Abstract
Background: Effective rehabilitation should include high levels of physical activity. The impact of the environmental design on activity levels has had minimal consideration. Purpose: This study investigates activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care, comparing weekday and weekend activity levels, as well as changes over a 12-month period. Method: An observational study reporting participants’ location, people present, body position, and activity type on 2 weekdays and 1 weekend day using behavior mapping techniques. Fifteen participants were observed in a mixed rehabilitation unit with neurological, orthopedic, and other health conditions. Results: Results were calculated as the proportion of observations participants spent in each location, position, and performing activities (physical, cognitive, social), and time spent alone and inactive. On average, participants were engaged in activity for 86% (standard deviation [SD] = 9) of the day, with physical activity accounting for 51% (SD = 11), cognitive activity 28% (SD = 10), and social activity 42% (SD = 16). There was more physical activity (mean difference [MD] 8% absolute, confidence interval [CI] = [4, 12], p <.01) and less social activity (MD −6% absolute, CI [−11, −1], p =.02) on weekdays compared to weekends. Overall, participants were alone and inactive for 12% (SD = 9) of the day. Participants observed in 2016 displayed similar results to those observed in 2015. Conclusion: High levels of activity were achieved in this facility that underwent environmental redesign, construction of new facilities, and implementation of evidence-based strategies.
| Language | English |
|---|---|
| Pages | 26-38 |
| Number of pages | 13 |
| Journal | Health Environments Research and Design Journal |
| Volume | 12 |
| Issue number | 4 |
| Early online date | 6 Feb 2019 |
| DOIs | |
| Publication status | Published - 1 Oct 2019 |
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Keywords
- behavior mapping
- enriched environment
- monitoring
- observation
- physical activity
- rehabilitation
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}
Observations of activity levels in a purpose-built, inpatient, rehabilitation facility. / Scrivener, Katharine; Pocovi, Natasha; Jones, Taryn; Dean, Bridget; Gallagher, Shaun; Henrisson, Wesley; Thorburn, Michael; Dean, Catherine.
In: Health Environments Research and Design Journal, Vol. 12, No. 4, 01.10.2019, p. 26-38.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Observations of activity levels in a purpose-built, inpatient, rehabilitation facility
AU - Scrivener, Katharine
AU - Pocovi, Natasha
AU - Jones, Taryn
AU - Dean, Bridget
AU - Gallagher, Shaun
AU - Henrisson, Wesley
AU - Thorburn, Michael
AU - Dean, Catherine
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Background: Effective rehabilitation should include high levels of physical activity. The impact of the environmental design on activity levels has had minimal consideration. Purpose: This study investigates activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care, comparing weekday and weekend activity levels, as well as changes over a 12-month period. Method: An observational study reporting participants’ location, people present, body position, and activity type on 2 weekdays and 1 weekend day using behavior mapping techniques. Fifteen participants were observed in a mixed rehabilitation unit with neurological, orthopedic, and other health conditions. Results: Results were calculated as the proportion of observations participants spent in each location, position, and performing activities (physical, cognitive, social), and time spent alone and inactive. On average, participants were engaged in activity for 86% (standard deviation [SD] = 9) of the day, with physical activity accounting for 51% (SD = 11), cognitive activity 28% (SD = 10), and social activity 42% (SD = 16). There was more physical activity (mean difference [MD] 8% absolute, confidence interval [CI] = [4, 12], p <.01) and less social activity (MD −6% absolute, CI [−11, −1], p =.02) on weekdays compared to weekends. Overall, participants were alone and inactive for 12% (SD = 9) of the day. Participants observed in 2016 displayed similar results to those observed in 2015. Conclusion: High levels of activity were achieved in this facility that underwent environmental redesign, construction of new facilities, and implementation of evidence-based strategies.
AB - Background: Effective rehabilitation should include high levels of physical activity. The impact of the environmental design on activity levels has had minimal consideration. Purpose: This study investigates activity levels of inpatients undergoing rehabilitation in a new rehabilitation facility with innovative design and multidisciplinary care, comparing weekday and weekend activity levels, as well as changes over a 12-month period. Method: An observational study reporting participants’ location, people present, body position, and activity type on 2 weekdays and 1 weekend day using behavior mapping techniques. Fifteen participants were observed in a mixed rehabilitation unit with neurological, orthopedic, and other health conditions. Results: Results were calculated as the proportion of observations participants spent in each location, position, and performing activities (physical, cognitive, social), and time spent alone and inactive. On average, participants were engaged in activity for 86% (standard deviation [SD] = 9) of the day, with physical activity accounting for 51% (SD = 11), cognitive activity 28% (SD = 10), and social activity 42% (SD = 16). There was more physical activity (mean difference [MD] 8% absolute, confidence interval [CI] = [4, 12], p <.01) and less social activity (MD −6% absolute, CI [−11, −1], p =.02) on weekdays compared to weekends. Overall, participants were alone and inactive for 12% (SD = 9) of the day. Participants observed in 2016 displayed similar results to those observed in 2015. Conclusion: High levels of activity were achieved in this facility that underwent environmental redesign, construction of new facilities, and implementation of evidence-based strategies.
KW - behavior mapping
KW - enriched environment
KW - monitoring
KW - observation
KW - physical activity
KW - rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85061609677&partnerID=8YFLogxK
U2 - 10.1177/1937586718823519
DO - 10.1177/1937586718823519
M3 - Article
VL - 12
SP - 26
EP - 38
JO - HERD
T2 - HERD
JF - HERD
SN - 1937-5867
IS - 4
ER -