The aim of this trial is to i) adapt and ii) test the impact of an effective and cost-saving group-based exercise mobility program across two hospitals in Sydney: St George Private Hospital and Prince of Wales Hospital.   

The project plan, co-designed in collaboration with stakeholders, includes three stages (Figure 1): 

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Stage 1 will involve stakeholder collaboration with patients and clinicians through surveys, interviews/focus groups and observation to identify essential contextual strengths and constraints for adapting the program to local hospital contexts. 

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Stage 2 will involve a stepped-wedge trial to evaluate the program  effectiveness and cost-effectiveness.  

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Stage 3 will involve dissemination and scale-up planning in collaboration with stakeholders.