Table 2 Round 2 responses
Item | Mean (SD) | Median (MADM) | Proportion of participants scoring the item ≥7 on the 9-point Likert scale a | ||
|---|---|---|---|---|---|
All n = 43 | Professionals n = 38 | Patients n = 5 | |||
How applicable are the following recommendations to older medical patients while acutely hospitalised? | |||||
Older adults should do at least 150 min of moderate-intensity aerobic physical activity throughout the week or do at least 75 min of vigorous-intensity aerobic physical activity throughout the week or an equivalent combination of MVPA | 3.8 (2.8) | 3 (0.8) | 7 (16%) | 4 (11%) | 3 (60%) |
Aerobic activity should be performed in bouts of at least 10 min duration | 4.2 (2.8) | 4 (0.2) | 11 (26%) | 8 (21%) | 3 (60%) |
For additional health benefits, older adults should increase their moderate intensity aerobic physical activity to 300 min per week, or engage in 150 min of vigorous-intensity aerobic physical activity per week, or an equivalent combination of MVPA | 2.8 (2.4) | 2 (0.8) | 4 (9%) b | 2 (5%) | 2 (40%) |
Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week | 6.9 (2.3) | 7 (0.1) | 27 (63%) | 22 (58%) | 5 (100%) |
Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week | 6.8 (2.5) | 8 (1.2) | 27 (63%) | 22 (58%) | 5 (100%) |
When older adults cannot do the recommended amounts of physical activity due to health conditions, they should be as physically active as their abilities and conditions allow. | 8.5 (1.3) | 9 (0.5) | 40 (93%) | 35 (92%) | 5 (100%) |
If you can, also try to reduce the time you spend sitting for long periods | 7.9 (1.6) | 9 (1.1) | 35 (81%) | 30 (79%) | 5 (100%) |
All older adults should minimise the amount of time spent being sedentary (sitting) for extended periods | 7.6 (1.8) | 9 (1.4) | 33 (77%) | 29 (76%) | 4 (80%) |
Adults should move more and sit less throughout the day. Some physical activity is better than none. Adults who sit less and do any amount of MVPA gain some health benefits | 7.7 (1.7) | 8 (0.3) | 34 (79%) | 29 (76%) | 5 (100%) |
Potential recommendations (or targets) for older adults while hospitalised for an acute medical illness. How important is it to develop: | |||||
Physical activity | |||||
1. a general recommendation about physical activity | 8.0 (1.7) | 9 (1.1) | 38 (88%) | 33 (87%) | 5 (100%) |
2. a focussed recommendation about physical activity | 6.7 (2.1) | 7 (0.3) | 28 (65%) | 23 (61%) | 5 (100%) |
including the following components | |||||
- frequency (e.g., bouts per day, or, number of days per week) | 7.7 (1.4) | 8 (0.5) | 37 (86%) | 32 (84%) | 5 (100%) |
- duration (e.g., total activity per day) | 6.8 (2.0) | 7 (0.2) | 29 (67%) | 25 (66%) | 4 (80%) |
- intensity (e.g., light, moderate, vigorous) | 6.3 (2.0) | 7 (0.7) | 22 (51%) | 19 (50%) | 3 (60%) |
- type (e.g., what activities) | 6.8 (1.9) | 7 (0.2) | 28 (65%) | 25 (66%) | 3 (60%) |
- timing (e.g., when to commence being active during admission, or, what hours of the day) | 5.5 (2.8) | 6 (0.5) | 21 (49%) | 18 (47%) | 3 (60%) |
3. a physical activity recommendation about walking | 7.8 (1.2) | 8 (0.8) | 38 (88%) | 34 (90%) | 4 (80%) |
including the following components | |||||
- that reflects mixed capabilities | 8.2 (1.0) | 9 (0.8) | 40 (93%) | 35 (92%) | 5 (100%) |
- that is tailored to those who can walk independently | 7.2 (1.9) | 8 (0.8) | 29 (67%) | 24 (63%) | 5 (100%) |
- that is tailored to those with limited walking capability | 7.7 (1.6) | 8 (0.3) | 37 (86%) | 32 (84%) | 5 (100%) |
- frequency (e.g., number of walks per day, or, number of days per week) | 7.4 (1.6) | 8 (0.6) | 35 (81%) | 30 (79%) | 5 (100%) |
- duration (e.g., how long for) | 6.9 (1.9) | 7 (0.1) | 31 (72%) | 27 (71%) | 4 (80%) |
- target number of steps per day | 6.0 (2.4) | 7 (1.0) | 22 (51%) | 18 (48%) | 4 (80%) |
Sedentary behaviour | |||||
