Individual specialist physical activity assessment and intervention in advanced cancer patients on a palliative care ward; the 3STEPS-study
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Individual specialist physical activity assessment and intervention in advanced cancer patients on a palliative care ward; the 3STEPS-study. / Blum, David; Schuetz, Christian; Jensen, Wiebke; Wannke, Laurien; Ketels, Gesche; Bokemeyer, Carsten; Oechsle, Karin.
In: ANN PALLIAT MED, Vol. 9, No. 6, 11.2020, p. 4315-4322.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Individual specialist physical activity assessment and intervention in advanced cancer patients on a palliative care ward; the 3STEPS-study
AU - Blum, David
AU - Schuetz, Christian
AU - Jensen, Wiebke
AU - Wannke, Laurien
AU - Ketels, Gesche
AU - Bokemeyer, Carsten
AU - Oechsle, Karin
PY - 2020/11
Y1 - 2020/11
N2 - The aim of this prospective study was to evaluate the feasibility and outcome of an activity assessment and intervention on a specialized palliative care ward. All patients admitted between May 2017 and April 2018 were screened for basic assessment (Step 1). Whenever possible the Tinetti-mobility test (TT) was performed by a physiotherapist. A comparison between physician and nurse-led assessment and patient report was performed (Step 2), followed by a low-intensity individually adapted activity intervention (Step 3). Physical function and global quality of life was measured at intervention start and at discharge. Home care training adherence was controlled by phone call. In total, 437 patients were admitted in one year. In 248 patients, a basic assessment was done of which 131 performed a TT. In this group, median age was 63 years. Types of cancer were gastrointestinal (n=39), lung (n=27), urogenital (n=20), non-cancer (n=26) and other (n=26). Median length of stay was 13 days. Correlations between assessment methods were low to moderate, the highest between the TT and the nurse led assessment. Six patients started the intervention. Four patients completed the intervention, of which two continued with the home based training. In all four patients, an improvement in outcomes was measured. In conclusion in around a quarter of patients on a palliative care ward a TT could be performed. The TT correlated to most with nurse led mobility assessment. In the few accrued patients, the activity intervention showed an effect.
AB - The aim of this prospective study was to evaluate the feasibility and outcome of an activity assessment and intervention on a specialized palliative care ward. All patients admitted between May 2017 and April 2018 were screened for basic assessment (Step 1). Whenever possible the Tinetti-mobility test (TT) was performed by a physiotherapist. A comparison between physician and nurse-led assessment and patient report was performed (Step 2), followed by a low-intensity individually adapted activity intervention (Step 3). Physical function and global quality of life was measured at intervention start and at discharge. Home care training adherence was controlled by phone call. In total, 437 patients were admitted in one year. In 248 patients, a basic assessment was done of which 131 performed a TT. In this group, median age was 63 years. Types of cancer were gastrointestinal (n=39), lung (n=27), urogenital (n=20), non-cancer (n=26) and other (n=26). Median length of stay was 13 days. Correlations between assessment methods were low to moderate, the highest between the TT and the nurse led assessment. Six patients started the intervention. Four patients completed the intervention, of which two continued with the home based training. In all four patients, an improvement in outcomes was measured. In conclusion in around a quarter of patients on a palliative care ward a TT could be performed. The TT correlated to most with nurse led mobility assessment. In the few accrued patients, the activity intervention showed an effect.
U2 - 10.21037/apm-19-472
DO - 10.21037/apm-19-472
M3 - SCORING: Journal article
C2 - 32921120
VL - 9
SP - 4315
EP - 4322
JO - ANN PALLIAT MED
JF - ANN PALLIAT MED
SN - 2224-5820
IS - 6
ER -