Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study

Claire E. Baldwin, Anna C. Phillips, Sarah M. Edney, Lucy K. Lewis

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To identify core domains for research studies of physical activity and sedentary behavior during hospitalization for older adults with an acute medical illness. Design: A 4-Round Delphi consensus process. Round 1 invited responses to open-ended questions to generate items for the core domains research. In rounds 2-4, participants were invited to use a Likert scale (1-9) to rate the importance of each core domain for research studies of physical activity and/or sedentary behavior in hospitalized older adults with an acute medical illness. Setting: Online surveys. Participants: A total of 49 participants were invited to each round (international researchers, clinicians, policy makers and patients). Response rates across rounds 1-4 were 94%, 88%, 83% and 81%, respectively. Interventions: None. Main Outcome Measures: Consensus was defined a priori as ≥70% of respondents rating an item as “critical” (score≥7) and ≤15% of respondents rating an item as “not important” (score≤3). Results: In round 2, a total of 9 of 25 core domains reached consensus agreement (physical functioning, general, role functioning, emotional functioning, global quality of life, hospital, psychiatric, cognitive functioning, carer burden). In round 3, an additional 8 reached consensus (adverse events, perceived health status, musculoskeletal, social functioning, vascular, cardiac, mortality, economic). Round 4 participants provided further review and a final rating of all 17 core domains that met consensus in previous rounds. Four core domains were rated as “critically important” to evaluate: physical functioning, social functioning, emotional functioning, and hospital outcomes. Conclusions: This preliminary work provides international and expert consensus-based core domains for development toward a core-outcome set for research, with the ultimate goal of fostering consistency in outcomes and reporting to accelerate research on effective strategies to address physical activity and/or sedentary behavior in older adults while hospitalized.

Original languageEnglish
Pages (from-to)664-674
Number of pages11
JournalArchives of Physical Medicine and Rehabilitation
Volume102
Issue number4
Early online date28 Nov 2020
DOIs
Publication statusPublished - Apr 2021

Keywords

  • Acute disease
  • Consensus
  • Exercise
  • Frail elderly
  • Health care
  • Hospitalization
  • Outcome assessment
  • Patient reported outcome measures
  • Sedentary behavior

Fingerprint

Dive into the research topics of 'Core Domains for Research on Hospital Inactivity in Acutely Ill Older Adults: A Delphi Consensus Study'. Together they form a unique fingerprint.

Cite this