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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.