A software to prevent delirium in hospitalised older adults: development and feasibility assessment
Abstract 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...
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| Veröffentlicht in: | Age and ageing 2020-02, Vol.49 (2), p.239-245 |
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| creator | 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 |
| description | Abstract
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. |
| doi_str_mv | 10.1093/ageing/afz166 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2342355122</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ageing/afz166</oup_id><sourcerecordid>2429048261</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-be222fe7636ff8b6a93b319580c77c03fadbdae0b4be558ed3ab40200ad68b243</originalsourceid><addsrcrecordid>eNqFkElLBDEQRoMozrgcvUrAi5fWLL16E3GDAS96bpJORTOkO22qe0R_vT2MC3jxVBT16uPjEXLE2RlnlTxXz-C653NlP3ieb5E5T_MyEaVMt8mcMSYSVohqRvYQl9PKMy52yUzyKiuKUs5Jc0kx2OFNRaBDoH2EFXQDNeBddGNLXUdfAvZuUN4hGBq8gUiVGf2AFxO2Ah_6dv2iOkMtKHTaeTe8U4UIiOvTAdmxyiMcfs198nRz_Xh1lywebu-vLhdJIys5JBqEEBaKXObWljpXldTroiVriqJh0iqjjQKmUw1ZVoKRSqdMMKZMXmqRyn1yusntY3gdAYe6ddiA96qDMGItZCpkNhkQE3ryB12GMXZTu1qkomJpKXI-UcmGamJAjGDrPrpWxfeas3ptv97Yrzf2J_74K3XULZgf-lv3b8Mw9v9kfQL_NZF9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2429048261</pqid></control><display><type>article</type><title>A software to prevent delirium in hospitalised older adults: development and feasibility assessment</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>Abstract
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.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afz166</identifier><identifier>PMID: 31957783</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Access ; Aged ; Averages ; Clinical assessment ; Clinical medicine ; Clinical research ; Clinical trials ; Cognitive ability ; Cognitive stimulation ; Computer programs ; Computers, Handheld ; Decision Support Systems, Clinical ; Delirium ; Delirium - etiology ; Delirium - prevention & control ; Feasibility ; Feasibility Studies ; Female ; Health care ; Hospitalization ; Humans ; Hygiene ; Intervention ; Male ; Medical personnel ; Mobile Applications ; Older people ; Pain ; Patient Care Team ; Risk Factors ; Sleep ; Software ; Software Design ; Teamwork ; User-Computer Interface</subject><ispartof>Age and ageing, 2020-02, Vol.49 (2), p.239-245</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-be222fe7636ff8b6a93b319580c77c03fadbdae0b4be558ed3ab40200ad68b243</citedby><cites>FETCH-LOGICAL-c393t-be222fe7636ff8b6a93b319580c77c03fadbdae0b4be558ed3ab40200ad68b243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27915,27916,30990</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31957783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alvarez, Evelyn A</creatorcontrib><creatorcontrib>Garrido, Maricel</creatorcontrib><creatorcontrib>Ponce, Daniela P</creatorcontrib><creatorcontrib>Pizarro, Gaspar</creatorcontrib><creatorcontrib>Córdova, Andres A</creatorcontrib><creatorcontrib>Vera, Felipe</creatorcontrib><creatorcontrib>Ruiz, Rocio</creatorcontrib><creatorcontrib>Fernández, Raul</creatorcontrib><creatorcontrib>Velásquez, Juan D</creatorcontrib><creatorcontrib>Tobar, Eduardo</creatorcontrib><creatorcontrib>Salech, Felipe</creatorcontrib><title>A software to prevent delirium in hospitalised older adults: development and feasibility assessment</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Abstract
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.</description><subject>Access</subject><subject>Aged</subject><subject>Averages</subject><subject>Clinical assessment</subject><subject>Clinical medicine</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Cognitive stimulation</subject><subject>Computer programs</subject><subject>Computers, Handheld</subject><subject>Decision Support Systems, Clinical</subject><subject>Delirium</subject><subject>Delirium - etiology</subject><subject>Delirium - prevention & control</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Health care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Mobile Applications</subject><subject>Older people</subject><subject>Pain</subject><subject>Patient Care Team</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Software</subject><subject>Software