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

Aging Clinical Trial

Official title:

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

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06107699
• Other study ID #: 101586
• Status: Recruiting
• Phase: N/A
• Start date: September 1, 2022
• Est. completion date: February 2024

Study information

• Verified date: October 2023
• Source: Horizon Health Network
• Contact: Natasha Hanson, PhD
• Phone: 506-566-0561
• Email: natasha.hanson[@]horizonnb.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: February 2024
• Est. primary completion date: January 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

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

Exclusion Criteria:

-

Related Conditions & MeSH terms

• Aging
• Fracture
• Fractures, Bone
• Frailty

Intervention

Other:
• Patient Navigation
Assigned a Patient Navigator to provide information on transitional care and community resources.

Locations

Country	Name	City	State
Canada	Saint John Regional Hospital	Saint John	New Brunswick

Sponsors (1)

Lead Sponsor	Collaborator
Horizon Health Network

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Canadian Patient Experiences Survey Inpatient Care (CPES-IC)	Patient satisfaction with care	through study completion, 3 months
Primary	Healthcare utilization- study specific questionnaire		through study completion, 3 months
Primary	Length of stay in acute care		through study completion, 3 months
Primary	Global Patient Satisfaction Question- study specific		at study completion, 3 months
Secondary	Patient experiences- qualitative semi-structured interviews		at study completion, 3 months