The CHARM Study-Coordinating Transitions from Hospital for Older Adults with Fractures

Not Applicable

Completed

• Conditions: Frailty; Fracture; Aging
• Interventions: Other: Patient Navigation

• Registration Number: NCT06107699
• Lead Sponsor: Horizon Health Network

Brief Summary

Background: Fall-related injuries like fractures are on the rise among older adults in New Brunswick. These injuries can lead to hospitalization and adverse health effects. Moreover, transitions from acute care can be complicated and overwhelming, especially for patients and their families. Researching patient navigators as a means of enhancing inpatient care, while also ensuring successful transitions in care for patients, may have positive impacts and help older adults successfully age in place.

Objective: This study seeks to investigate the effects of having support from patient navigators in helping older adults admitted to the Orthopedic Unit with a fracture. Specifically, the objectives are to investigate whether there are differences between patients with patient navigators and those patients receiving standard of care, regarding: the length of stay in acute care; healthcare utilization post-discharge; patient and family experience and satisfaction with care; and, healthcare provider experiences working with patient navigators.

Methods: This study uses a mixed-method concurrent embedded design, in which the quantitative randomized control trial has an embedded qualitative component.

Potential Benefits/Risks: This study is considered low risk. Potential benefits of this study include a better understanding of the impact of support from a patient navigator on inpatient care and patient transitions. This information will be used to inform the development of practical recommendations for policymakers and clinicians on how to enhance inpatient acute care and successful transitions for older adults.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-09-01
• Study First Submitted: 2023-09-28
• Study First Submitted QC: 2023-10-25
• Study First Posted: 2023-10-30
• Primary Completion: 2024-02-29
• Study Completion: 2024-02-29
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-10
• Last Update Posted: 2024-10-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

Patients 65 years of age and older admitted to the Orthopedic Unit at SJRH (OU) for a fracture -

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Patient Navigator	Patient Navigation	-

Primary Outcome Measures

Name	Time	Method
Canadian Patient Experiences Survey Inpatient Care (CPES-IC)	through study completion, 3 months	Patient satisfaction with care
Healthcare utilization- study specific questionnaire	through study completion, 3 months
Length of stay in acute care	through study completion, 3 months
Global Patient Satisfaction Question- study specific	at study completion, 3 months

Secondary Outcome Measures

Name	Time	Method
Patient experiences- qualitative semi-structured interviews	at study completion, 3 months

Trial Locations

Locations (1)

Saint John Regional Hospital; 🇨🇦 Saint John, New Brunswick, Canada