Siddiqi, Najma orcid.org/0000-0003-1794-2152, Cheater, Francine, Collinson, Michelle et al. (13 more authors) (2016) The PiTSTOP study:a feasibility cluster randomized trial of delirium prevention in care homes for older people. Age and Ageing. pp. 1-10. ISSN 0002-0729
Abstract
BACKGROUND AND OBJECTIVES: delirium is a distressing but potentially preventable condition common in older people in long-term care. It is associated with increased morbidity, mortality, functional decline, hospitalization and significant healthcare costs. Multicomponent interventions, addressing delirium risk factors, have been shown to reduce delirium by one-third in hospitals. It is not known whether this approach is also effective in long-term care. In previous work, we designed a bespoke delirium prevention intervention, called 'Stop Delirium!' In preparation for a definitive trial of Stop Delirium, we sought to address key aspects of trial design for the particular circumstances of care homes. DESIGN: a cluster randomized feasibility study with an embedded process evaluation. SETTING AND PARTICIPANTS: residents of 14 care homes for older people in one metropolitan district in the UK. INTERVENTION: Stop Delirium!: a 16-month-enhanced educational package to support care home staff to address key delirium risk factors. Control homes received usual care. MEASUREMENTS: we collected data to determine the following: recruitment and attrition; delirium rates and variability between homes; feasibility of measuring delirium, resource use, quality of life, hospital admissions and falls; and intervention implementation and adherence. RESULTS: two-thirds (215) of eligible care home residents were recruited. One-month delirium prevalence was 4.0% in intervention and 7.1% in control homes. Proposed outcome measurements were feasible, although our approach appeared to underestimate delirium. Health economic evaluation was feasible using routinely collected data. CONCLUSION: a definitive trial of delirium prevention in long-term care is needed but will require some further design modifications and pilot work.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016, The authors. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Funding Information: | Funder Grant number UNSPECIFIED NIHRDH-PB-PG-0610-22068 |
Depositing User: | Pure (York) |
Date Deposited: | 09 Jun 2016 13:45 |
Last Modified: | 08 Feb 2025 00:19 |
Published Version: | https://doi.org/10.1093/ageing/afw091 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1093/ageing/afw091 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:100726 |
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