Precision Care for Older Persons
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Advanced Person-Centered (APC) Smart Home Care Model.
- Кому может быть актуально
- Состояния в реестре: Hip Fractures. Базовые параметры: 60 лет — 120 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Тайвань
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Precision Care for Older Persons With Hip Fractures
Обзор
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.
Подробное описание
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.
Вмешательства
- Поведенческое 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.
Первичные конечные точки
- Fall Incidents. [Срок оценки: 1st month following discharge]
- Fall Incidents. [Срок оценки: 3rd month following hospital discharge]
- Fall insidents [Срок оценки: 6th month following hospital discharge]
- Fall incidents [Срок оценки: 12th month following hospital discharge]
- Fall incidents [Срок оценки: 18th month following hospital discharge]
- Fall incidents [Срок оценки: 24th month following hospital discharge]
- range of motion [Срок оценки: 1st month following hospital discharge]
- Muscle strength of affected limb [Срок оценки: 1st month following hosptial discharge]
- Visual analog of Pain score [Срок оценки: 1st month following hospital discharge]
- Barthel Index [Срок оценки: 1st month following discharge]
Вторичные конечные точки (12)
- number of visits to emergency department [Срок оценки: 1st month following hospital discharge]
- number of hospital readmission [Срок оценки: 1st month following hospital discharge]
- Cognitive function [Срок оценки: 1st month following hospital discharge]
- Cognitive function [Срок оценки: 3rd month following hospital discharge]
- Cognitive function [Срок оценки: 6th month following hospital discharge]
- Cognitive function [Срок оценки: 12th month following hospital discharge]
- Cognitive function [Срок оценки: 18th month following hospital discharge]
- Cognitive function [Срок оценки: 24th month following hospital discharge]
- Depressive symptoms [Срок оценки: 1st month following hospital discharge]
- Depressive symptoms [Срок оценки: 3rd month following hospital discharge]
- Depressive symptoms [Срок оценки: 6th month following hospital discharge]
- Depressive symptoms [Срок оценки: 12th month following hospital discharge]
Критерии участия
Критерии включения
- ≥ 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
Критерии исключения
- 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
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
Тайвань · 2 центра
- Tuchen Branch Chang Gung Hospital — New Taipei City
- Linkuo Chang Gung Memorial Hospital — Taoyuan
Идентификаторы
NCT: NCT07419789 · NHRI-EX115-11506PI