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A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol

A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol
A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol
Background
Handgrip strength is a non-invasive marker of muscle strength, and low grip strength in hospital inpatients is associated with poor healthcare outcomes including longer length of stay, increased functional limitations, and mortality. Measuring grip strength is simple and inexpensive. However, grip strength measurement is not routinely used in clinical practice. The aim of this study is to evaluate the feasibility of implementing grip strength measurement into routine clinical practice.

Methods/design
This feasibility study is a mixed methods design combining qualitative, quantitative, and economic elements and is based on the acute medical wards for older people in one hospital. The study consists of three phases: phase 1 will define current baseline practice for the identification of inpatients at high risk of poor healthcare outcomes, their nutrition, and mobility care through interviews and focus groups with staff as well as a review of patients’ clinical records. Phase 2 will focus on the feasibility of developing and implementing a training programme using Normalisation Process Theory to enable nursing and medical staff to measure and interpret grip strength values. Following the training, grip strength will be measured routinely for older patients as part of admission procedures with the use of a care plan for those with low grip strength. Finally, phase 3 will evaluate the acceptability of grip strength measurement, its adoption, coverage, and basic costs using interviews and focus groups with staff and patients, and re-examination of clinical records.

Discussion
The results of this study will inform the translation of grip strength measurement from a research tool into clinical practice to improve the identification of older inpatients at risk of poor healthcare outcomes.
2055-5784
Patel, Harnish
e1c0826f-d14e-49f3-8049-5b945d185523
Patel, Harnish
e1c0826f-d14e-49f3-8049-5b945d185523

Patel, Harnish (2016) A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol. Pilot and Feasibility Studies, 2, [27]. (doi:10.1186/s40814-016-0067-x).

Record type: Article

Abstract

Background
Handgrip strength is a non-invasive marker of muscle strength, and low grip strength in hospital inpatients is associated with poor healthcare outcomes including longer length of stay, increased functional limitations, and mortality. Measuring grip strength is simple and inexpensive. However, grip strength measurement is not routinely used in clinical practice. The aim of this study is to evaluate the feasibility of implementing grip strength measurement into routine clinical practice.

Methods/design
This feasibility study is a mixed methods design combining qualitative, quantitative, and economic elements and is based on the acute medical wards for older people in one hospital. The study consists of three phases: phase 1 will define current baseline practice for the identification of inpatients at high risk of poor healthcare outcomes, their nutrition, and mobility care through interviews and focus groups with staff as well as a review of patients’ clinical records. Phase 2 will focus on the feasibility of developing and implementing a training programme using Normalisation Process Theory to enable nursing and medical staff to measure and interpret grip strength values. Following the training, grip strength will be measured routinely for older patients as part of admission procedures with the use of a care plan for those with low grip strength. Finally, phase 3 will evaluate the acceptability of grip strength measurement, its adoption, coverage, and basic costs using interviews and focus groups with staff and patients, and re-examination of clinical records.

Discussion
The results of this study will inform the translation of grip strength measurement from a research tool into clinical practice to improve the identification of older inpatients at risk of poor healthcare outcomes.

Text
s40814-016-0067-x - Version of Record
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More information

Published date: December 2016

Identifiers

Local EPrints ID: 453918
URI: http://eprints.soton.ac.uk/id/eprint/453918
ISSN: 2055-5784
PURE UUID: cde3e99f-027f-44be-afac-3fb4ba8cc6e0
ORCID for Harnish Patel: ORCID iD orcid.org/0000-0002-0081-1802

Catalogue record

Date deposited: 25 Jan 2022 18:09
Last modified: 27 Jan 2022 02:39

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Contributors

Author: Harnish Patel ORCID iD

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