Patient Experience of Older Adults Living Alone With Injuries and Long-Term Effects of Geriatric Trauma Care Program for Living Alone Older Adults With Injuries
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
To examine the long-term effects of the Geriatric Trauma Care Program (GTCP) regarding pain, functional disability, depression, loneliness, and health-related quality of life among older adults with traumatic injuries who live alone.
详细描述
Traumatic injuries among older adults represent a significant public health concern due to their potential to severely affect individuals' long-term physical, emotional, and social well-being. Older adults who experience traumatic injuries often face substantial challenges during recovery, particularly those living alone who may lack sufficient support systems, exacerbating their vulnerability to chronic health issues. Pain, functional disability, depression, loneliness, and diminished health-related quality of life are prevalent adverse outcomes following traumatic injuries, underscoring the critical need for effective, targeted care strategies to address these multidimensional impacts.
The Geriatric Trauma Care Program (GTCP) is a nurse practitioner-led, digitalized trauma care program designed to provide comprehensive and accessible intervention aimed at improving immediate trauma care outcomes and facilitating sustainable recovery among older adults. While short-term benefits of digitally supported, geriatric-focused trauma interventions have been documented, the long-term effectiveness of such programs, especially for older individuals who live alone, remains less understood. Consequently, examining the enduring impact of the GTCP is essential to determine its effectiveness in fostering sustained recovery and improving quality of life for this vulnerable population. This study aims to address this gap by evaluating the long-term effects of the GTCP on pain, functional disability, depression, loneliness, and health-related quality of life among older adults with traumatic injuries who live alone. Findings from this research will provide valuable insights for healthcare providers and policymakers to enhance care delivery models, optimize resource allocation, and ultimately improve long-term outcomes for older adults recovering from traumatic injuries.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •willing to join this study for three months
- •with limb injuries
- •living alone in a household
- •aged 65 years old or older
- •independent before a traumatic injury
- •having a smartphone.
排除标准
- •with an ISS greater than 16 (severe injuries)
- •having cognitive impairments
- •diagnosed with psychiatric illness
研究组 & 干预措施
Control group
The control group will have the routine care only
Geriatric Trauma Care Program
The experiment group will implement the Geriatric Trauma Care Program (GTCP) and routine care. The GTCP will be implemented through an E-book that includes six units of intervention for older adults with traumatic injuries who live alone.
干预措施: Geriatric trauma care program (Behavioral)
结局指标
主要结局
Pain intensity
时间窗: Day 1 at Hospital discharge, 1 month, and 3 months
Measured by the Numeric Pain Rating Scale with the numbers 0-10, with 0 meaning no pain and 10 meaning the worst pain.
Functional disability
时间窗: Day 1 at Hospital discharge, 1 month, and 3 months
The Barthel's Index consists of 30 items, ranging from 0 to 100, with higher scores indicating greater functional capacity.
Depression
时间窗: Day 1 at Hospital discharge, 1 month, and 3 months
The Geriatric Depression Scale Short Form, which comprises 15 items scored on a two-point scale (0 = no, 1 = yes). It scores ranged from 0-15 with the higher indicated the more severe depression symptoms.
Loneliness
时间窗: Day 1 at Hospital discharge, 1 month, and 3 months
The Elderly Loneliness Scale has eight items, with a higher score indicating more loneliness.
Health-related quality of life
时间窗: Day 1 at Hospital discharge, 1 month, and 3 months
The EuroQol-5D has five items with higher score indicated a worse health condition.
次要结局
未报告次要终点
研究者
Santo Imanuel Tonapa
Principal investigator
Kaohsiung Medical University
