Patient Experience of Older Adults Living Alone With Injuries

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65-74
SponsorKaohsiung Medical University Chung-Ho Memorial Hospital

About this trial

This study aims to explore the patient experiences of living alone older adults with injuries, and to examine the effects of a "Geriatric Trauma Care Program" in older adults with limb injuries who live alone. A three-year design will be used to reach the purposes of this study. The first stage of this study will use descriptive phenomenology to get patient experiences of living alone older adults with injuries. In the second stage of this study, a two-arm experimental design will be used.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

willing to join this study for 12 weeks

limb injuries,

living alone without any family,

65 to 74 years old,

Disqualifiers

with an ISS greater than 16 (severe injuries)

severe cognitive impairment

severe illness such as organ system insufficiency

diagnosed with depression

Trial design

Design model

Parallel

Treatments tested in this trial

  • Geriatric Trauma Care Program

    Other intervention

    The intervention program named GTCP includes two sessions with two digital materials named "Digital geriatric trauma care" (DGTC) and "Multiple training modalities" (MTM). The DGTC has been establishing as an Age-friendly e-Book. It has six units. The MTM has three units including "handwritten wisdom quotes", "6-minute meditation", "inspirational words".

Treatment groups

110 Participants
are divided into 2 treatment groups
Group A: experimental groupExperimental treatment 1 intervention
Group B: contrast groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

The Numeric Pain Rating Scale (NPRS)

The NPRS is marked with the numbers 0-10 at equal intervals where 0 presents no pain and 10 illustrates the worst pain imaginable. Patients are required to rate the number that represents their current pain intensity. It is well known and broadly used scale in clinical settings. No further reliability and validity tests are needed.

Time frame
at 1 day before hospital discharge
2

The Barthel's Index (BI)

The BI will be used to measure functional disabilities. It is used to assess basic activities of daily living (BADL) in terms of respondent abilities related to feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfer, mobility, and stair use. The BI has 30 items with scores range from 0 to 100, with higher scores representing higher independence in performing BADLs. The Chinese version has been applied in older population, with Cronbach's alpha ranging from 0.79 to 0.85. The Cronbach's alpha will be retested in this study.

Time frame
at 1 day before hospital discharge
3

The Geriatric Depression Scale Short Form (GDS-SF)

The GDS-SF is a 15-item scale used to identify depression in older adults. It is from the original GDS developed by Sheikh and Yesavage to examine the self-perceived emotions of older adults. The version will be used in this study is a validated Chinese that has been tested its reliability in geriatric older population in Taiwan. The GDS-SF features binary scores for a total score of 0-15. A higher score indicates a more severe of depression. In the GDS-SF, a score of 0 to 5 is normal, a score \> 5 suggests depression, and a score ≥ 10 is almost indicative of depression. The Cronbach's alpha for this study will be retested.

Time frame
at 1 day before hospital discharge
4

The Elderly Loneliness Scale (ELS)

Loneliness has been defined as perceptions of being alone and separated from others. This concept has been conceptualized to measure desired social contacts and actual social contacts. Lin and Lin (2013) used 189 older adults to examine the Chinese ELS scale's reliability and validity. The ELS includes 3 items for social loneliness and 5 items for emotional loneliness. It has been scored by a 4 points Likert Scale from 1 to 4 with a higher score indicating more loneliness. The Cronbach's alpha for this will be retested in this study.

Time frame
at 1 day before hospital discharge

Secondary outcomes

Other outcomes

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