A Pilot Randomized Controlled Clinical Trial to Test the Feasibility, Acceptability, and Usability of iPREPARED; A Mobile Health Technology for Patients and Care Partners.

Delirium communications Pub Date : 2025-01-17 DOI:10.56392/001c.127872

Ivan N Ayala, Hannah Friesen, Fernanda Bellolio, Zayn Boustani, Sandeep Pagali, Stephanie Chambers, Paul Musey, Malaz Boustani, Heidi Lindroth

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Abstract

Background: Family participation in the delivery of nonpharmacological measures has shown in past studies to prevent 17-75% of incident delirium. A scalable and sustainable method to partner with family (i.e., care partners) and support their delivery of nonpharmacologic measures is needed.

Objectives: To test the feasibility, acceptability, and usability of iPREPARED in a pilot randomized controlled clinical trial (RCT). iPREPARED is a mobile health technology co-designed with patients and care partners containing resources on nonpharmacological interventions to prevent delirium.

Methods: Hospitalized adults (≥65 years) with ≥1 delirium risk factor and a care partner (family or friend ≥18yo) willing to participate were enrolled. The primary outcomes were feasibility, acceptability, and usability. Descriptive statistics are reported.

Results: In total, 23 dyads completed the study (median age 72 years (IQR 64, 79), 60% male, and 100% Caucasian). Dyads reported that iPREPARED was acceptable, with moderate usability. Recruitment in the emergency department was feasible whereas recruitment once hospitalized and admitted was more difficult.

Conclusion: The study design was feasible. iPREPARED was acceptable and usable as an intervention.

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试验iPREPARED的可行性、可接受性和可用性的随机对照临床试验面向患者和护理合作伙伴的移动医疗技术。

背景：过去的研究表明，家庭参与给予非药物措施可以预防17-75%的谵妄事件。需要一种可扩展和可持续的方法与家庭（即护理伙伴）合作，并支持他们提供非药物措施。目的：在一项随机对照临床试验（RCT）中测试iPREPARED的可行性、可接受性和可用性。iPREPARED是一种与患者和护理伙伴共同设计的移动卫生技术，包含预防谵妄的非药物干预资源。方法：住院且谵妄危险因素≥1的成人（≥65岁）和一位护理伙伴（家人或朋友≥18岁）愿意参与。主要结果是可行性、可接受性和可用性。报告了描述性统计数据。结果：共有23对完成了研究（中位年龄72岁（IQR 64,79）， 60%为男性，100%为高加索人）。Dyads报告说iPREPARED是可以接受的，具有中等的可用性。在急诊科招募是可行的，而一旦住院和入院招募则比较困难。结论：本研究设计可行。iPREPARED作为干预是可以接受和可用的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Delirium communications

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