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. 2022 Nov 10;2022(11):CD005955. doi: 10.1002/14651858.CD005955.pub3

Hu 2020.

Study characteristics
Methods Design: RCT (3 arms)
Baseline time point (T1): within 48 hours of hospital admission
Outcome time point (T2): at hospital discharge
Follow‐up time point (T3): 1 and 3 months after hospital discharge
Participants Inclusion criteria: aged 65 years, if their hospital admission with a medical diagnosis had been unplanned, and if they had been able to walk independently 2 weeks before admission (participants independently using walking aids were included)
Exclusion criteria: admission due to severe acute illness (immediately requiring intensive care); needing hospice care or surgery; having severe cognitive impairment; admitted for < 72 hours; or being diagnosed with an illness requiring activity restraint
Exercise arm
  • n at baseline: 50

  • Age mean: 76.00 (SD 7.06) years

  • Women (n (%)): 27 (35.1)


'Reminder' arm (not included in meta‐analysis)
  • n at baseline: 50

  • Age mean: 77.08 (SD 6.57) years

  • Women (n (%)): 25 (32.5)


Control arm
  • n at baseline: 50

  • Age mean: 77.26 (SD 7.20) years

  • Women (n (%)): 25 (32.5)

Interventions Exercise arm
  • TIDieR item 1: (brief name: provide the name or a phrase that describes the intervention): reablement (exercise programme with supervision or assistance, or both) and usual care.

  • TIDieR item 2: (why: describe any rationale, theory or goal of the elements essential to the intervention): the intervention was designed to improve functional outcomes and quality of life. The simplified reablement programme in this study was based on a literature review and the developed programme was validated through expert consensus.

  • TIDieR item 3: (what (materials): describe any physical or informational materials used in the intervention, including those provided to participants or used in intervention delivery or in training of intervention providers): mini‐pedal bike able to be used in supine and seated position.

  • TIDieR item 4: (what (procedures): describe each of the procedures, activities or processes (or a combination) used in the intervention, including any enabling or support activities): the programme was tailored to the participant's ability and consisted predominantly of mobility activities designed to be carried out in a hospital setting. A researcher undertook the supervision and assistance each morning for the participant's assigned reablement intervention. The intervention activities included, sitting and standing balance training, use of a mini‐pedal bike in supine or seated position, ambulation training with or without assistance (assistance from family or walking aids).

  • TIDieR item 5: (who provided: for each category of intervention provider (e.g. psychologist, nursing assistant), describe their expertise, background and any specific training given): not specified other than 'the researcher'.

  • TIDieR item 6: (how: describe the modes of delivery (such as face‐to‐face or by some other mechanism, such as Internet or telephone) of the intervention and whether it was provided individually or in a group): individually face‐to‐face.

  • TIDieR item 7: (where: describe the type(s) of location(s) where the intervention occurred, including any necessary infrastructure or relevant features): the medical wards of a 1135‐bed tertiary‐care medical centre in southern Taiwan.

  • TIDieR item 8: (when and how much: describe the number of times the intervention was delivered and over what period of time including the number of sessions, their schedule, and their duration, intensity or dose): the programme commenced within 48 hours of admission and continued throughout hospitalisation. Intervention duration for a maximum of 30 minutes per day (e.g. if a participant was able to walk independently and be assigned to level 4 (ambulation training), then that participant could choose to walk for 10 minutes 3 times per day or to walk for 30 minutes once per day if he/she could tolerate it).

  • TIDieR item 9: (tailoring: if the intervention was planned to be personalised, titrated or adapted, then describe what, why, when and how): the intervention consisted of 4 levels. Exercises progressed based on the participants functional ability, which was assessed daily.

  • TIDieR item 10: (modifications: if the intervention was modified during the course of the study, describe the changes (what, why, when and how)): not specified.

  • TIDieR item 11: (how well (planned): if intervention adherence or fidelity was assessed, describe how and by whom, and if any strategies were used to maintain or improve fidelity, describe them): not specified.

  • TIDieR item 12: (how well (actual): if intervention adherence or fidelity was assessed, describe the extent to which the intervention was delivered as planned): not specified.


'Reminder' arm (not included in meta‐analysis)
  • TIDieR item 1: reminder group (reminding to complete exercise programme, no supervision or assistance).

  • TIDieR item 2: the intervention was designed to minimise functional decline in older people and promote and optimise functional independence.

  • TIDieR item 3: mini‐pedal bike able to be used in supine and seated position.

  • TIDieR item 4: participants' functional level was assessed daily, and they received verbal encouragement from the researcher to continue their reablement assignments for 30 minutes each day.

  • TIDieR item 5: not specified other than 'the researcher'.

  • TIDieR item 6: individual, face‐to‐face reminders.

  • TIDieR item 7: the medical wards of a 1135‐bed tertiary‐care medical centre in southern Taiwan.

  • TIDieR item 8: the programme commenced within 48 hours of admission and continued throughout hospitalisation.

  • TIDieR item 9: the intervention consisted of 4 levels. Exercises progressed based on the participants functional ability, which was assessed daily.

  • TIDieR item 10: not specified.

  • TIDieR item 11: not specified.

  • TIDieR item 12: not specified.


Control arm
  • TIDieR item 1: usual care.

  • TIDieR item 2: not specified.

  • TIDieR item 3: not specified.

  • TIDieR item 4: usual care included medical intervention consistent with the participant's diagnosis and resources available on the acute medical wards.

  • TIDieR item 5: not specified.

  • TIDieR item 6: not specified.

  • TIDieR item 7: the medical wards of a 1135‐bed tertiary‐care medical centre in southern Taiwan.

  • TIDieR item 8: not specified.

  • TIDieR item 9: not specified.

  • TIDieR item 10: not specified.

  • TIDieR item 11: not specified.

  • TIDieR item 12: not specified.

Outcomes Katz ADL score (7–21)
EQ‐5D VAS at T2
Medical deterioration during hospitalisation
Mortality during hospitalisation
Length of hospital stay
Timed Up and Go at T2
Notes