediately preceding session.
Locations (5)
Baystate Medical Center
Springfield, Massachusetts, United States
Fairview Hospital
Cleveland, Ohio, United States
Cleveland Clinic- Main Campus
Cleveland, Ohio, United States
Marymount Hospital
Garfield Heights, Ohio, United States
Hillcrest Hospital
Mayfield Heights, Ohio, United States