Evaluation of strategies to support implementation of a hospital walking program: protocol for a type III effectiveness-implementation hybrid trial.

ABSTRACT:

Background

STRIDE is a supervised walking program designed to address the negative consequences of immobility during hospitalization for older adults. In an 8-hospital stepped wedge randomized controlled trial, STRIDE was associated with reduced odds of hospital discharge to skilled nursing facility. STRIDE has the potential to become a system-wide approach to address hospital-associated disability in Veteran's Affairs; however, critical questions remain about how best to scale and sustain the program. The overall study goal is to compare the impact of two strategies on STRIDE program penetration (primary), fidelity, and adoption implementation outcomes.

Methods

Replicating Effective Programs will be used as a framework underlying all implementation support activities. In a

SUBMITTER: Kappler CB 

PROVIDER: S-EPMC10790254 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature