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| ID | Type | Description | Link |
|---|---|---|---|
| NSTC113-2314-B-037-050-MY2-1 | Other Grant/Funding Number | National Science and Technology Council of Taiwan |
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| Name | Class |
|---|---|
| National Science and Technology Council, Taiwan | OTHER_GOV |
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To examine the long-term effects of the Geriatric Trauma Care Program (GTCP) regarding pain, functional disability, depression, loneliness, and health-related quality of life among older adults with traumatic injuries who live alone.
Traumatic injuries among older adults represent a significant public health concern due to their potential to severely affect individuals' long-term physical, emotional, and social well-being. Older adults who experience traumatic injuries often face substantial challenges during recovery, particularly those living alone who may lack sufficient support systems, exacerbating their vulnerability to chronic health issues. Pain, functional disability, depression, loneliness, and diminished health-related quality of life are prevalent adverse outcomes following traumatic injuries, underscoring the critical need for effective, targeted care strategies to address these multidimensional impacts.
The Geriatric Trauma Care Program (GTCP) is a nurse practitioner-led, digitalized trauma care program designed to provide comprehensive and accessible intervention aimed at improving immediate trauma care outcomes and facilitating sustainable recovery among older adults. While short-term benefits of digitally supported, geriatric-focused trauma interventions have been documented, the long-term effectiveness of such programs, especially for older individuals who live alone, remains less understood. Consequently, examining the enduring impact of the GTCP is essential to determine its effectiveness in fostering sustained recovery and improving quality of life for this vulnerable population. This study aims to address this gap by evaluating the long-term effects of the GTCP on pain, functional disability, depression, loneliness, and health-related quality of life among older adults with traumatic injuries who live alone. Findings from this research will provide valuable insights for healthcare providers and policymakers to enhance care delivery models, optimize resource allocation, and ultimately improve long-term outcomes for older adults recovering from traumatic injuries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | The control group will have the routine care only | |
| Geriatric Trauma Care Program | Experimental | The experiment group will implement the Geriatric Trauma Care Program (GTCP) and routine care. The GTCP will be implemented through an E-book that includes six units of intervention for older adults with traumatic injuries who live alone. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Geriatric trauma care program | Behavioral | The experiment group will implement the Geriatric trauma care program (GTCP) and routine care. The GTCP will be implemented by a nurse practitioner and equipped with digitalized educational material, including six units of intervention for older adults with traumatic injuries who live alone. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | Measured by the Numeric Pain Rating Scale with the numbers 0-10, with 0 meaning no pain and 10 meaning the worst pain. | Day 1 at Hospital discharge, 1 month, and 3 months |
| Functional disability | The Barthel's Index consists of 30 items, ranging from 0 to 100, with higher scores indicating greater functional capacity. | Day 1 at Hospital discharge, 1 month, and 3 months |
| Depression | The Geriatric Depression Scale Short Form, which comprises 15 items scored on a two-point scale (0 = no, 1 = yes). It scores ranged from 0-15 with the higher indicated the more severe depression symptoms. | Day 1 at Hospital discharge, 1 month, and 3 months |
| Loneliness | The Elderly Loneliness Scale has eight items, with a higher score indicating more loneliness. | Day 1 at Hospital discharge, 1 month, and 3 months |
| Health-related quality of life | The EuroQol-5D has five items with higher score indicated a worse health condition. | Day 1 at Hospital discharge, 1 month, and 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bih-O Lee, PhD | Contact | 07-3121101 | 2625 | biholee@kmu.edu.tw |
| Santo Imanuel Tonapa, PhD | Contact | 0981979212 | i.santonapa@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Bih-O Lee, PhD | College of Nursing, Kaohsiung Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung Ho Memorial Hospital | Recruiting | Kaohsiung City | Kaohsiung | 807 | Taiwan |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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A randomized, double-blind, two-arm experimental design will be used.
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