Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Chang Gung University | OTHER |
| National Health Research Institutes, Taiwan | OTHER |
Not provided
Not provided
Not provided
Not provided
This study aims to 1) develop an Advanced Person-Centered (APC) Smart Home Care Model that is able to predict patient outcomes; and 2) evaluate the effectiveness of this model by assessing improvements in care and recovery for older individuals post hip fracture.
The APC Smart Home Care Model will be developed as follows: a) incorporate a prediction system based on ML data available from our prior studies; b) incorporate an enhanced feedback system using results from the prediction system, which will allow family caregivers to receive timely alerts and facilitate interactions between home care nurses and caregivers; and c) the APC prediction system will be further developed to allow for implementation of targeted home nursing interventions that can be individualized to meet the specific needs of each family caregiver and the person recovering from hip fracture. A mixed-methods approach will be employed to examine the effectiveness of the system, using a combination of quantitative and qualitative data.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Advanced Person-Centered (APC) Smart Home Care Model | Experimental | Smart cloth assisted Home Care will be tailored to the needs of the individual with hip fracture and promptly administered. Continuous monitoring of clinical data will identify deviations from a patient's daily routine, which will guide ML-predictions of adverse outcomes and facilitate proactive health interventions by home nurses. Real-time feedback to caregivers will be provided via an app, providing timely alerts and ensuring swift and appropriate action. |
|
| Usual care | No Intervention | Routine hospital care following hip fracture surgery without smart cloth care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Advanced Person-Centered (APC) Smart Home Care Model | Behavioral | Enhanced Smart Care Model (SCM) that incorporates precise predictions of adverse outcomes and improvements in the real-time feedback system for caregivers and person-center home-based nursing. |
| Measure | Description | Time Frame |
|---|---|---|
| Fall Incidents. | number of falls | 1st month following discharge |
| Fall Incidents. | number of falls | 3rd month following hospital discharge |
| Fall insidents | number of falls | 6th month following hospital discharge |
| Fall incidents | Number of falls | 12th month following hospital discharge |
| Fall incidents | Number of falls | 18th month following hospital discharge |
| Fall incidents | Number of falls | 24th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 1st month following hospital discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 1st month following hosptial discharge |
| Visual analog of Pain score |
| Measure | Description | Time Frame |
|---|---|---|
| number of visits to emergency department | collected by assessor asking family members | 1st month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yea-Ing Shyu, PhD | Contact | +886978697460 | yeaing@mail.cgu.edu.tw | |
| Jersey Liang, PhD | Contact | jliang@umich.edu |
| Name | Affiliation | Role |
|---|---|---|
| Yea-Ing Shyu | Chang Gung University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tuchen Branch Chang Gung Hospital | New Taipei City | Taiwan | 106 | Taiwan |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. |
| 1st month following hospital discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 1st month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 1st month following discharge |
| Caregiver balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 1st following hospital discharge |
| Caregiver balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 3rd month following hospital discharge |
| Caregiver Balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 6th month following hospital discharge |
| Caregiver Balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 12th month following hospital discharge |
| Caregiver Balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 18th month following hospital discharge |
| Caregiver Balance | The perception of caregivers regarding their ability to manage conflicting caregiving demands. Score range 1-3, with higher score indicating more balance. | 24 month following hospital discharge |
| Caregiver preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 1st month following hospital discharge |
| Caregiver preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 3rd month following hospital discharge |
| Caregiver Preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 6th month following hospital discharge |
| Caregiver Preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 12 month following hospital discharge |
| Caregiver preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 18th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 3rd month following hospital discharge |
| Caregiver Preparedness | Caregiver readiness to handle caregiving responsibilities and associated stresses. Score range 0-32, with higher score indicating more prepared. | 24th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 6th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 12th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 18th month following hospital discharge |
| range of motion | The clinical outcomes to be assessed include range of motion (ROM) in the affected limb in degree | 24th month following hospital discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 3rd month following hosptial discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 6th month following hosptial discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 12th month following hosptial discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 18th month following hosptial discharge |
| Muscle strength of affected limb | maximum amount of force that a muscle can generate during a single contraction. The unit is weights. | 24th month following hosptial discharge |
| Visual analog of Pain score | patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. | 3rd month following hospital discharge |
| Visual analog of Pain score | patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. | 6th month following hospital discharge |
| Visual analog of Pain score | patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. | 12th month following hospital discharge |
| Visual analog of Pain score | patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. | 18th month following hospital discharge |
| Visual analog of Pain score | patient self-report that collected by assessor. Score range 0-100, with higher score indicating more pain. | 24th month following hospital discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 3rd month following discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 6th month following discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 12th month following discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 18 month following discharge |
| Barthel Index | assessor measures functional indepdencen in activities of daily living (ADLs) of the patient, score range 0-100, higher score indicate more independent. | 24th month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 3rd month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 6th month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 12 month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 18 month following discharge |
| Lawton IADL scale | Instrumental activities of daily living (ADLs) collected by assessor. Score rage from 0 tto 8, with 8 indicating more independent function. | 24 month following discharge |
| 1st month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 1st month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 3rd month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 6th month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 12th month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 18th month following hospital discharge |
| Cognitive function | Cognitive function following hip-fracture surgery will be assessed using the Taiwan version of the Mini Mental State Examination. Score ranges 0-30, with higher score indicating better cognitive function. | 24th month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 1st month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 3rd month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 6th month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 12th month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 18th month following hospital discharge |
| Depressive symptoms | Patients' depressive symptoms will be evaluated using the 15-item Geriatric Depression Scale, short form (GDS-SF). Score range 0-15, with higher score indicating higher depressive symptoms. | 24th month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 1st month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 3rd month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 6th month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 12th month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 18th month following hospital discharge |
| Nutritional Status | The 18-item Mini Nutritional Assessment (MNA). Score range 0-30, with higher score indicating better nutritioanl status. | 24th month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 1st month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 3rd month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 6th month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 12th month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 18th month following hospital discharge |
| Health-Related Quality of Life (HRQoL) | Taiwan version of the 36-item Short Form Survey (SF-36). Score range 0-100, with higher score indicating better health outcomes. | 24th month following hospital discharge |
| number of visits to emergency department | collected by assessor asking family members | 3rd month following hospital discharge |
| number of visits to emergency department | collected by assessor asking family members | 6th month following hospital discharge |
| number of visits to emergency department | collected by assessor asking family members | 12th month following hospital discharge |
| number of visits to emergency department | collected by assessor asking family members | 18th month following hospital discharge |
| number of visits to emergency department | collected by assessor asking family members | 24th month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members | 3rd month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members | 6th month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members | 12 month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members | 18th month following hospital discharge |
| number of hospital readmission | collected by assessor by asking family members | 24 month following hospital discharge |
| Linkuo Chang Gung Memorial Hospital | Taoyuan | Taiwan | 33302 | Taiwan |
|
| D007869 |
| Leg Injuries |