Precision Care for Older Persons With Hip Fractures
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 218
- 试验地点
- 2
- 主要终点
- Fall incidents
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≥ 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
排除标准
- •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
研究组 & 干预措施
Advanced Person-Centered (APC) Smart Home Care Model
Smart cloth assisted Home Care will be tailored to the needs of the individual with hip fracture and promptly administered. Continuous monitoring of clinical data will identify deviations from a patient's daily routine, which will guide ML-predictions of adverse outcomes and facilitate proactive health interventions by home nurses. Real-time feedback to caregivers will be provided via an app, providing timely alerts and ensuring swift and appropriate action.
干预措施: Advanced Person-Centered (APC) Smart Home Care Model (Behavioral)
Usual care
Routine hospital care following hip fracture surgery without smart cloth care
结局指标
主要结局
Fall incidents
时间窗: 24th month following hospital discharge
Number of falls
range of motion
时间窗: 1st month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
range of motion
时间窗: 6th month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
range of motion
时间窗: 12th month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
range of motion
时间窗: 18th month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
range of motion
时间窗: 24th month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
Fall Incidents.
时间窗: 1st month following discharge
number of falls
Fall Incidents.
时间窗: 3rd month following hospital discharge
number of falls
Fall insidents
时间窗: 6th month following hospital discharge
number of falls
Fall incidents
时间窗: 12th month following hospital discharge
Number of falls
Fall incidents
时间窗: 18th month following hospital discharge
Number of falls
Muscle strength of affected limb
时间窗: 1st month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Visual analog of Pain score
时间窗: 1st month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Barthel Index
时间窗: 1st month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Lawton IADL scale
时间窗: 1st month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
Caregiver balance
时间窗: 1st following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver balance
时间窗: 3rd month following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver Balance
时间窗: 6th month following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver Balance
时间窗: 12th month following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver Balance
时间窗: 18th month following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver Balance
时间窗: 24 month following hospital discharge
The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance.
Caregiver preparedness
时间窗: 1st month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
Caregiver preparedness
时间窗: 3rd month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
Caregiver Preparedness
时间窗: 6th month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
Caregiver Preparedness
时间窗: 12 month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
Caregiver preparedness
时间窗: 18th month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
range of motion
时间窗: 3rd month following hospital discharge
The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree
Caregiver Preparedness
时间窗: 24th month following hospital discharge
Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared.
Muscle strength of affected limb
时间窗: 3rd month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Muscle strength of affected limb
时间窗: 6th month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Muscle strength of affected limb
时间窗: 12th month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Muscle strength of affected limb
时间窗: 18th month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Muscle strength of affected limb
时间窗: 24th month following hosptial discharge
maximum amount of force that a muscle can generate during a single contraction. The unit is weights.
Visual analog of Pain score
时间窗: 3rd month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Visual analog of Pain score
时间窗: 6th month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Visual analog of Pain score
时间窗: 12th month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Visual analog of Pain score
时间窗: 18th month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Visual analog of Pain score
时间窗: 24th month following hospital discharge
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain.
Barthel Index
时间窗: 3rd month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Barthel Index
时间窗: 6th month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Barthel Index
时间窗: 12th month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Barthel Index
时间窗: 18 month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Barthel Index
时间窗: 24th month following discharge
assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent.
Lawton IADL scale
时间窗: 3rd month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
Lawton IADL scale
时间窗: 6th month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
Lawton IADL scale
时间窗: 12 month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
Lawton IADL scale
时间窗: 18 month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
Lawton IADL scale
时间窗: 24 month following discharge
Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function.
次要结局
- number of hospital readmission(12 month following hospital discharge)
- number of hospital readmission(18th month following hospital discharge)
- number of hospital readmission(24 month following hospital discharge)
- number of hospital readmission(3rd month following hospital discharge)
- number of visits to emergency department(1st month following hospital discharge)
- number of hospital readmission(1st month following hospital discharge)
- Cognitive function(1st month following hospital discharge)
- Cognitive function(3rd month following hospital discharge)
- Cognitive function(6th month following hospital discharge)
- Cognitive function(12th month following hospital discharge)
- Cognitive function(18th month following hospital discharge)
- Cognitive function(24th month following hospital discharge)
- Depressive symptoms(1st month following hospital discharge)
- Depressive symptoms(3rd month following hospital discharge)
- Depressive symptoms(6th month following hospital discharge)
- Depressive symptoms(12th month following hospital discharge)
- Depressive symptoms(18th month following hospital discharge)
- Depressive symptoms(24th month following hospital discharge)
- Nutritional Status(1st month following hospital discharge)
- Nutritional Status(3rd month following hospital discharge)
- Nutritional Status(6th month following hospital discharge)
- Nutritional Status(12th month following hospital discharge)
- Nutritional Status(18th month following hospital discharge)
- Nutritional Status(24th month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(1st month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(3rd month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(6th month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(12th month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(18th month following hospital discharge)
- number of hospital readmission(6th month following hospital discharge)
- Health-Related Quality of Life (HRQoL)(24th month following hospital discharge)
- number of visits to emergency department(3rd month following hospital discharge)
- number of visits to emergency department(6th month following hospital discharge)
- number of visits to emergency department(12th month following hospital discharge)
- number of visits to emergency department(18th month following hospital discharge)
- number of visits to emergency department(24th month following hospital discharge)