The CHARM Study-Coordinating Transitions From Hospital for Older Adults With Fractures
Study Details
Study Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Patient Navigator
|
Other: Patient Navigation
Assigned a Patient Navigator to provide information on transitional care and community resources.
|
| No Intervention: Standard of Care
|
Outcome Measures
Primary Outcome Measures
- Canadian Patient Experiences Survey Inpatient Care (CPES-IC) [through study completion, 3 months]
Patient satisfaction with care
- 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
- Patient experiences- qualitative semi-structured interviews [at study completion, 3 months]
Eligibility Criteria
Criteria
Inclusion Criteria: Patients 65 years of age and older admitted to the Orthopedic Unit at SJRH (OU) for a fracture -
Exclusion Criteria:
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Saint John Regional Hospital | Saint John | New Brunswick | Canada | E2L 4L2 |
Sponsors and Collaborators
- Horizon Health Network
Investigators
- Study Chair: Natasha Hanson, PhD, Horizon Health Network
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 101586