Chronic Disease Clinical Trial
Official title:
Involving Nursing Home Residents and Their Families in Acute Transfer Decisions: Pilot Test of a New Decision Aid
Verified date | August 2020 |
Source | Florida Atlantic University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study addresses the Patient-Centered Outcomes Research Institute (PCORI) area of
interest related to development of decision support tools that bring patients, families and
clinicians together to decide, in this instance, whether or not transfer from the nursing
home (NH) to acute care is necessary and appropriate. The purposes of this study were 1) to
develop an evidence-based decision aid addressing potentially avoidable transfers of
residents from nursing homes to hospitals (preceded this protocol), and 2) to evaluate this
decision aid in terms of acceptability to residents and families and its effect on the
quality of transfer decisions.
The primary hypotheses to be tested are:
Hypothesis 1: Resident and family members in the intervention group will report greater
preparation for decision making and less decisional conflict than those in the no treatment
control group.
Hypothesis 2: Residents and family members in the intervention group will demonstrate
increased knowledge related to acute care transfer and less preference for acute care
transfer than those in the no treatment control group.
Status | Completed |
Enrollment | 192 |
Est. completion date | September 2015 |
Est. primary completion date | September 2015 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years and older |
Eligibility |
Inclusion Criteria: - Adult nursing home resident and/or family member or identified significant other of a nursing home resident. Cognitively unimpaired individuals. Long or short term residents of nursing home or rehabilitation center. Exclusion Criteria: - Dementia as indicated by score on Mini-Cog. Inability to respond to questions due to physical disability or illness. |
Country | Name | City | State |
---|---|---|---|
United States | Florida Atlantic University, Christine E. Lynn College of Nursing | Boca Raton | Florida |
Lead Sponsor | Collaborator |
---|---|
Florida Atlantic University |
United States,
Tappen RM, Worch SM, Elkins D, Hain DJ, Moffa CM, Sullivan G. Remaining in the nursing home versus transfer to acute care: resident, family, and staff preferences. J Gerontol Nurs. 2014 Oct;40(10):48-57. doi: 10.3928/00989134-20140807-01. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Preparation for Decision Making | Range of possible raw scores: 10 - 50. Items can be summed and scored (sum the 10 items and divide by 10). There are no subscales. A higher score is positive indicating perception of being better prepared to make the decision identified when test is administered. |
Decision Aid group only: Post test (2-3 weeks after pretest) and at 3 month follow-up (after post test) | |
Primary | Decisional Conflict Scale | Scale Range of possible raw scores: 0 - 64. A lower score indicates less decisional conflict related to making the identified decision. Decisional conflict is a state of uncertainty about a course of action. Decision supporting interventions are thought to be effective in |
Decision aid: Pretest (baseline) and Post test (2-3 weeks after pretest); No decision aid: Post test only | |
Secondary | Knowledge Test | Decision Aid Quiz Investigator Developed: True/False Test of Knowledge based upon information in the Decision Aid. Scale Range: 0 - 22. Total score is the number of questions answered correct. A higher score indicates greater number of responses are correct. Items are scored as 0 = incorrect; 1 = correct. Criteria used to assess this measure: Items based upon concept mapping of the Decision Aid Reviewed by a panel of experts prior to administration |
Pretest (baseline) and Post test (2-3 weeks after pretest) | |
Secondary | Treatment Preference/Decisional Conflict Scale | Treatment Site Option Preference Administered prior to the Decisional Conflict Scale, this single item was used to ask participants if they preferred treatment in the hospital or nursing home or if the preference depended upon the seriousness of their condition (three choices). This is nominal level data. The administration of the item precedes administration of the Decisional Conflict Scale (DCS) described previously. Standard administration of the Decision Conflict Scale includes this item but it is not part of the DCS score. | Post test (2-3 weeks after pretest) | |
Secondary | 30 Day Hospital Readmission | Report of all hospitalizations from facility staff or participants Hospital Transfers Occurring During Study Period, i.e., number of resident participants who were hospitalized from pretest to posttest and by end of 3 month follow-up period. | Length of stay =30 days at Post test |
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