Trial reportAge and ageing2016
The PiTSTOP study: a feasibility cluster randomized trial of delirium prevention in care homes for older people.
Trial report in Age and ageing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Educational interventions aimed at improving knowledge of delirium among nursing home staff-a realist review.BMC geriatrics · 2024Pooled it
- Frailty and delirium in hospitalized older adults: A systematic review with meta-analysis.Revista latino-americana de enfermagem · 2022Pooled it
- Interventions for preventing delirium in older people in institutional long-term care.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for preventing falls in older people in care facilities and hospitals.The Cochrane database of systematic reviews · 2018Pooled it
- An intervention to increase physical activity in care home residents: results of a cluster-randomised, controlled feasibility trial (the REACH trial).Age and ageing · 2021Trial
- A posture and mobility training package for care home staff: results of a cluster randomised controlled feasibility trial (the PATCH trial).Age and ageing · 2020Trial
- Dementia Care Mapping™ to reduce agitation in care home residents with dementia: the EPIC cluster RCT.Health technology assessment (Winchester, England) · 2020Trial
- 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
- Delirium in the long-term care: a challenge for clinicians and researchers-the negative outcomes related to delirium: a scoping review.European geriatric medicine · 2025Article
- Delirium in nursing homes and long-term care facilities: findings of a scoping review of detection tools.European geriatric medicine · 2025Article
- Ketamine and melatonin for the prevention of postoperative delirium in patients with colorectal cancer: a feasibility study.Perioperative medicine (London, England) · 2025Article
- Delirium prevention in hospices: Opportunities and limitations - A focused ethnography.Palliative medicine · 2025Article
- Factors Associated With Increased Health Care Utilization for Patients With Dementia With Lewy Bodies: A Narrative Review.Journal of patient-centered research and reviews · 2024Review
- Article
- Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review.BMC geriatrics · 2023Article
- Contextual factors influencing complex intervention research processes in care homes: a systematic review and framework synthesis.Age and ageing · 2022Article
- Article
- Champions for improved adherence to guidelines in long-term care homes: a systematic review.Implementation science communications · 2021Review
- Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 5 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesdelirium is a distressing but potentially preventable condition common in older people in long-term care. It is associated with increased morbidity, mortality, functional decline, hospitalization and significant healthcare costs. Multicomponent interventions, addressing delirium risk factors, have been shown to reduce delirium by one-third in hospitals. It is not known whether this approach is also effective in long-term care. In previous work, we designed a bespoke delirium prevention intervention, called 'Stop Delirium!' In preparation for a definitive trial of Stop Delirium, we sought to address key aspects of trial design for the particular circumstances of care homes.
designa cluster randomized feasibility study with an embedded process evaluation. SETTING AND
participantsresidents of 14 care homes for older people in one metropolitan district in the UK.
interventionStop Delirium!: a 16-month-enhanced educational package to support care home staff to address key delirium risk factors. Control homes received usual care. MEASUREMENTS: we collected data to determine the following: recruitment and attrition; delirium rates and variability between homes; feasibility of measuring delirium, resource use, quality of life, hospital admissions and falls; and intervention implementation and adherence.
resultstwo-thirds (215) of eligible care home residents were recruited. One-month delirium prevalence was 4.0% in intervention and 7.1% in control homes. Proposed outcome measurements were feasible, although our approach appeared to underestimate delirium. Health economic evaluation was feasible using routinely collected data.
conclusiona definitive trial of delirium prevention in long-term care is needed but will require some further design modifications and pilot work.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.