Association Between Inpatient Steps Per Day and Patient Functional Status/Disposition

Study Overview
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Brief Summary
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This study will incorporate the use of wearable actigraphy devices (Fitbit) on research participants admitted to medicine inpatient units at Tisch Hospital and/or NYU Brooklyn. The investigator's sample size will be 600 randomized into two groups, with basic inclusion criteria including age greater than 65 years and pre-hospital ambulatory status. While both groups will be monitored in terms of their activity (specifically pedometer data), the intervention group will have twice daily encouragement of ambulation. Once a subject is enrolled, data will be collected daily and at time of discharge.

Official Title
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Association Between Inpatient Steps Per Day and Patient Functional Status/Disposition

Conditions
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Physical Medicine

Intervention / Treatment
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* Behavioral: Ambulation
* Other: Standard of Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Admitted to acute inpatient medicine unit Ambulatory without assistive device prior to hospitalization Medical clearance to ambulate on the unit Active MyChart account or willing to activate MyChart account iOS or Android device Exclusion Criteria: Patients less than or equal to 65 years old Not Admitted to acute inpatient medicine unit Ambulatory with assistive device prior to hospitalization No Medical clearance to ambulate on the unit Inactive MyChart account and not willing to activate MyChart account No iOS or Android device In addition, an individual who meets any of the following criteria will be excluded from participation in this study: Oxygen requirement at rest Lower extremity prosthesis Admitted for joint replacement surgery History of frequent falls Admitted for syncope. If patients have specifically opted out of being contacted about research (visible in the Epic header while in their chart) Admitted from nursing home

Ages Eligible for Study
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Minimum Age: 66 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FitBit Group<br>Will receive a wearable device (FitBit) designed to track number of steps for the duration of their hospital stay. They will receive nudges twice/day to ambulate | Behavioral: Ambulation<br>* This group will be encouraged twice daily to ambulate<br>|
| Active Comparator: Control Group-Standard of Care<br>300 subjects who will receive usual standard of care on a general inpatient medicine unit with the addition of a wearable device (FitBit) to track usual mobility in this setting. will complete their admission without push for increased activity (although having the device may influence their steps taken). | Other: Standard of Care<br>* Care as usual at inpatient NYU Langone<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determine how many steps patients admitted to the medicine units are taking at baseline | Steps will be measured using a wearable device (FitBit) designed to track number of steps for the duration of their hospital stay | 1 Day |