Evaluating Novel Healthcare Approaches to Nurturing and Caring for Hospitalized Elders

Description

The goal of this clinical trial is to compare the Hospital Elder Life Program (HELP) with a family-augmented version of HELP (FAM-HELP), that includes family members and care partners, for the prevention of delirium in older patients during hospital admission. The main objectives of the trial are the following: 1. To compare the effectiveness of FAM-HELP and HELP in reducing both the incidence of delirium and its severity. 2. To compare the effectiveness of FAM-HELP and HELP in improving patient- and family-reported outcomes. 3. To explore the implementation context, process, and outcomes of the FAM-HELP program in diverse hospital settings.

Conditions

Delirium, Neurocognitive Disorders, Mild Cognitive Impairment, Alzheimer Disease, Aging, Family Support, Family Members, Caregiver Burden, Implementation Science, Patient Satisfaction

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Study Overview

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Study Details

Study overview

The goal of this clinical trial is to compare the Hospital Elder Life Program (HELP) with a family-augmented version of HELP (FAM-HELP), that includes family members and care partners, for the prevention of delirium in older patients during hospital admission. The main objectives of the trial are the following: 1. To compare the effectiveness of FAM-HELP and HELP in reducing both the incidence of delirium and its severity. 2. To compare the effectiveness of FAM-HELP and HELP in improving patient- and family-reported outcomes. 3. To explore the implementation context, process, and outcomes of the FAM-HELP program in diverse hospital settings.

Evaluating Novel Healthcare Approaches to Nurturing and Caring for Hospitalized Elders (ENHANCE)

Evaluating Novel Healthcare Approaches to Nurturing and Caring for Hospitalized Elders

Condition
Delirium
Intervention / Treatment

-

Contacts and Locations

Orange

Saddleback Medical Center, Orange, California, United States, 92868

Portland

MaineHealth, Portland, Maine, United States, 04102

Ann Arbor

Michigan Medicine, Ann Arbor, Michigan, United States, 48109

Philadelphia

Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States, 19104

Pittsburgh

Allegheny General Hospital, Pittsburgh, Pennsylvania, United States, 15212

Salt Lake City

University of Utah, Salt Lake City, Utah, United States, 84132

Madison

Meriter Hospital, Madison, Wisconsin, United States, 53715

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Provision of informed consent
  • * At least 70 years of age
  • * Anticipated length of hospital stay at least 72 hours
  • * Family member or care partner available to be on-site in the hospital
  • * At least one delirium risk factor (e.g., cognitive or functional impairment, dehydration, vision or hearing impairment)
  • * Delirium on admission
  • * Unable to communicate verbally (e.g., coma, mechanical ventilation)
  • * Unable to participate fully in interventions (e.g., terminal condition, advanced dementia)
  • * Staff safety concerns (e.g., violent behavior)
  • * Cardiac or intracranial surgery (due to competing causes of delirium)

Ages Eligible for Study

70 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Michigan,

Sharon K Inouye, MD, PRINCIPAL_INVESTIGATOR, Hebrew SeniorLife

Phillip E Vlisides, MD, PRINCIPAL_INVESTIGATOR, University of Michigan

Study Record Dates

2027-08