5. Conclusions
PA behavior
EFFECT INCREASED
This study aimed to investigate the effectiveness of using Hospital Fit during usual care physiotherapy in hospitalized patients in increasing patients’ PA behavior compared to usual care physiotherapy without using Hospital Fit. Although no significant effects were found, a trend was seen in favor of patients who used Hospital Fit. The effect increased with the number of days Hospital Fit was used with an average increase of 27.4 min (95% CI: −2.4–57.3) standing/walking on day five and 29.2 min (95% CI: −6.4–64.7) on day six compared to usual care when corrected for functional independence. Additionally, a strong association was seen between functional independence and patients’ PA behavior. Considering its clinically relevant contribution to promoting PA behavior in hospitalized patients, preventing negative health outcomes associated with inactive behavior, supporting personalized care, and empowering patients, we believe that Hospital Fit appears to be a valuable tool in addition to usual care physiotherapy for functionally independent patients. For future research, it is recommended to study the effect of Hospital Fit solely in patients that are functionally independent and are able to use Hospital Fit for at least four days, in a study that is adequately powered on all consecutive measurement days.