1. a general recommendation about minimising sedentary behaviour | 8.1 (1.2) | 9 (0.9) | 39 (91%) | 34 (90%) | 5 (100%) |
2. a focussed recommendation about sedentary behaviour | 6.8 (2.0) | 7 (0.2) | 29 (67%) | 24 (63%) | 5 (100%) |
including the following components | |||||
- frequency of breaking up time in sitting/lying with standing | 7.3 (1.9) | 8 (0.7) | 30 (70%) | 26 (68%) | 4 (80%) |
- total sedentary time | 6.4 (1.9) | 6 (0.4) | 21 (49%) | 17 (45%) | 4 (80%) |
- sitting out of bed | 7.0 (1.8) | 7 (0.0) | 30 (70%) | 27 (71%) | 3 (60%) |
People factors | |||||
1. a recommendation about the culture, value or philosophy of physical activity in hospital | 8.4 (1.0) | 9 (0.6) | 41 (95%) | 36 (95%) | 5 (100%) |
2. a recommendation about who to engage to change or enable activity in hospital | 8.5 (0.7) | 9 (0.5) | 42 (98%) | 37 (97%) | 5 (100%) |
3. a recommendation about professional roles and responsibilities | 8.2 (1.2) | 9 (0.8) | 38 (88%) | 33 (87%) | 5 (100%) |
including the following components | |||||
- prescription or orders for mobility | 7.4 (2.0) | 8 (0.6) | 33 (77%) | 28 (74%) | 5 (100%) |
- having appropriate assistance (staff) to enable mobility | 8.5 (1.0) | 9 (0.5) | 40 (93%) | 35 (92%) | 5 (100%) |
4. a recommendation about the influence and engagement of patients and relatives | 8.1 (1.2) | 9 (0.9) | 40 (93%) | 36 (95%) | 4 (80%) |
including the following components | |||||
- permissions, guidance or knowledge (where to go and what to do) to enable activity | 8.0 (1.2) | 8 (0.0) | 38 (88%) | 35 (92%) | 3 (60%) |
- engagement in daily care plans (e.g. timing of doctor visits, meals, observations) | 7.7 (1.3) | 8 (0.3) | 35 (81%) | 31 (82%) | 4 (80%) |
- self-directed, independent or minimally supervised activities | 7.9 (1.4) | 8 (0.1) | 36 (84%) | 32 (84%) | 4 (80%) |
5. a recommendation about staff encouraging patient activity | 8.5 (0.8) | 9 (0.5) | 41 (95%) | 36 (95%) | 5 (100%) |
including the following components | |||||
- encouragement, support, empowerment, or partnership with patients | 8.3 (1.0) | 9 (0.7) | 39 (91%) | 34 (90%) | 5 (100%) |
- self-monitoring and feedback | 7.7 (1.3) | 8 (0.3) | 35 (81%) | 31 (82%) | 4 (80%) |
- daily mobility goal setting | 8.0 (1.3) | 8 (0.0) | 38 (88%) | 33 (87%) | 5 (100%) |
- coaching and application of behaviour change principles | 7.7 (1.6) | 9 (1.3) | 32 (74%) | 29 (76%) | 3 (60%) |
Organisational factors | |||||
1. a recommendation that recognises that a complex issue requires complex solutions | 7.8 (1.5) | 8 (0.2) | 36 (84%) | 33 (87%) | 3 (60%) |
2. a recommendation about the potential value of policy | 7.7 (1.4) | 8 (0.4) | 34 (79%) | 30 (79%) | 4 (80%) |
3. a recommendation about the potential value of procedures | 7.3 (1.4) | 7 (0.3) | 30 (70%) | 25 (66%) | 5 (100%) |
4. a recommendation about the potential value of education | 7.5 (1.6) | 8 (0.5) | 34 (79%) | 30 (79%) | 4 (80%) |
5. develop a recommendation about incorporating opportunities for activity into daily care | 8.3 (1.2) | 9 (0.7) | 42 (98%) | 37 (97%) | 5 (100%) |
including the following components | |||||
- focus on function, activities of daily living | 8.3 (0.9) | 9 (0.7) | 40 (93%) | 36 (95%) | 4 (80%) |
- meal-time | 7.3 (1.4) | 7 (0.3) | 30 (70%) | 26 (68%) | 4 (80%) |
- hygiene (toileting, showering, bathing) | 7.8 (1.3) | 8 (0.2) | 35 (81%) | 31 (82%) | 4 (80%) |
- dressing | 7.6 (1.4) | 8 (0.4) | 34 (79%) | 31 (82%) | 3 (60%) |
6. a recommendation about the physical environment and resources | 8.2 (1.2) | 9 (0.8) | 40 (93%) | 35 (92%) | 5 (100%) |
including the following components | |||||
- the built environment | 7.8 (1.2) | 8 (0.2) | 36 (84%) | 32 (84%) | 4 (80%) |
- portable adaptations to the environment equipment for activity | 8.1 (0.9) | 8 (0.1) | 41 (95%) | 36 (95%) | 5 (100%) |
- equipment for activity | 8.0 (1.2) | 8 (0.0) | 38 (88%) | 34 (90%) | 4 (80%) |