NCT06107699

Brief Summary

Background: Fall-related injuries like fractures are on the rise among older adults in New Brunswick. These injuries can lead to hospitalization and adverse health effects. Moreover, transitions from acute care can be complicated and overwhelming, especially for patients and their families. Researching patient navigators as a means of enhancing inpatient care, while also ensuring successful transitions in care for patients, may have positive impacts and help older adults successfully age in place. Objective: This study seeks to investigate the effects of having support from patient navigators in helping older adults admitted to the Orthopedic Unit with a fracture. Specifically, the objectives are to investigate whether there are differences between patients with patient navigators and those patients receiving standard of care, regarding: the length of stay in acute care; healthcare utilization post-discharge; patient and family experience and satisfaction with care; and, healthcare provider experiences working with patient navigators. Methods: This study uses a mixed-method concurrent embedded design, in which the quantitative randomized control trial has an embedded qualitative component. Potential Benefits/Risks: This study is considered low risk. Potential benefits of this study include a better understanding of the impact of support from a patient navigator on inpatient care and patient transitions. This information will be used to inform the development of practical recommendations for policymakers and clinicians on how to enhance inpatient acute care and successful transitions for older adults.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2022

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

September 28, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

October 30, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 29, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 29, 2024

Completed
Last Updated

October 15, 2024

Status Verified

October 1, 2024

Enrollment Period

1.5 years

First QC Date

September 28, 2023

Last Update Submit

October 10, 2024

Conditions

FractureFrailtyAging

Keywords

Patient Navigation

Outcome Measures

Primary Outcomes (4)

  • Canadian Patient Experiences Survey Inpatient Care (CPES-IC)

    Patient satisfaction with care

    through study completion, 3 months

  • Healthcare utilization- study specific questionnaire

    through study completion, 3 months

  • Length of stay in acute care

    through study completion, 3 months

  • Global Patient Satisfaction Question- study specific

    at study completion, 3 months

Secondary Outcomes (1)

  • Patient experiences- qualitative semi-structured interviews

    at study completion, 3 months

Study Arms (2)

Patient Navigator

EXPERIMENTAL
Other: Patient Navigation

Standard of Care

NO INTERVENTION

Interventions

Patient NavigationOTHER

Assigned a Patient Navigator to provide information on transitional care and community resources.

Patient Navigator

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Saint John Regional Hospital

Saint John, New Brunswick, E2L 4L2, Canada

Location

Related Publications (1)

  • Hanson N, Freeze T, Skerry L, O'Keefe K, Nguyen C, Somal R, Faig K, Jarrett P. Investigating patient navigator impact on older adults' transitions from acute care: A randomized controlled trial with embedded qualitative component. PLoS One. 2026 Feb 4;21(2):e0341251. doi: 10.1371/journal.pone.0341251. eCollection 2026.

    PMID: 41637440DERIVED

MeSH Terms

Conditions

Fractures, BoneFrailty

Interventions

Patient Navigation

Condition Hierarchy (Ancestors)

Wounds and InjuriesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Patient-Centered CarePrimary Health CareComprehensive Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • Natasha Hanson, PhD

    Horizon Health Network

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 28, 2023

First Posted

October 30, 2023

Study Start

September 1, 2022

Primary Completion

February 29, 2024

Study Completion

February 29, 2024

Last Updated

October 15, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

Locations

CA(1)