A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting

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dc.contributor.author McCullagh, Ruth
dc.contributor.author O'Connell, Eimear
dc.contributor.author O'Meara, Sarah
dc.contributor.author Perry, Ivan J.
dc.contributor.author Fitzgerald, Anthony P.
dc.contributor.author O'Connor, Kieran
dc.contributor.author Horgan, N. Frances
dc.contributor.author Timmons, Suzanne
dc.date.accessioned 2016-09-28T12:26:04Z
dc.date.available 2016-09-28T12:26:04Z
dc.date.issued 2016-04-08
dc.identifier.citation McCullagh, R., O’Connell, E., O’Meara, S., Perry, I., Fitzgerald, A., O’Connor, K., Horgan, N. F. and Timmons, S. (2016) ‘A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting’, BMC Geriatrics, 16(79), pp. 1-7. doi: 10.1186/s12877-016-0252-z en
dc.identifier.volume 16 en
dc.identifier.issued 79 en
dc.identifier.startpage 1 en
dc.identifier.endpage 7 en
dc.identifier.issn 1471-2318
dc.identifier.uri http://hdl.handle.net/10468/3131
dc.identifier.doi 10.1186/s12877-016-0252-z
dc.description.abstract Background: Older adults experience functional decline in hospital leading to increased healthcare burden and morbidity. The benefits of augmented exercise in hospital remain uncertain. The aim of this trial is to measure the short and longer-term effects of augmented exercise for older medical in-patients on their physical performance, quality of life and health care utilisation. Design and Methods: Two hundred and twenty older medical patients will be blindly randomly allocated to the intervention or sham groups. Both groups will receive usual care (including routine physiotherapy care) augmented by two daily exercise sessions. The sham group will receive stretching and relaxation exercises while the intervention group will receive tailored strengthening and balance exercises. Differences between groups will be measured at baseline, discharge, and three months. The primary outcome measure will be length of stay. The secondary outcome measures will be healthcare utilisation, activity (accelerometry), physical performance (Short Physical Performance Battery), falls history in hospital and quality of life (EQ-5D-5 L). Discussion: This simple intervention has the potential to transform the outcomes of the older patient in the acute setting. en
dc.description.sponsorship Health Research Board (Research Fellowship Training Grant HPF 2013 451). en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central en
dc.rights © 2016 McCullagh et al. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Frail en
dc.subject Medical en
dc.subject Inpatients en
dc.subject Exercise en
dc.subject Physiotherapy en
dc.subject Length of stay en
dc.title A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Ruth McCullagh, Medicine and Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: r.mccullagh@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Geriatrics en
dc.internal.IRISemailaddress r.mccullagh@ucc.ie
dc.internal.IRISemailaddress r.mccullagh@ucc.ie en


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© 2016 McCullagh et al. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © 2016 McCullagh et al. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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