TraumaNCT05176054
Digitally Enhanced Nursing Discharge Teaching Program for Geriatric Trauma
A study testing Digitally Enhanced Nursing Discharge Teaching Program in people with Trauma and Aging, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.
Trial summary
This quasi-experimental study evaluates the effectiveness of a digitally enhanced nursing discharge teaching program for older adults recovering from limb fractures. As patients transition from the acute trauma ward to home care, they often face significant challenges managing pain, psychological distress, and daily… Read more about this study
- Who is it for?
- Ages 65 to 74 years
- What is being tested?
- Digitally Enhanced Nursing Discharge Teaching Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTaiwan
- Study dates
- 2 Jan 2023to 29 Feb 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 to 74 years
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- First-time patients with limb fracture as the primary diagnosis.
- Capable of independent mobility before the injury.
- Able to communicate in Mandarin.
- Willing to participate from hospital discharge to six weeks post-discharge.
- Able to use a smartphone and have internet access.
- A pain score greater than four on the Numeric Pain Rating Scale (NPRS).
- A depression score greater than four on the Geriatric Depression Scale Short Form (GDS-SF).
Who cannot join
- Were cognitively impaired.
- Suffered from cardiovascular, pulmonary, or cerebral insufficiency.
- Had a history of psychiatric or terminal illnesses.
- Had visual impairments.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effects of a Digitally Enhanced Nursing Discharge Teaching Program on Post-Injury Symptoms in Older Adults With Limb Fractures: A Quasi-Experimental Study
This quasi-experimental study evaluates the effectiveness of a digitally enhanced nursing discharge teaching program for older adults recovering from limb fractures. As patients transition from the acute trauma ward to home care, they often face significant challenges managing pain, psychological distress, and daily functioning. This study compares a structured, digitally supported educational intervention against standard hospital discharge care. The primary goal is to determine if the digital program improves patients' pain intensity, depressive symptoms, and overall quality of life during the first six weeks post-discharge compared to routine care.
Read the detailed description
Geriatric trauma patients, specifically those suffering from limb fractures, experience a high risk of poor functional and psychological outcomes following hospital discharge. Standard discharge teaching is often constrained by the fast-paced nature of acute trauma wards, limiting patients' ability to retain critical recovery information. To address this, the current study implemented a digitally enhanced nursing discharge teaching program.
This study utilized a non-randomized, quasi-experimental design with two parallel arms: a contrast group receiving standard routine discharge care, and an experimental group receiving the digitally enhanced program. The digital intervention included interactive, multimedia educational content delivered prior to discharge, supplemented by structured telephone follow-ups by nursing staff to reinforce symptom management, mobility safety, and recovery strategies at home.
Participants were recruited continuously based on acute hospital admissions. The primary outcomes assessed were pain intensity (Numeric Pain Rating Scale), depressive symptoms (Geriatric Depression Scale-Short Form), and overall quality of life (WHOQOL). Data were collected at three distinct time points: baseline (prior to hospital discharge), two weeks post-discharge, and six weeks post-discharge. The study aims to evaluate the clinical efficacy of this digital transition model and its feasibility for integration into routine geriatric trauma care.
- Being tested
- Digitally Enhanced Nursing Discharge Teaching Program
- Medical subject headings
- Wounds and Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Digitally Enhanced Nursing Discharge Teaching ProgramOther
A structured transitional care program utilizing interactive, multimedia digital content to teach pain management, psychological coping, and recovery strategies. The initial digital education provided in the acute ward is supplemented by scheduled telephone follow-up sessions conducted by nursing staff to reinforce the material and support patients in their home environment.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group | Experimental | Participants in this experimental arm receive the digitally enhanced nursing discharge teaching program. This includes interactive, multimedia educational content delivered prior to hospital discharge, followed by structured telephone follow-ups during the 6-week recovery period. Receives: Other: Digitally Enhanced Nursing Discharge Teaching Program |
| Contrast group | No intervention | Participants in this contrast arm receive a standard pamphlet, routine hospital discharge care and standard verbal education prior to transitioning home. |
What is being measured
The primary outcome is the main question the study is designed to answer.
The World Health Organization Quality of Life Questionnaire
The WHOQoOL-BREF will be used to measure quality of life. Six popular generic instruments of HRQOL are commonly used as disability outcome measures, some of them were developed later were tested trans-culturally in extensive research programs such as the WHOQoL-BREF. The WHOQoL-BREF is a 26-item scale that is measure along with four subscales including physical, psychological, social relationship and environment domains. Scores range from 1 to 5 with higher scores indicating higher quality of life. The reliability and validity of the Chinese WHOQoL-BREF have been tested in patients with traumatic injuries, but not in geriatric trauma. Thus, the Cronbach's alpha for this study will be retested.
Measured: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
Secondary outcomes (2)
The Numeric Pain Rating Scale
The NPRS is a one-dimensional measure of pain intensity in adults. A NPRS has similar anchors at the extremes but offers numbers from 0 through 10. It is well known and broadly used scale in clinical settings. No further reliability and validity tests are needed.
Measured: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
The Geriatric Depression Scale Short Form
The GDS-SF is a 15-item scale used to identify depression in older adults. It is from the original GDS developed by Sheikh and Yesavage to examine the self-perceived emotions of older adults. The version will be used in this study is a validated Chinese that has been tested its reliability in geriatric older population in Taiwan. The GDS-SF features binary scores for a total score of 0-15. A higher score indicates a more severe of depression. In the GDS-SF, a score of 0 to 5 is normal, a score > 5 suggests depression, and a score ≥ 10 is almost indicative of depression. The Cronbach's alpha for this study will be retested.
