Are accelerometers a useful way to measure activity in care home residents?

Introduction: Accurate measurement of activity in care home residents is important for monitoring and evaluating interventions for activity promotion. Accelerometers provide a potential method. However, their usefulness in this population has not been well documented. We aimed to explore the feasibi...

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Main Authors: Walker, Gemma M., Logan, Pip, Gordon, Adam L., Conroy, S., Armstrong, S., Robertson, K., Ward, M., Frowd, Nadia, Darby, Janet, Arnold, G., Gladman, John R.F.
Format: Article
Published: Oxford University Press 2015
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Online Access:https://eprints.nottingham.ac.uk/40413/
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author Walker, Gemma M.
Logan, Pip
Gordon, Adam L.
Conroy, S.
Armstrong, S.
Robertson, K.
Ward, M.
Frowd, Nadia
Darby, Janet
Arnold, G.
Gladman, John R.F.
author_facet Walker, Gemma M.
Logan, Pip
Gordon, Adam L.
Conroy, S.
Armstrong, S.
Robertson, K.
Ward, M.
Frowd, Nadia
Darby, Janet
Arnold, G.
Gladman, John R.F.
author_sort Walker, Gemma M.
building Nottingham Research Data Repository
collection Online Access
description Introduction: Accurate measurement of activity in care home residents is important for monitoring and evaluating interventions for activity promotion. Accelerometers provide a potential method. However, their usefulness in this population has not been well documented. We aimed to explore the feasibility of these in care home residents. Method: Mobile residents who had fallen in the past year, were asked to wear a tri-axial accelerometer (ActivPAL3TM) on the lower thigh for 7 days. Care staff were trained in device application. Users’ skin and problems with use were checked daily. Activity data sought were: step count, time sedentary, time standing and Metabolic Equivalent of Task. Care records were checked for falls. Results: 10/16 residents agreed to wear accelerometers. 7 wore them for 7 days and the remainder for 4, 5 and 6 days respectively. No falls were recorded. Data indicated 1 resident continuously standing which was verified not to be the case by observation. Problems were: data disturbance through removal/fidgeting, hydrofilm dressing flaccidity, premature detachment, care staff non-compliance to waterproof continuous wear, resident skin check non-compliance, prior leg ache attributed to accelerometers (with no worsening), pink skin and activity restriction by care staff. The accelerometers and attachment materials cost £2062.59. Conclusion: In this small feasibility study of care home residents tri-axial accelerometers were so problematic to be of negligible use and we will not be using them in our definitive trial. Activity levels, where recorded were in keeping with published literature showing care residents to be highly sedentary,
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spelling nottingham-404132020-05-04T17:06:18Z https://eprints.nottingham.ac.uk/40413/ Are accelerometers a useful way to measure activity in care home residents? Walker, Gemma M. Logan, Pip Gordon, Adam L. Conroy, S. Armstrong, S. Robertson, K. Ward, M. Frowd, Nadia Darby, Janet Arnold, G. Gladman, John R.F. Introduction: Accurate measurement of activity in care home residents is important for monitoring and evaluating interventions for activity promotion. Accelerometers provide a potential method. However, their usefulness in this population has not been well documented. We aimed to explore the feasibility of these in care home residents. Method: Mobile residents who had fallen in the past year, were asked to wear a tri-axial accelerometer (ActivPAL3TM) on the lower thigh for 7 days. Care staff were trained in device application. Users’ skin and problems with use were checked daily. Activity data sought were: step count, time sedentary, time standing and Metabolic Equivalent of Task. Care records were checked for falls. Results: 10/16 residents agreed to wear accelerometers. 7 wore them for 7 days and the remainder for 4, 5 and 6 days respectively. No falls were recorded. Data indicated 1 resident continuously standing which was verified not to be the case by observation. Problems were: data disturbance through removal/fidgeting, hydrofilm dressing flaccidity, premature detachment, care staff non-compliance to waterproof continuous wear, resident skin check non-compliance, prior leg ache attributed to accelerometers (with no worsening), pink skin and activity restriction by care staff. The accelerometers and attachment materials cost £2062.59. Conclusion: In this small feasibility study of care home residents tri-axial accelerometers were so problematic to be of negligible use and we will not be using them in our definitive trial. Activity levels, where recorded were in keeping with published literature showing care residents to be highly sedentary, Oxford University Press 2015-04-21 Article PeerReviewed Walker, Gemma M., Logan, Pip, Gordon, Adam L., Conroy, S., Armstrong, S., Robertson, K., Ward, M., Frowd, Nadia, Darby, Janet, Arnold, G. and Gladman, John R.F. (2015) Are accelerometers a useful way to measure activity in care home residents? Age and Ageing, 44 (Suppl1). i12. ISSN 0002-0729 internship and residency medical residencies accelerometers falls fractures traumas https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afv032.02 doi:10.1093/ageing/afv032.02 doi:10.1093/ageing/afv032.02
spellingShingle internship and residency
medical residencies
accelerometers
falls
fractures
traumas
Walker, Gemma M.
Logan, Pip
Gordon, Adam L.
Conroy, S.
Armstrong, S.
Robertson, K.
Ward, M.
Frowd, Nadia
Darby, Janet
Arnold, G.
Gladman, John R.F.
Are accelerometers a useful way to measure activity in care home residents?
title Are accelerometers a useful way to measure activity in care home residents?
title_full Are accelerometers a useful way to measure activity in care home residents?
title_fullStr Are accelerometers a useful way to measure activity in care home residents?
title_full_unstemmed Are accelerometers a useful way to measure activity in care home residents?
title_short Are accelerometers a useful way to measure activity in care home residents?
title_sort are accelerometers a useful way to measure activity in care home residents?
topic internship and residency
medical residencies
accelerometers
falls
fractures
traumas
url https://eprints.nottingham.ac.uk/40413/
https://eprints.nottingham.ac.uk/40413/
https://eprints.nottingham.ac.uk/40413/