Impact of an INtervention to increase MOBility in older hospitalized medical patients (INTOMOB): Study protocol for a cluster randomized controlled trial

Table 1 Schedule of patient-level assessments [17, 20,21,22,23,24,25,26,27,28,29,30]

Assessments	Time points
	Baseline	Discharge	D30	D180
Age, sex, weight, height, vital parameters	X
Home support, health insurance	X
Mobility aid at admission	X
Admission date, mode (elective/urgent), hospital, ward	X
Hospitalization(s) in the last 180 days	X
Nutritional status (NRS) [20]	X
Life-space level (UAB Study of Aging LSA or LSA-IS) [21, 22]	X		X	X
ADLs (Barthel Index) [23]	X		X	X
IADLs (Lawton Index) [24]	X		X	X
Quality of life (EQ-5D-5L) [25]	X		X	X
Depression (PHQ-2) [26]	X		X	X
Delirium during hospitalization (CAM) [17]		X
Pressure ulcer (NPIAP/EPUAP classification) [27]	X	X
Mobility (DEMMI) [28]	X	X
Lower-limb and hand-grip muscle strength	X	X
Step count & level of activity*	X	X
Fear of / concerns about falling (FES-I) [29]	X	X	X	X
Medications	X	X**	X	X
Relevant comorbidities / Diagnoses	X	X	X	X
Intervention acceptability (intervention group)		X
Satisfaction with hospital stay (Satisfaction questionnaire adapted & simplified) [30]		X
Perspectives on hospital mobility (Supplement 9)		X
Falls (number, consequences)***		X	X	X
New institutionalization		X	X	X
Discharge date & destination		X
Ward change during hospitalization		X
Medical devices during hospitalization		X
Emergency room visits and readmissions***			X	X
Date and cause of death			X	X

Abbreviations: ADLs Activities of Daily Living, CAM Confusion Assessment method, DEMMI De Morton Mobility Index, EPUAP European Pressure Ulcer Advisory Panel, FES-I Falls Efficacy Scale International, IADLs Instrumental Activities of Daily Living, LSA-IS Life-Space Assessment in Institutionalized Settings, NPIAP National Pressure Injury Advisory Panel, NRS Nutritional Risk Screening, PHQ-2 Patient Health Questionnaire-2, UAB Study of Aging LSA University of Alabama Study of Aging Life-Space Assessment
X = means that the assessment is conducted at that time point; Empty boxes = means that the assessment is not conducted at that time point
^* Participants on both control and intervention wards are asked to wear a wrist-worn ActiGraph [31] accelerometer 24/7 to measure mobility
^** Includes medications during hospitalization and at discharge
^*** To minimize recall bias, participants receive at discharge a diary to record falls, emergency room visits and hospitalizations during follow-up. Number, date and first diagnosis of emergency rooms visits and readmissions are assessed

ISSN: 1471-2318