ArticleJournal of the American Geriatrics Society2016
Preliminary Data: An Adapted Hospital Elder Life Program to Prevent Delirium and Reduce Complications of Acute Illness in Long-Term Care Delivered by Certified Nursing Assistants.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Prioritization Patterns of Nurses in the Management of a Patient With Delirium: Results of a Q-Methodology Study.Research in nursing & health · 2025Pooled it
- Educational interventions aimed at improving knowledge of delirium among nursing home staff-a realist review.BMC geriatrics · 2024Pooled it
- Applicability of the interventions recommended for patients at risk or with delirium in medical and post-acute settings: a systematic review and a Nominal Group Technique study.Aging clinical and experimental research · 2022Pooled it
- Interventions for preventing delirium in older people in institutional long-term care.The Cochrane database of systematic reviews · 2019Pooled it
- Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018Pooled it
- Hospital Elder Life Program in Long-Term Care (HELP-LTC): A Cluster Randomized Controlled Trial.Journal of the American Geriatrics Society · 2020Trial
- Acute Deterioration in Long-Term Care: A Delphi Study of Indicators, Care Pathways and Implementation Strategies.International journal of nursing practice · 2026Article
- Review
- Prevalence, risk factors, and preventive interventions for delirium in older adults living at home and in residential care: a scoping review.BMC geriatrics · 2026Article
- Risk factors, preventive interventions, overlapping symptoms, and clinical measures of delirium in elderly patients.World journal of psychiatry · 2023Review
- The Modified and Extended Hospital Elder Life Program: A remote model of care to expand delirium prevention.Journal of the American Geriatrics Society · 2023Article
- The inter-relationship between delirium and dementia: the importance of delirium prevention.Nature reviews. Neurology · 2022Review
- Current Challenges in the Recognition and Management of Delirium Superimposed on Dementia.Neuropsychiatric disease and treatment · 2021Review
- Article
- Postacute Management of Older Adults Suffering an Osteoporotic Hip Fracture: A Consensus Statement From the International Geriatric Fracture Society.Geriatric orthopaedic surgery & rehabilitation · 2020Review
- Advancing Research on Care Needs and Supportive Approaches for Persons With Dementia: Recommendations and Rationale.Journal of the American Medical Directors Association · 2018Article
- Influenza Illness and Hip Fracture Hospitalizations in Nursing Home Residents: Are They Related?The journals of gerontology. Series A, Biological sciences and medical sciences · 2018Article
- Review
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
Nursing home (NH) residents have a high prevalence of delirium risk factors, experience two to four acute medical conditions (e.g., infections) each year, and have an incidence of delirium during these conditions similar to that of hospitalized older adults. Many NH residents with delirium do not return to their prior level of cognitive function. They are more likely to die, be hospitalized, and less likely to be discharged home than those without delirium. Research on the prevention or treatment of delirium in NHs is limited. This article describes the development and pilot testing of a multicomponent delirium prevention intervention in the NH setting adapted from the Hospital Elder Life Program (HELP-LTC). Activities to reduce the risk of delirium that were appropriate for functionally impaired NH residents were developed and delivered during treatment for and recovery from acute illness, a novel resident-targeting approach. Expertly trained certified nursing assistants (CNAs - a total of 1.4 full-time equivalent (FTE) positions-) visited residents throughout the facility and delivered the activities. The current study reports on incident delirium, delirium remission, cognitive and physical function change, hospitalization, and death associated with acute medical conditions as ascertained by a program coordinator. The integration and acceptance of the CNAs' activities by residents and staff are also reported on. Hospitalization and death were ascertained in a nonintervention comparison group. Findings support a test of the intervention in a controlled trial. The potential effect is great; there are approximately 1.4 million NH residents in the United States and an estimated 1 million with dementia or cognitive impairment, an important delirium risk factor. An intervention would be broadly adoptable if a reduction in healthcare costs through prevention of hospitalization offset the cost of the program's CNAs.
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