Patient Experience of Older Adults Living Alone With Injuries
20 de maio de 2026 atualizado por: Kaohsiung Medical University Chung-Ho Memorial Hospital
Patient Experience of Older Adults Living Alone With Injuries and Long-Term Effects of Geriatric Trauma Care Program for Living Alone Older Adults With Injuries
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.
Visão geral do estudo
Status
Recrutamento
Condições
Intervenção / Tratamento
Descrição detalhada
Aim: This study aims to explore patient experience of living alone older adults with injuries, and to examine effects of a "Geriatric Trauma Care Program (GTCP)" in older adults with limb injuries who live alone.
Design: A two-stage 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, a two-arm experimental design will be used to intervene the "GTCP" and evaluate its outcomes.
Methods: In the first stage, the study settings will be surgical outpatient departments at a university hospital. Purposive sampling will be used to select old adult patients with injury and living alone. Semi-structured and audio-taped interviews will be used as data collection method. About 15 to 20 participants are planned to be interviewed. Colaizzi's (1978) methods will be applied to data analysis. The findings will be used to modify the intervention for the second stage in this study.
In the second stage, a two-arm experimental design will be used. The participants will be older adults with limb injuries. The experiment group will receive the "GTCP" and routine care, and the control group will receive routine care only. The GTCP includes a two-session intervention named "Digital geriatric trauma care" and "Multiple training modalities". The two sessions will use an "age-friendly e-Book" and a "personalized-oriented App" as assistant materials. A three-time point data collection will be used including at hospital discharge, 1 month and 3 months after hospital discharges. The pre -and post- intervention measures will be five structured scales including pain, functional disability, geriatric depression, loneliness, and quality of life. The 2nd stage expects to collect 45 participants in each group. The experimental effects will be examined by the generalized estimating equations (GEEs) model.
Tipo de estudo
Intervencional
Inscrição (Estimado)
110
Estágio
- Não aplicável
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Contato de estudo
- Nome: Bih-O Lee, PHD
- Número de telefone: 2625 886-7-312-1101
- E-mail: biholee@kmu.edu.tw
Locais de estudo
-
-
-
Kaohsiung City, Taiwan
- Recrutamento
- Kaohsiung Medical University
-
Contato:
- Bih-O Lee, PHD
- Número de telefone: 2625 886-7-312-1101
- E-mail: biholee@kmu.edu.tw
-
-
Kaohsiung
-
Kaohsiung City, Kaohsiung, Taiwan, 807
- Recrutamento
- Kaohsiung Medical University Chung-Ho Memorial Hospital
-
Contato:
- Bih-O BO Lee, Ph.D
- Número de telefone: 886-7-312-1101 ext 2625
- E-mail: biholee@kmu.edu.tw
-
-
Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto mais velho
Aceita Voluntários Saudáveis
Não
Descrição
Inclusion Criteria:
- willing to join this study for 12 weeks
- limb injuries,
- living alone without any family,
- 65 to 74 years old,
- independent before an injury,
- have a smart phone
- be able to communicate in Mandarin
Exclusion Criteria:
- with an ISS greater than 16 (severe injuries)
- severe cognitive impairment
- severe illness such as organ system insufficiency
- diagnosed with depression
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: experimental group
Researchers will conduct the Geriatric Trauma Care Program for the experimental group.
|
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".
|
|
Sem intervenção: contrast group
The contrast group will be receiving the routine care only.
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
The Numeric Pain Rating Scale (NPRS)
Prazo: at 1 day before hospital discharge
|
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.
|
at 1 day before hospital discharge
|
|
The Barthel's Index (BI)
Prazo: at 1 day before hospital discharge
|
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.
|
at 1 day before hospital discharge
|
|
The Geriatric Depression Scale Short Form (GDS-SF)
Prazo: at 1 day before hospital discharge
|
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.
|
at 1 day before hospital discharge
|
|
The Elderly Loneliness Scale (ELS)
Prazo: at 1 day before hospital discharge
|
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.
|
at 1 day before hospital discharge
|
|
Taiwanese version of the EuroQol-5D (EQ-5D)
Prazo: at 1 day before hospital discharge
|
The EQ-5D is a scale used to measure the HRQoL developed in Europe, which has been globally tested and used.