Design</subject><subject>Teamwork</subject><subject>User-Computer Interface</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkElLBDEQRoMozrgcvUrAi5fWLL16E3GDAS96bpJORTOkO22qe0R_vT2MC3jxVBT16uPjEXLE2RlnlTxXz-C653NlP3ieb5E5T_MyEaVMt8mcMSYSVohqRvYQl9PKMy52yUzyKiuKUs5Jc0kx2OFNRaBDoH2EFXQDNeBddGNLXUdfAvZuUN4hGBq8gUiVGf2AFxO2Ah_6dv2iOkMtKHTaeTe8U4UIiOvTAdmxyiMcfs198nRz_Xh1lywebu-vLhdJIys5JBqEEBaKXObWljpXldTroiVriqJh0iqjjQKmUw1ZVoKRSqdMMKZMXmqRyn1yusntY3gdAYe6ddiA96qDMGItZCpkNhkQE3ryB12GMXZTu1qkomJpKXI-UcmGamJAjGDrPrpWxfeas3ptv97Yrzf2J_74K3XULZgf-lv3b8Mw9v9kfQL_NZF9</recordid><startdate>20200227</startdate><enddate>20200227</enddate><creator>Alvarez, Evelyn A</creator><creator>Garrido, Maricel</creator><creator>Ponce, Daniela P</creator><creator>Pizarro, Gaspar</creator><creator>Córdova, Andres A</creator><creator>Vera, Felipe</creator><creator>Ruiz, Rocio</creator><creator>Fernández, Raul</creator><creator>Velásquez, Juan D</creator><creator>Tobar, Eduardo</creator><creator>Salech, Felipe</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20200227</creationdate><title>A software to prevent delirium in hospitalised older adults: development and feasibility assessment</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-be222fe7636ff8b6a93b319580c77c03fadbdae0b4be558ed3ab40200ad68b243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Access</topic><topic>Aged</topic><topic>Averages</topic><topic>Clinical assessment</topic><topic>Clinical medicine</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Cognitive ability</topic><topic>Cognitive stimulation</topic><topic>Computer programs</topic><topic>Computers, Handheld</topic><topic>Decision Support Systems, Clinical</topic><topic>Delirium</topic><topic>Delirium - etiology</topic><topic>Delirium - prevention & control</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Health care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Mobile Applications</topic><topic>Older people</topic><topic>Pain</topic><topic>Patient Care Team</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Software</topic><topic>Software Design</topic><topic>Teamwork</topic><topic>User-Computer Interface</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alvarez, Evelyn A</creatorcontrib><creatorcontrib>Garrido, Maricel</creatorcontrib><creatorcontrib>Ponce, Daniela P</creatorcontrib><creatorcontrib>Pizarro, Gaspar</creatorcontrib><creatorcontrib>Córdova, Andres A</creatorcontrib><creatorcontrib>Vera, Felipe</creatorcontrib><creatorcontrib>Ruiz, Rocio</creatorcontrib><creatorcontrib>Fernández, Raul</creatorcontrib><creatorcontrib>Velásquez, Juan D</creatorcontrib><creatorcontrib>Tobar, Eduardo</creatorcontrib><creatorcontrib>Salech, Felipe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alvarez, Evelyn A</au><au>Garrido, Maricel</au><au>Ponce, Daniela P</au><au>Pizarro, Gaspar</au><au>Córdova, Andres A</au><au>Vera, Felipe</au><au>Ruiz, Rocio</au><au>Fernández, Raul</au><au>Velásquez, Juan D</au><au>Tobar, Eduardo</au><au>Salech, Felipe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A software to prevent delirium in hospitalised older adults: development and feasibility assessment</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2020-02-27</date><risdate>2020</risdate><volume>49</volume><issue>2</issue><spage>239</spage><epage>245</epage><pages>239-245</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
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.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31957783</pmid><doi>10.1093/ageing/afz166</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Access Aged Averages Clinical assessment Clinical medicine Clinical research Clinical trials Cognitive ability Cognitive stimulation Computer programs Computers, Handheld Decision Support Systems, Clinical Delirium Delirium - etiology Delirium - prevention & control Feasibility Feasibility Studies Female Health care Hospitalization Humans Hygiene Intervention Male Medical personnel Mobile Applications Older people Pain Patient Care Team Risk Factors Sleep Software Software Design Teamwork User-Computer Interface |
| title | A software to prevent delirium in hospitalised older adults: development and feasibility assessment |
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