Behaviour change interventions to increase physical activity in hospitalized patients: A systematic review, meta-analysis and meta-regression
dc.contributor.author | Taylor, NF | |
dc.contributor.author | Harding, KE | |
dc.contributor.author | Dennett, AM | |
dc.contributor.author | Febrey, S | |
dc.contributor.author | Warmoth, K | |
dc.contributor.author | Hall, AJ | |
dc.contributor.author | Prendergast, LA | |
dc.contributor.author | Goodwin, VA | |
dc.date.accessioned | 2021-06-21T15:10:23Z | |
dc.date.issued | 2021-07-24 | |
dc.description.abstract | Background: Low physical activity levels are a major problem for people in hospital and are associated with adverse outcomes. Objective: This systematic review, meta-analysis and meta-regression aimed to determine the effect of behaviour change interventions on physical activity levels in hospitalized patients.Methods: Randomized controlled trials of behaviour change interventions to increase physical activity in hospitalized patients were selected from a database search, supplemented by reference list checking and citation tracking. Data were synthesized with random effects meta-analyses and and meta-regression analyses, applying GRADE criteria. The primary outcome was objectively measured physical activity. Secondary measures were patient-related outcomes (e.g. mobility), service level outcomes (e.g. length of stay), adverse events and patient satisfaction. Results: Twenty randomized controlled trials of behaviour change interventions involving 2568 participants (weighted mean age 67 years) included 6 trials with a high risk of bias. There was moderate certainty evidence that behaviour change interventions increased physical activity levels (SMD 0.34, 95% CI 0.14 to 0.55). Findings in relation to mobility and length of stay were inconclusive. Adverse events were poorly reported. Meta-regression found behaviour change techniques of goal setting (SMD 0.29, 95% CI 0.05 to 0.53) and feedback (excluding high risk of biastrials) (SMD 0.35, 95% CI 0.11 to 0.60) were independently associated with increased physical activity. Conclusions: Targeted behaviour change interventions were associated with increases in physical activity in hospitalized patients. The trials in this review were inconclusive in relation to the patient-related or health service benefits of increasing physical activity in hospital. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.identifier.citation | Published online 24 July 2021 | en_GB |
dc.identifier.doi | 10.1093/ageing/afab154 | |
dc.identifier.grantnumber | NIHR200167 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/126125 | |
dc.language.iso | en | en_GB |
dc.publisher | British Geriatrics Society / Oxford University Press | en_GB |
dc.rights | © The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.co | |
dc.subject | Behaviour change | en_GB |
dc.subject | physical activity | en_GB |
dc.subject | systematic review | en_GB |
dc.subject | meta-analysis | en_GB |
dc.subject | inpatient | en_GB |
dc.title | Behaviour change interventions to increase physical activity in hospitalized patients: A systematic review, meta-analysis and meta-regression | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2021-06-21T15:10:23Z | |
dc.identifier.issn | 0002-0729 | |
dc.description | This is the final version. Available on open access from Oxford University Press via the DOI in this record | en_GB |
dc.identifier.journal | Age and Ageing | en_GB |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en_GB |
dcterms.dateAccepted | 2021-06-18 | |
exeter.funder | ::National Institute for Health Research (NIHR) | en_GB |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2021-06-18 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2021-06-21T13:40:46Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2021-07-27T13:14:29Z | |
refterms.panel | A | en_GB |
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Except where otherwise noted, this item's licence is described as © The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.co