Precision Care for Older Persons
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Advanced Person-Centered (APC) Smart Home Care Model.
- Who it may be relevant to
- Registry conditions: Hip Fractures. Basic parameters: 60 years — 120 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Precision Care for Older Persons With Hip Fractures
Overview
This study aims to 1) develop an Advanced Person-Centered (APC) Smart Home Care Model that is able to predict patient outcomes; and 2) evaluate the effectiveness of this model by assessing improvements in care and recovery for older individuals post hip fracture.
Detailed description
The APC Smart Home Care Model will be developed as follows: a) incorporate a prediction system based on ML data available from our prior studies; b) incorporate an enhanced feedback system using results from the prediction system, which will allow family caregivers to receive timely alerts and facilitate interactions between home care nurses and caregivers; and c) the APC prediction system will be further developed to allow for implementation of targeted home nursing interventions that can be individualized to meet the specific needs of each family caregiver and the person recovering from hip fracture. A mixed-methods approach will be employed to examine the effectiveness of the system, using a combination of quantitative and qualitative data.
Interventions
- Behavioral Advanced Person-Centered (APC) Smart Home Care Model
Enhanced Smart Care Model (SCM) that incorporates precise predictions of adverse outcomes and improvements in the real-time feedback system for caregivers and person-center home-based nursing.
Primary outcome measures
- Fall Incidents. [Time frame: 1st month following discharge]
- Fall Incidents. [Time frame: 3rd month following hospital discharge]
- Fall insidents [Time frame: 6th month following hospital discharge]
- Fall incidents [Time frame: 12th month following hospital discharge]
- Fall incidents [Time frame: 18th month following hospital discharge]
- Fall incidents [Time frame: 24th month following hospital discharge]
- range of motion [Time frame: 1st month following hospital discharge]
- Muscle strength of affected limb [Time frame: 1st month following hosptial discharge]
- Visual analog of Pain score [Time frame: 1st month following hospital discharge]
- Barthel Index [Time frame: 1st month following discharge]
Secondary outcome measures (12)
- number of visits to emergency department [Time frame: 1st month following hospital discharge]
- number of hospital readmission [Time frame: 1st month following hospital discharge]
- Cognitive function [Time frame: 1st month following hospital discharge]
- Cognitive function [Time frame: 3rd month following hospital discharge]
- Cognitive function [Time frame: 6th month following hospital discharge]
- Cognitive function [Time frame: 12th month following hospital discharge]
- Cognitive function [Time frame: 18th month following hospital discharge]
- Cognitive function [Time frame: 24th month following hospital discharge]
- Depressive symptoms [Time frame: 1st month following hospital discharge]
- Depressive symptoms [Time frame: 3rd month following hospital discharge]
- Depressive symptoms [Time frame: 6th month following hospital discharge]
- Depressive symptoms [Time frame: 12th month following hospital discharge]
Eligibility criteria
Inclusion criteria
- ≥ 60 years old,
- had been transferred from the emergency department to the hospital due to a unilateral hip fracture,
- repair of the hip fracture involved either hip arthroplasty or internal fixation, 4) their primary place of residence was northern Taiwan
Exclusion criteria
- severity of cognitive impairment (a CMMSE score of < 10),
- known to be terminally ill,
- has no primary family caregiver,
- residing in an institutional care facility
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
Taiwan · 2 centers
- Tuchen Branch Chang Gung Hospital — New Taipei City
- Linkuo Chang Gung Memorial Hospital — Taoyuan
Identifiers
NCT: NCT07419789 · NHRI-EX115-11506PI