a Modified NTU-HELP Program

National Taiwan University

Status: Completed

Conditions: Early Ambulation

Treatments: Behavioral: a modified NTU-HELP

Study type: Interventional

Funder types: Other

Identifiers

NCT01045330

200803077R

Details and patient eligibility

About

The aim is to replicate, develop, and pilot test a model of care for the prevention and management of functional decline of older patients during hospitalization.

Full description

to develop an intervention protocol that achieves clinical development objectives in a scientifically rigorous and time efficient manner.

Enrollment: 377 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 65 year and older
• Length of Stay is over 6 days
• Able to communicate verbally or in writing

Exclusion criteria

• Coma
• Mechanism ventilation
• Aphasia, if communication ability is severely impaired
• Terminal condition with comfort care only, death imminent
• Combative or dangerous behavior
• Severe psychotic disorder that prevents patient from participating in interventions
• Severe dementia (e.g. unable to communicate; MMSE=0). For patients with severe impairment (e.g. MMSE<10), decision to enroll will be made on a case-by-case basis depending on their ability to participate in intervention.
• Respiratory isolation (e.g. tuberculosis). Patients on contact isolation (e.g. vancomycin-resistant enterococcus) or droplet precautions will be enrolled.
• Discharge firmly anticipated within 6 days of admission. Enroll if discharge date unsure
• Refusal by patient or family member.
• Others. Reason to be well documented.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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377 participants in 2 patient groups

Usual Care Group

No Intervention group

Description:

Usual care consists of standard hospital services provided by physicians, nurses, and support staff (e.g., physical therapist, dietitian) in the general surgery units.

Experimental Group

Experimental group

Description:

The intervention consisted of a daily inpatient care protocol on three core intervention protocols on top of hospital routine care.

Treatment:

Behavioral: a modified NTU-HELP