BAD REST: The Breaking “Bad Rest” Study: Interrupting sedentary time to reverse frailty levels in acute care - Primary Care Unit

Title:	The Breaking “Bad Rest” Study: Interrupting sedentary time to reverse frailty levels in acute care
Project Description:	Older patients spend most of their day in bed while they are in the hospital. This can make recovery more difficult, or cause someone to have worse health when they leave the hospital.
Methodology description:	We want to learn if reducing sedentary time, such as time spent lying in bed, will benefit patients’ health while they are recovering in hospital. We are especially interested in whether reducing sedentary time will improve frailty levels after patients leave the hospital. Frailty levels describe a person’s health status. People who are frailer are more likely to have worse health when they leave the hospital than those who are less frail.
Sample group description:	For this study, we will recruit 50 participants within 24 hours of their admission to a hospital unit that specializes in care for older adults. We will compare two groups: a control group and an intervention group. The control group will receive usual care in hospital. The intervention group will be provided with a device to measure their sedentary time. We will also provide the intervention group with a daily goal for how much time they should spend out of bed. Patients who do not independently achieve their goal, will be encouraged and supported (if necessary) to get out of bed and move by research staff in the afternoon and early evening.
Outcome measure description:	If this project is successful, our goal is to make this intervention part of usual care. We believe this study will inform guidelines for limiting patients’ bed rest while in hospital.
Websites and Resources:	https://www.cfn-nce.ca/project/cat2018-27/ https://clinicaltrials.gov/ct2/show/NCT03682523
Project organisation
Start date:	1st October 2018
End date:	1st January 2020
Contact person:	Professor Olga Theou
Collaborators:	Principal Investigators: Olga Theou, PhD — Nova Scotia Health Authority Kenneth Rockwood, MD — Dalhousie University Co-Investigators: Chris Blanchard, PhD — Dalhousie University Leah Cahill, RD/PDt, PhD — Dalhousie University Mohammad Hajizadeh, PhD — Dalhousie University Peter Hartley, PT — University of Cambridge Scott Kehler, PhD — Dalhousie University Pamela Jarrett, MD — Horizon Health Network Roman Romero-Ortuno, MD, PhD — Cambridge University Hospitals NHS Foundation Trust Renuka Visvanathan, MD, PhD — University of Adelaide
Contact Details:	E-mail: ph492@medschl.cam.ac.uk