ArticleAging clinical and experimental research2025
Evaluation of a text message + pedometer intervention to increase steps after emergency department discharge: a pilot study.
Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundOlder adults face increased risk of functional impairments after Emergency Department (ED) discharge, yet no evidence-based interventions exist for this population.
objectiveTo evaluate the feasibility, safety, and effectiveness of Safe Steps, a text message + pedometer intervention designed to motivate individuals to meet step count goals.
methodsWe recruited ED patients aged ≥ 60 with low physical activity. Participants received a pedometer in the ED, daily text messages to report steps, and weekly prompts to set step goals over 4 weeks. We assessed step count reporting rates, falls, and change in steps over time.
resultsAmong analyzed participants (n = 40), daily step reporting was high (95% of weeks with 2 + readings). No participants had falls due to the intervention. Step count increased by a mean of 359 steps per week (95% confidence interval 182-536).
conclusionSafe Steps appears feasible, safe, and may be effective for promoting activity after ED discharge.
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