Clinical trial NCT06107699: The CHARM Study-Coordinating Transitions from Hospital for Older Adults with Fractures
Official title: The CHARM Study-Coordinating Transitions from Hospital for Older Adults with Fractures: an Interventional Mixed Methods Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Fracture
Frailty
Aging
Keywords: Patient Navigation
Lead sponsor: Horizon Health Network
Sponsor class: OTHER
First posted: 2023-10-30
Enrollment: 70
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

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.


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

Exclusion Criteria:

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Primary outcomes:
measure: Canadian Patient Experiences Survey Inpatient Care (CPES-IC)
timeFrame: through study completion, 3 months
measure: Healthcare utilization- study specific questionnaire
timeFrame: through study completion, 3 months
measure: Length of stay in acute care
timeFrame: through study completion, 3 months
measure: Global Patient Satisfaction Question- study specific
timeFrame: at study completion, 3 months
Secondary outcomes:
measure: Patient experiences- qualitative semi-structured interviews
timeFrame: at study completion, 3 months
Other outcomes:
Locations:
city: Saint John
country: Canada
facility: Saint John Regional Hospital
state: New Brunswick
Study officials:
affiliation: Horizon Health Network
name: Natasha Hanson, PhD
role: STUDY_CHAIR
References: