Department Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova, Italy.
Department of Interdisciplinary Medicine, "Aldo Moro", University of Bari, Bari, Italy.
Health Expect. 2024 Feb;27(1):e13872. doi: 10.1111/hex.13872. Epub 2023 Oct 27.
Discharge planning from the hospital of frail older patients is an important step to avoid inappropriate long-stay hospitalizations and to prevent the risks related to the prolonged hospitalization. In this frame, we developed an experimental trial-'PRO-HOME', a multicomponent programme of interventions for multimorbid and polytreated hospitalized older patients.
The main aim of the study was to develop a protected discharge facility using a mini apartment equipped with advanced architectural and technological components to reduce the length of hospital stay of older participants (aged 65+ years old) admitted to the hospital for an acute event, deemed stable and dischargeable.
This is a pilot randomized controlled study, comparing 30 hospitalized participants included in a multidimensional, transitional care programme based on information and communication technologies to 30 patients in standard usual care until hospital discharge.
We presented the study design of the PRO-HOME programme, including architectural and technological components, the enrolment procedures, the components of the intervention that is physical activity, cognitive training and life-style education and the evaluation method of the intervention based on the Comprehensive Geriatric Assessment to explore the changes in the individual domains that are target of the multicomponent intervention.
The final results will suggest whether the PRO-HOME programme represents a useful and feasible intervention to reduce the length of hospital stay of multimorbid and polytreated hospitalized older patients and improve their physical and cognitive performances and overall quality of life.
Due to the characteristics of the population of interest of the PRO-HOME study, we involved in the study design and programme of the activities the participants enrolled in a previous smart home-based project named MoDiPro carried-out during a 3-year period. The elderly participants from the local population involved were asked, by means of focus groups, for feedback on their experience in MoDiPro, and their suggestions were integrated into the design phase of the current PRO-HOME project. The focus groups included open group interviews with a qualitative collection of the patients' feedback so that the participants could interact with each other.
将体弱的老年患者从医院出院是避免不当住院时间延长和预防与住院时间延长相关风险的重要步骤。在这种情况下，我们开发了一个实验性试验——“PRO-HOME”，这是一个针对多病和多治疗住院老年患者的多成分干预计划。
该研究的主要目的是开发一个使用配备先进建筑和技术组件的迷你公寓的保护出院设施，以减少因急性事件住院的老年参与者（年龄在 65 岁以上）的住院时间，这些参与者被认为是稳定且可出院的。
这是一项比较基于信息和通信技术的多维过渡护理计划的 30 名住院参与者和标准常规护理的 30 名患者的试点随机对照研究。
我们介绍了 PRO-HOME 计划的研究设计，包括建筑和技术组件、招募程序、干预的组成部分，即身体活动、认知训练和生活方式教育，以及基于综合老年评估的干预评估方法，以探索多成分干预的目标个体领域的变化。
最终结果将表明 PRO-HOME 计划是否代表一种有用且可行的干预措施，可以减少多病和多治疗住院老年患者的住院时间，并改善他们的身体和认知表现以及整体生活质量。
由于 PRO-HOME 研究的目标人群的特点，我们参与了研究设计和活动计划，这些活动计划是在之前一个名为 MoDiPro 的智能家居项目中进行的，该项目在 3 年内进行。当地参与的老年参与者通过焦点小组被要求对他们在 MoDiPro 中的经验提供反馈，他们的建议被整合到当前 PRO-HOME 项目的设计阶段。焦点小组包括开放式小组访谈，以定性方式收集患者的反馈，以便参与者能够相互交流。
