A software to prevent delirium in hospitalised older adults: development and feasibility assessment.
Background non-pharmacological interventions to prevent delirium are useful in hospitalised older adults. However, they are poorly implemented in clinical practice. We aimed to develop a software for bedside use by hospitalised older adults and to improve their access to these interventions. Methods...
| Publicado en: | Age & Ageing Vol. 49; no. 2; pp. 239 - 246 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Mar2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=142126379&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 142126379 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2020 vid: 49 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 142126379 10.1093/ageing/afz166 ppf: 239 ppct: 7 formats: tig: atl: A software to prevent delirium in hospitalised older adults: development and feasibility assessment. aug: au: Alvarez, Evelyn A Garrido, Maricel Ponce, Daniela P Pizarro, Gaspar Córdova, Andres A Vera, Felipe Ruiz, Rocio Fernández, Raul Velásquez, Juan D Tobar, Eduardo Salech, Felipe affil: Escuela de Terapia Ocupacional, Facultad de Ciencias de la Salud, Universidad Central de Chile, Santiago, Metropolitana, Chile Departamento de Terapia Ocupacional y Ciencia de la Ocupación, Facultad de Medicina, Universidad de Chile, Santiago, Metropolitana, Chile Departamento de Medicina Interna Norte, Servicio Medicina Física y Rehabilitación, Hospital Clínico Universidad de Chile, Santiago, Metropolitana, Chile Centro de Investigación Clínica Avanzada (CICA), Universidad de Chile, Santiago, Metropolitana, Chile Web Intelligence Center, Facultad de Ciencias Físicas y Matemáticas, Universidad de Chile, Santiago, Metropolitana, Chile Departamento de Medicina Interna Norte, Sección Geriatría, Hospital Clínico Universidad de Chile, Santiago, Metropolitana, Chile Instituto Sistemas Complejos de Ingeniería (ISCI), Universidad de Chile, Santiago, Metropolitana, Chile Departamento de Medicina Interna Norte, Unidad de Pacientes Críticos, Hospital Clínico Universidad de Chile, Santiago, Metropolitana, Chile Facultad de Medicina, Universidad de Chile, Santiago, Metropolitana, Chile Unidad de Cuidados Adulto Mayor, Clínica Las Condes, Santiago, Chile su: Elder care Hospital care of older people Cognition Health services accessibility Teams in the workplace Pain management Delirium Health care teams Mental orientation Space perception Pilot projects Software architecture Disease incidence Mobile apps Early ambulation (Rehabilitation) Sleep hygiene sug: subj: Elder care Hospital care of older people Cognition Health services accessibility Teams in the workplace Pain management Continuing Care Retirement Communities Computer systems design and related services (except video game design and development) Delirium Health care teams Mental orientation Space perception Pilot projects Software architecture Disease incidence Mobile apps Early ambulation (Rehabilitation) Sleep hygiene keyword: delirium gerontechnology non-pharmacological interventions prevention software delirium gerontechnology non-pharmacological interventions prevention software ab: Background non-pharmacological interventions to prevent delirium are useful in hospitalised older adults. However, they are poorly implemented in clinical practice. We aimed to develop a software for bedside use by hospitalised older adults and to improve their access to these interventions. Methods a transdisciplinary team composed of healthcare professionals, designers, engineers and older adults participated in the development of the software. Scrum methodology was used to coordinate the work of the team, and the software was evaluated in a feasibility study. Results a software for touchscreen mobile devices that supports Android 5.0 or later was produced, including modules for time-spatial re-orientation, cognitive stimulation, early mobilisation, sensorial support use promotion, sleep hygiene and pain management optimisation. Horizontal disposition, use of colour contrast and large interaction areas were used to improve accessibility. The software's usability and accessibility were evaluated in 34 older adults (average age 73.2 ± 9.1 years) showing that 91.1% of them got access to all the software functions without previous instructions. The clinical feasibility assessment showed that 83.3% of the 30 enrolled hospitalised patients (76 ± 8 years) completed the 5-day protocol of software usage during hospitalisation. Software use was associated with a decreased trend in delirium incidence of 5 of 32 (15.6%) at baseline to 2 of 30 (6.6%) after its implementation. Conclusion a highly accessible and implementable software, designed to improve access to non-pharmacological interventions to prevent delirium in hospitalised older adults, was developed. The effectiveness of the software will be evaluated in a randomised clinical trial. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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