N/A
N=192
Involving Nursing Home Residents and Their Families in Acute Care Transfer Decisions
Chronic Disease · Acute Disease
Bottom Line
View on ClinicalTrials.gov: NCT02568475 ↗Enrolled (actual)
192
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Preparation for Decision Making — 39.59; 36.00 score on a scale — p=0.046
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Provision of "Go to the Hospital or Stay Here?" (Behavioral)
- Age
- Adult, Older Adult · 21+ yrs
- Sex
- All
- Sponsor
- Florida Atlantic University
- Primary completion
- Sep 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Preparation for Decision Making |
39.59; 36.00 | 0.046 sig |
| PRIMARY Decisional Conflict Scale |
13.11; NA; 9.39; 15.73 | 0.001 sig |
| SECONDARY Knowledge Test |
15.63; 15.19; 17.38; 15.80 | — |
| SECONDARY Treatment Preference/Decisional Conflict Scale |
17; 23; 17; 6; 50; 49 | — |
| SECONDARY 30 Day Hospital Readmission |
8; 5 | — |
Summary
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.
Eligibility Criteria
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.
Data sourced from ClinicalTrials.gov (NCT02568475). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.