Measured: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jan 2022
- Study start2 Jan 2023
- Primary completion29 Feb 2024
- Study completion29 Feb 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for TraumaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Bih-O Lee, PHD, Principal investigator, Kaohsiung Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05176054
- Sponsor's protocol ID
- KMUHIRB- F(II)-20210057
- Status last verified
- May 2026
- First submitted
- 30 Aug 2021
- Last updated
- 22 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 22 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effects of a Digitally Enhanced Nursing Discharge Teaching Program on Post-Injury Symptoms in Older Adults With Limb Fractures: A Quasi-Experimental Study
- ClinicalTrials.gov ID
- NCT05176054
- Acronym / sponsor ID
- KMUHIRB- F(II)-20210057
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Kaohsiung Medical University Chung-Ho Memorial HospitalUniversity, hospital or other
- Study start
- 2 Jan 2023 (actual)
- Primary completion
- 29 Feb 2024 (actual)
- Study completion
- 29 Feb 2024 (actual)
- First posted
- 4 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This quasi-experimental study evaluates the effectiveness of a digitally enhanced nursing discharge teaching program for older adults recovering from limb fractures. As patients transition from the acute trauma ward to home care, they often face significant challenges managing pain, psychological distress, and daily functioning. This study compares a structured, digitally supported educational intervention against standard hospital discharge care. The primary goal is to determine if the digital program improves patients' pain intensity, depressive symptoms, and overall quality of life during the first six weeks post-discharge compared to routine care.
Detailed description
Geriatric trauma patients, specifically those suffering from limb fractures, experience a high risk of poor functional and psychological outcomes following hospital discharge. Standard discharge teaching is often constrained by the fast-paced nature of acute trauma wards, limiting patients' ability to retain critical recovery information. To address this, the current study implemented a digitally enhanced nursing discharge teaching program.
This study utilized a non-randomized, quasi-experimental design with two parallel arms: a contrast group receiving standard routine discharge care, and an experimental group receiving the digitally enhanced program. The digital intervention included interactive, multimedia educational content delivered prior to discharge, supplemented by structured telephone follow-ups by nursing staff to reinforce symptom management, mobility safety, and recovery strategies at home.
Participants were recruited continuously based on acute hospital admissions. The primary outcomes assessed were pain intensity (Numeric Pain Rating Scale), depressive symptoms (Geriatric Depression Scale-Short Form), and overall quality of life (WHOQOL). Data were collected at three distinct time points: baseline (prior to hospital discharge), two weeks post-discharge, and six weeks post-discharge. The study aims to evaluate the clinical efficacy of this digital transition model and its feasibility for integration into routine geriatric trauma care.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental group | Experimental | Other: Digitally Enhanced Nursing Discharge Teaching ProgramParticipants in this experimental arm receive the digitally enhanced nursing discharge teaching program. This includes interactive, multimedia educational content delivered prior to hospital discharge, followed by structured telephone follow-ups during the 6-week recovery period. |
| Contrast group | No intervention | –Participants in this contrast arm receive a standard pamphlet, routine hospital discharge care and standard verbal education prior to transitioning home. |
Who may qualify
- Ages
- 65 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (7 listed)
- First-time patients with limb fracture as the primary diagnosis.
- Capable of independent mobility before the injury.
- Able to communicate in Mandarin.
- Willing to participate from hospital discharge to six weeks post-discharge.
- Able to use a smartphone and have internet access.
Key exclusion criteria (4 listed)
- Were cognitively impaired.
- Suffered from cardiovascular, pulmonary, or cerebral insufficiency.
- Had a history of psychiatric or terminal illnesses.
- Had visual impairments.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Digitally Enhanced Nursing Discharge Teaching ProgramA structured transitional care program utilizing interactive, multimedia digital content to teach pain management, psychological coping, and recovery strategies. The initial digital education provided in the acute ward is supplemented by scheduled telephone follow-up sessions conducted by nursing staff to reinforce the material and support patients in their home environment. | Other | Experimental group |
Primary outcome
The World Health Organization Quality of Life Questionnaire
Time frame: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
The WHOQoOL-BREF will be used to measure quality of life. Six popular generic instruments of HRQOL are commonly used as disability outcome measures, some of them were developed later were tested trans-culturally in extensive research programs such as the WHOQoL-BREF. The WHOQoL-BREF is a 26-item scale that is measure along with four subscales including physical, psychological, social relationship and environment domains. Scores range from 1 to 5 with higher scores indicating higher quality of life. The reliability and validity of the Chinese WHOQoL-BREF have been tested in patients with traumatic injuries, but not in geriatric trauma. Thus, the Cronbach's alpha for this study will be retested.
2 secondary outcomes
The Numeric Pain Rating Scale
Time frame: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
The Geriatric Depression Scale Short Form
Time frame: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 May 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bih-O Lee, PHD principal investigator
Kaohsiung Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Digitally Enhanced Nursing Discharge Teaching Program in people with Trauma and Aging, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The World Health Organization Quality of Life Questionnaire (time frame: Baseline (1 day prior to hospital discharge), 2 weeks post-discharge, and 6 weeks post-discharge.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 May 2026.