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Table 1 Menu of suggested interventions

From: Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals

Intervention type Activity Description
Educational meetings (in person or electronic) Inter-professional staff education modulea Classroom-based module to help prepare staff for a change in clinical practice related to mobilization by facilitating discussion and acknowledging potential challenges and barriers in a group setting
MOVE iT/MOVE ON mobilization of vulnerable elders in Ontario electronic modulea Electronic module used to quickly reach a large number of staff, with content similar to that of the classroom-based module
MOVE ON senior-friendly hospital modulea Electronic module for inter-professional hospital staff to review the risks of hospitalization for older adults, reflect on the effects of ageism and stereotyping of older adults, and review the needs of older adults
Clinical coaching Education coordinators provided bedside coaching with staff to walk through potential ways to mobilize patients in different scenarios
One-on-one staff coaching tools Review of ABC educational tool One-on-one staff coaching toolb to review the standard of care for mobility
Documentation practices One-on-one staff coaching toolb to encourage proper documentation of patients’ mobility status
Transfer techniques and ergonomics education sessions One-on-one staff coaching toolb presenting techniques such as ‘roll’, ‘lie to sit’, and ‘sit to stand’
Natural opportunities One-on-one staff coaching toola to encourage creative ways to incorporate mobility into everyday practice
Distribution of printed educational materials Mobility algorithm Tool to help staff assess each patient’s mobility status and to aid in communicating patients’ mobility status through the use of (ABC) letters to identify mobility level
Hazards of immobility poster Educational poster for hospital staff
Benefits of getting out of bed while in hospital poster Educational poster for patients/family members
Keep moving pamphlet Educational pamphlet for patients/family members
Reminders Commercial breaks One-minute musical interludes during multidisciplinary or bullet rounds with messages to encourage mobilization
Communication and case discussion Huddles Quick stand-up staff meetings to discuss progress of intervention and share successes and challenges
Educational exhibits MOVE ON fair Series of eight stations set up in a common area on at least two separate days, where staff members can learn about MOVE ON, documentation practices, myths about mobilization, and other relevant aspects of the project
  1. aAlthough staff education was mandatory, the mode of education was at the discretion of each site.
  2. bKnowledge-to-practice coaching is delivered at the point of care. It can be used to engage staff on an individual basis to support mobility coaching by the bedside and relates knowledge and skills directly to patients that the staff member is caring for that day.