[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-421424-105":59,"doc-detail-421424-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","adapting-a-systems-based-intervention-to-improve-older-adult-patient-mobility-in-hospital-settings","ADAPTING A SYSTEMS-BASED INTERVENTION TO IMPROVE OLDER ADULT PATIENT MOBILITY IN HOSPITAL SETTINGS","","Hospitalized older adults often decline function when mobility is reduced. Acute care nurses are expected to maintain functional status, yet walking is frequently limited by system-level barriers. To address these barriers, MOVIN (Mobilizing Older adults Via a systems-based INtervention) was developed as a multicomponent mobility model of care. A cluster randomized controlled trial with participatory implementation adapted MOVIN across four inpatient units, using a fidelity rating tool and an interrupted time series to assess changes in percent ambulation and ambulation distance. Fidelity remained very good to excellent, and mobility outcomes increased and sustained across all units, supporting practical feasibility while highlighting the need for further implementation guidance in hospital settings.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/adapting-a-systems-based-intervention-to-improve-older-adult-patient-mobility-in-hospital-settings/421424/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/adapting-a-systems-based-intervention-to-improve-older-adult-patient-mobility-in-hospital-settings/421424.png","ImageObject",300,407,{"name":92,"@type":93},"Jake","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What problem does the study target in hospitalized older adults?","Question",{"text":112,"@type":113},"It targets functional decline associated with low mobility during hospitalization.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is MOVIN and what was its purpose?",{"text":117,"@type":113},"MOVIN is a multicomponent mobility model of care designed to address system barriers and improve patient mobility.",{"name":119,"@type":110,"acceptedAnswer":120},"How were the MOVIN adaptations and results evaluated?",{"text":121,"@type":113},"The study used a fidelity rating tool to measure adherence to core components and an interrupted time series to evaluate changes in percent ambulation and ambulation distance across pre, intervention, and post periods.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421424,1790790826,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 583  \nAbstract citation ID: igaf122.2001  \nADAPTING A SYSTEMS-BASED INTERVENTION TO IMPROVE OLDER ADULT PATIENT MOBILITY IN HOSPITAL SETTINGS  \nBarbara King1, David Tucker1, and Linsey Steege2, 1. University of Wisconsin–Madison, Madison, Wisconsin, United States, 2. University of Wisconsin–Madison School of Nursing, Madison, Wisconsin, United States  \nHospitalized older adults often experience functional decline due to low mobility. Acute care nurses are responsible for maintaining patient functional status but often do not walk patients due to multiple system barriers. To address system barriers, we developed Mobilizing Older adults Via a systems-based INtervention (MOVIN) a multicomponent mobility model of care. However, implementing multicomponent mobility interventions in hospitals can be complex often requiring adaptations to meet unique needs of inpatient units. A cluster randomized controlled trial design was used paired with a participatory approach to implementing MOVIN. Four inpatient units across 2 hospitals served as study sites. Adaptations of MOVIN to meet the unique needs of each intervention unit were made. A Fidelity rating tool was used to evaluate adherence to the core components of MOVIN. An interrupted time series was used to evaluated changes in percent ambulation and ambulation distance across pre, intervention, and post intervention periods. Adaptations for MOVIN occurred in psychomotor training, mobility resources, and communication tools due to staff turnover, physical layout of the unit, and unique unit workflows. Adaptations occurred during the planning (proactive adjustment) as well as the active (reactive to ongoing barriers) intervention period. Fidelity of all MOVIN components was maintained with very good to excellent ratings. Unit ambulation outcomes (percent ambulation and ambulation distance) significantly increased across pre, intervention, and post-intervention periods and sustained for all four units. Further research is needed on navigating complexities in implementing multicomponent interventions in hospital settings to improve older adult patient mobility.","cbCaijy0DMjJtctW","https://ap.wps.com/l/cbCaijy0DMjJtctW","pdf",545387,"English","# Background\n# Intervention Design (MOVIN)\n## Implementation Approach\n## Adaptations Across Units\n# Evaluation Methods\n## Fidelity Rating Tool\n## Interrupted Time Series Outcomes\n# Results and Implications","[{\"question\":\"What problem does the study target in hospitalized older adults?\",\"answer\":\"It targets functional decline associated with low mobility during hospitalization.\"},{\"question\":\"What is MOVIN and what was its purpose?\",\"answer\":\"MOVIN is a multicomponent mobility model of care designed to address system barriers and improve patient mobility.\"},{\"question\":\"How were the MOVIN adaptations and results evaluated?\",\"answer\":\"The study used a fidelity rating tool to measure adherence to core components and an interrupted time series to evaluate changes in percent ambulation and ambulation distance across pre, intervention, and post periods.\"}]","ADAPTING A SYSTEMS-BASED INTERVENTION TO IMPROVE OLDER ADULT PATIENT MOBILITY IN HOSPITAL SETTINGS | PDF",1790624837]