Ivan N Ayala, Hannah Friesen, Fernanda Bellolio, Zayn Boustani, Sandeep Pagali, Stephanie Chambers, Paul Musey, Malaz Boustani, Heidi Lindroth
{"title":"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。","authors":"Ivan N Ayala, Hannah Friesen, Fernanda Bellolio, Zayn Boustani, Sandeep Pagali, Stephanie Chambers, Paul Musey, Malaz Boustani, Heidi Lindroth","doi":"10.56392/001c.127872","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The study design was feasible. iPREPARED was acceptable and usable as an intervention.</p>","PeriodicalId":72776,"journal":{"name":"Delirium communications","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410694/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Pilot Randomized Controlled Clinical Trial to Test the Feasibility, Acceptability, and Usability of iPREPARED; A Mobile Health Technology for Patients and Care Partners.\",\"authors\":\"Ivan N Ayala, Hannah Friesen, Fernanda Bellolio, Zayn Boustani, Sandeep Pagali, Stephanie Chambers, Paul Musey, Malaz Boustani, Heidi Lindroth\",\"doi\":\"10.56392/001c.127872\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The study design was feasible. iPREPARED was acceptable and usable as an intervention.</p>\",\"PeriodicalId\":72776,\"journal\":{\"name\":\"Delirium communications\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410694/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Delirium communications\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.56392/001c.127872\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Delirium communications","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.56392/001c.127872","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Pilot Randomized Controlled Clinical Trial to Test the Feasibility, Acceptability, and Usability of iPREPARED; A Mobile Health Technology for Patients and Care Partners.
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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