Perceived Factors of Influence on the Implementation of a Multidimensional Project to Improve Patients’ Movement Behavior During Hospitalization: A Qualitative Study
Abstract Objective The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients’ movement behavior. Methods This qualitative study was conducted on 4 wards. Per w...
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Published in | Physical therapy Vol. 102; no. 2; pp. 1 - 9 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Oxford University Press
01.02.2022
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Subjects | |
Online Access | Get full text |
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Abstract | Abstract
Objective
The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients’ movement behavior.
Methods
This qualitative study was conducted on 4 wards. Per ward, a tailored action plan was implemented consisting of multiple tools and interventions to stimulate the integration of inpatient physical activity in usual care processes. After implementation, semi-structured interviews were performed with health care professionals and patients to explore perceived factors of influence on the implementation of the Hospital in Motion project. A content analysis was performed using the framework of the Medical Research Council for complex interventions as guidance for the identification of categories and themes.
Results
In total, 16 interviews were conducted with health care professionals and 12 with patients. The results were categorized into the 3 key components of the Medical Research Council framework: implementation, mechanisms of impact, and context. An important factor of influence within the theme “implementation” was the iterative and multidisciplinary approach. Within the theme “mechanisms of impact,” continuous attention and the interaction of multiple interventions, tailored to the target group and targeting multiple dimensions (individual, inter-professional, community and society), were perceived as important. Within the theme “context,” the intrinsic motivation and inter-professional, community and societal culture towards physical activity was perceived to be of influence.
Conclusion
Impact can be achieved and maintained by creating continuous attention to inpatient physical activity and by the interaction between different interventions and dimensions during implementation. To maintain enough focus, the amount of activities at one time should be limited.
Impact
To improve inpatients’ movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. |
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AbstractList | Impact. To improve inpatients' movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. Abstract Objective The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients’ movement behavior. Methods This qualitative study was conducted on 4 wards. Per ward, a tailored action plan was implemented consisting of multiple tools and interventions to stimulate the integration of inpatient physical activity in usual care processes. After implementation, semi-structured interviews were performed with health care professionals and patients to explore perceived factors of influence on the implementation of the Hospital in Motion project. A content analysis was performed using the framework of the Medical Research Council for complex interventions as guidance for the identification of categories and themes. Results In total, 16 interviews were conducted with health care professionals and 12 with patients. The results were categorized into the 3 key components of the Medical Research Council framework: implementation, mechanisms of impact, and context. An important factor of influence within the theme “implementation” was the iterative and multidisciplinary approach. Within the theme “mechanisms of impact,” continuous attention and the interaction of multiple interventions, tailored to the target group and targeting multiple dimensions (individual, inter-professional, community and society), were perceived as important. Within the theme “context,” the intrinsic motivation and inter-professional, community and societal culture towards physical activity was perceived to be of influence. Conclusion Impact can be achieved and maintained by creating continuous attention to inpatient physical activity and by the interaction between different interventions and dimensions during implementation. To maintain enough focus, the amount of activities at one time should be limited. Impact To improve inpatients’ movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients' movement behavior. This qualitative study was conducted on 4 wards. Per ward, a tailored action plan was implemented consisting of multiple tools and interventions to stimulate the integration of inpatient physical activity in usual care processes. After implementation, semi-structured interviews were performed with health care professionals and patients to explore perceived factors of influence on the implementation of the Hospital in Motion project. A content analysis was performed using the framework of the Medical Research Council for complex interventions as guidance for the identification of categories and themes. In total, 16 interviews were conducted with health care professionals and 12 with patients. The results were categorized into the 3 key components of the Medical Research Council framework: implementation, mechanisms of impact, and context. An important factor of influence within the theme "implementation" was the iterative and multidisciplinary approach. Within the theme "mechanisms of impact," continuous attention and the interaction of multiple interventions, tailored to the target group and targeting multiple dimensions (individual, inter-professional, community and society), were perceived as important. Within the theme "context," the intrinsic motivation and inter-professional, community and societal culture towards physical activity was perceived to be of influence. Impact can be achieved and maintained by creating continuous attention to inpatient physical activity and by the interaction between different interventions and dimensions during implementation. To maintain enough focus, the amount of activities at one time should be limited. To improve inpatients' movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. OBJECTIVEThe aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients' movement behavior. METHODSThis qualitative study was conducted on 4 wards. Per ward, a tailored action plan was implemented consisting of multiple tools and interventions to stimulate the integration of inpatient physical activity in usual care processes. After implementation, semi-structured interviews were performed with health care professionals and patients to explore perceived factors of influence on the implementation of the Hospital in Motion project. A content analysis was performed using the framework of the Medical Research Council for complex interventions as guidance for the identification of categories and themes. RESULTSIn total, 16 interviews were conducted with health care professionals and 12 with patients. The results were categorized into the 3 key components of the Medical Research Council framework: implementation, mechanisms of impact, and context. An important factor of influence within the theme "implementation" was the iterative and multidisciplinary approach. Within the theme "mechanisms of impact," continuous attention and the interaction of multiple interventions, tailored to the target group and targeting multiple dimensions (individual, inter-professional, community and society), were perceived as important. Within the theme "context," the intrinsic motivation and inter-professional, community and societal culture towards physical activity was perceived to be of influence. CONCLUSIONImpact can be achieved and maintained by creating continuous attention to inpatient physical activity and by the interaction between different interventions and dimensions during implementation. To maintain enough focus, the amount of activities at one time should be limited. IMPACTTo improve inpatients' movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. Objective The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary implementation project to improve inpatients’ movement behavior. Methods This qualitative study was conducted on 4 wards. Per ward, a tailored action plan was implemented consisting of multiple tools and interventions to stimulate the integration of inpatient physical activity in usual care processes. After implementation, semi-structured interviews were performed with health care professionals and patients to explore perceived factors of influence on the implementation of the Hospital in Motion project. A content analysis was performed using the framework of the Medical Research Council for complex interventions as guidance for the identification of categories and themes. Results In total, 16 interviews were conducted with health care professionals and 12 with patients. The results were categorized into the 3 key components of the Medical Research Council framework: implementation, mechanisms of impact, and context. An important factor of influence within the theme “implementation” was the iterative and multidisciplinary approach. Within the theme “mechanisms of impact,” continuous attention and the interaction of multiple interventions, tailored to the target group and targeting multiple dimensions (individual, inter-professional, community and society), were perceived as important. Within the theme “context,” the intrinsic motivation and inter-professional, community and societal culture towards physical activity was perceived to be of influence. Conclusion Impact can be achieved and maintained by creating continuous attention to inpatient physical activity and by the interaction between different interventions and dimensions during implementation. To maintain enough focus, the amount of activities at one time should be limited. Impact To improve inpatients’ movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored interventions that target multiple dimensions. Intermediate evaluation of the implementation process, strategies, and interventions is recommended. |
Audience | Professional |
Author | Bor, Petra Valkenet, Karin van Delft, Lotte Veenhof, Cindy |
Author_xml | – sequence: 1 givenname: Petra orcidid: 0000-0002-8494-349X surname: Bor fullname: Bor, Petra email: P.Bor-3@umcutrecht.nl – sequence: 2 givenname: Lotte orcidid: 0000-0002-9397-8934 surname: van Delft fullname: van Delft, Lotte email: l.m.m.vandelft@umcutrecht.nl – sequence: 3 givenname: Karin orcidid: 0000-0002-4715-685X surname: Valkenet fullname: Valkenet, Karin email: K.Valkenet@umcutrecht.nl – sequence: 4 givenname: Cindy surname: Veenhof fullname: Veenhof, Cindy |
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Cites_doi | 10.2522/ptj.20130199 10.1002/jhm.209 10.1111/j.1464-0597.2008.00341.x 10.1186/s12877-018-0778-3 10.1186/1748-5908-8-2 10.1177/1049732305276687 10.1016/j.outlook.2008.05.007 10.1002/14651858.CD005470.pub2 10.1111/ajag.12777 10.1186/s13012-014-0160-6 10.1136/bmj.h1258 10.1093/ptj/pzaa160 10.1177/1062860613510965 10.1080/09638288.2018.1492636 10.1080/00185868.2018.1463831 10.1080/00185868.2014.937971 10.1002/jhm.2546 10.1016/j.jamda.2015.03.011 10.1111/j.1365-2753.2008.01014.x 10.1186/s12877-018-0965-2 10.1177/1090198111418634 10.1007/s12160-013-9486-6 10.1093/ageing/afx128 10.1111/j.1365-2702.2012.04249.x 10.1002/9781118525975 10.1186/1748-5908-4-50 10.1080/09638288.2018.1471525 10.2105/AJPH.89.9.1322 |
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The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and... The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and multidisciplinary... Impact. To improve inpatients' movement behavior, implementation project teams should be multidisciplinary and should implement a small set of tailored... Objective The aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and... OBJECTIVEThe aim of this study was to explore perceived factors of influence on the implementation of Hospital in Motion, a multidimensional and... |
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SubjectTerms | Adult Behavior Exercise Exercise Therapy - methods Female Health aspects Hospital patients Hospitalization Humans Male Medical research Methods Middle Aged Physiological aspects Professionals Qualitative Research |
Title | Perceived Factors of Influence on the Implementation of a Multidimensional Project to Improve Patients’ Movement Behavior During Hospitalization: A Qualitative Study |
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