The CHARM Study-Coordinating Transitions From Hospital for Older Adults With Fractures

Study Overview
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Brief Summary
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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.

Official Title
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The CHARM Study-Coordinating Transitions From Hospital for Older Adults With Fractures: An Interventional Mixed Methods Study

Conditions
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Fracture, Frailty, Aging

Intervention / Treatment
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* Other: Patient Navigation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients 65 years of age and older admitted to the Orthopedic Unit at SJRH (OU) for a fracture - Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patient Navigator<br> | Other: Patient Navigation<br>* Assigned a Patient Navigator to provide information on transitional care and community resources.<br>|
| No Intervention: Standard of Care<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Canadian Patient Experiences Survey Inpatient Care (CPES-IC) | Patient satisfaction with care | through study completion, 3 months | 
| 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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient experiences- qualitative semi-structured interviews |  | at study completion, 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patient Navigation