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Floegel TA, Allen KD, Buman MP. A pilot study examining activity monitor use in older adults with heart failure during and after hospitalization. Geriatric nursing (New York, N.Y.). 2019 Mar 1; 40(2):185-189.
Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93.1% retention rate. Twenty-seven older patients admitted with heart failure (78 ± 9.8 years; 51.8% female) wore two inclinometric accelerometers to record posture in-hospital and an ankle accelerometer to record ambulatory activity in-hospital and 30-days after discharge. During hospitalization, participants had 96.2% recorded wear time for postural accelerometers, and 99% for the ankle accelerometer. During the post-discharge period, there was 92% recorded wear time of the ankle accelerometer. Themes identified by participants were ease of wear, compatibility with hospital technology, remembering device/device use, and need for feedback/curiosity. Our study demonstrates feasibility and acceptability of continuous objective monitoring during hospitalization and at home in this clinical population.