Ayala Ivan N, Friesen Hannah, Bellolio Fernanda, Boustani Zayn, Pagali Sandeep, Chambers Stephanie, Musey Paul, Boustani Malaz, Lindroth Heidi
Department of Nursing, Nursing Research Division, Mayo Clinic.
Department of Emergency Medicine, Mayo Clinic.
Delirium Commun. 2025 Jan 17. doi: 10.56392/001c.127872.
Family participation in the delivery of nonpharmacological measures has shown in past studies to prevent 17-75% of incident delirium. A scalable and sustainable method to partner with family (i.e., care partners) and support their delivery of nonpharmacologic measures is needed.
To test the feasibility, acceptability, and usability of iPREPARED in a pilot randomized controlled clinical trial (RCT). iPREPARED is a mobile health technology co-designed with patients and care partners containing resources on nonpharmacological interventions to prevent delirium.
Hospitalized adults (≥65 years) with ≥1 delirium risk factor and a care partner (family or friend ≥18yo) willing to participate were enrolled. The primary outcomes were feasibility, acceptability, and usability. Descriptive statistics are reported.
In total, 23 dyads completed the study (median age 72 years (IQR 64, 79), 60% male, and 100% Caucasian). Dyads reported that iPREPARED was acceptable, with moderate usability. Recruitment in the emergency department was feasible whereas recruitment once hospitalized and admitted was more difficult.
The study design was feasible. iPREPARED was acceptable and usable as an intervention.
过去的研究表明，家庭参与非药物措施的实施可预防17%-75%的新发谵妄。需要一种可扩展且可持续的方法来与家庭（即护理伙伴）合作，并支持他们实施非药物措施。
在一项试点随机对照临床试验（RCT）中测试iPREPARED的可行性、可接受性和可用性。iPREPARED是一种与患者和护理伙伴共同设计的移动健康技术，包含预防谵妄的非药物干预资源。
纳入有≥1个谵妄危险因素的住院成人（≥65岁）以及愿意参与的护理伙伴（家人或≥18岁的朋友）。主要结局为可行性、可接受性和可用性。报告描述性统计结果。
共有23对完成了研究（中位年龄72岁（四分位间距64, 79），60%为男性，100%为白种人）。参与者报告称iPREPARED是可接受的，可用性中等。在急诊科招募是可行的，而在患者住院并入院后招募则更困难。
该研究设计是可行的。iPREPARED作为一种干预措施是可接受且可用的。