The EQ-5D has five dimensions including mobility, self-care, daily activities, pain/discomfort, and anxiety/depression.
A total of 15 items is included in the EQ-5D.
Each dimension has three items assessed by three levels, never, moderate, and severe, of individual quality of life.
A participant can only choose one of three levels of their quality of life.
It indicates that an assessor only obtains 5 answers from each of 5 domains in the EQ-5D.
The hospital discharge EQ-5D will be recalled by participants to report their HRQoL two weeks before admission.
The Cronbach's alpha will be retested in this study.
|
at 1 day before hospital discharge
|
|
The Numeric Pain Rating Scale (NPRS)
Prazo: at 1 months after hospital discharge
|
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.
|
at 1 months after hospital discharge
|
|
The Barthel's Index (BI)
Prazo: at 1 months after hospital discharge
|
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.
|
at 1 months after hospital discharge
|
|
The Geriatric Depression Scale Short Form (GDS-SF)
Prazo: at 1 months after hospital discharge
|
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.
|
at 1 months after hospital discharge
|
|
The Elderly Loneliness Scale (ELS)
Prazo: at 1 months after hospital discharge
|
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.
|
at 1 months after hospital discharge
|
|
Taiwanese version of the EuroQol-5D (EQ-5D)
Prazo: at 1 months after hospital discharge
|
The EQ-5D is a scale used to measure the HRQoL developed in Europe, which has been globally tested and used.
The EQ-5D has five dimensions including mobility, self-care, daily activities, pain/discomfort, and anxiety/depression.
A total of 15 items is included in the EQ-5D.
Each dimension has three items assessed by three levels, never, moderate, and severe, of individual quality of life.
A participant can only choose one of three levels of their quality of life.
It indicates that an assessor only obtains 5 answers from each of 5 domains in the EQ-5D.
The hospital discharge EQ-5D will be recalled by participants to report their HRQoL two weeks before admission.
The Cronbach's alpha will be retested in this study.
|
at 1 months after hospital discharge
|
|
The Numeric Pain Rating Scale (NPRS)
Prazo: at 3 months after hospital discharge
|
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.
|
at 3 months after hospital discharge
|
|
The Barthel's Index (BI)
Prazo: at 3 months after hospital discharge
|
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.
|
at 3 months after hospital discharge
|
|
The Geriatric Depression Scale Short Form (GDS-SF)
Prazo: at 3 months after hospital discharge
|
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.
|
at 3 months after hospital discharge
|
|
The Elderly Loneliness Scale (ELS)
Prazo: at 3 months after hospital discharge
|
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.
|
at 3 months after hospital discharge
|
|
Taiwanese version of the EuroQol-5D (EQ-5D)
Prazo: at 3 months after hospital discharge
|
The EQ-5D is a scale used to measure the HRQoL developed in Europe, which has been globally tested and used.
The EQ-5D has five dimensions including mobility, self-care, daily activities, pain/discomfort, and anxiety/depression.
A total of 15 items is included in the EQ-5D.
Each dimension has three items assessed by three levels, never, moderate, and severe, of individual quality of life.
A participant can only choose one of three levels of their quality of life.
It indicates that an assessor only obtains 5 answers from each of 5 domains in the EQ-5D.
The hospital discharge EQ-5D will be recalled by participants to report their HRQoL two weeks before admission.
The Cronbach's alpha will be retested in this study.
|
at 3 months after hospital discharge
|
Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Investigadores
- Investigador principal: Bih-O Lee, PHD, Kaohsiung Medical University
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Real)
22 de novembro de 2023
Conclusão Primária (Estimado)
31 de julho de 2026
Conclusão do estudo (Estimado)
31 de outubro de 2026
Datas de inscrição no estudo
Enviado pela primeira vez
20 de maio de 2026
Enviado pela primeira vez que atendeu aos critérios de CQ
20 de maio de 2026
Primeira postagem (Real)
27 de maio de 2026
Atualizações de registro de estudo
Última Atualização Postada (Real)
27 de maio de 2026
Última atualização enviada que atendeu aos critérios de controle de qualidade
20 de maio de 2026
Última verificação
1 de maio de 2026
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- KMUHIRB-F(I)-20230043
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Não
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
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