RecruitingNot ApplicableNCT07396532

Audio-Recorded Messages Delivered Via iPad to Prevent Delirium in Hip Fracture Patients

Nurse-Led Audio-Recorded Reorientation to Reduce Delirium in Elderly Hip Fractures: A Pilot Randomized Control Trial


Sponsor

Sengkang General Hospital

Enrollment

30 participants

Start Date

Sep 29, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this pilot clinical trial is to learn if personalized audio-recorded reorientation messages can be successfully implemented in general hospital wards for elderly patients after hip fracture surgery. It will also explore whether this intervention might help prevent confusion (delirium) after surgery. The main questions it aims to answer are: * Can the intervention be successfully delivered by nursing staff in a busy orthopedic ward? * How many eligible patients can be recruited and retained in the study? * Do patients tolerate listening to the personalized audio messages without problems? * Does listening to personalized audio messages show any early signs of reducing confusion after surgery? Researchers will compare patients who receive personalized audio messages to those who receive usual care to see if the intervention is feasible to implement and whether it shows promise for preventing delirium. Participants will: * Listen to 2-minute personalized audio-recorded reorientation messages played through an iPad and headphones three times daily for the first 3 days after surgery * Have their orientation and mental status checked daily for three times by nursing staff * Continue with all their regular medical care and treatments * Be monitored until discharge from the study wards.


Eligibility

Min Age: 60 Years

Inclusion Criteria4

  • Older adults aged 60 years and above
  • Undergoing hip fracture repair surgery
  • No history of cognitive impairment as assessed by Abbreviated Mental Test (AMT)
  • Able to understand to any of the basic languages of Singapore (English, Malay, Mandarin, Tamil)

Exclusion Criteria4

  • Patients not admitted directly to orthopaedic (study) wards post-operation (such as those requiring post-operative high-dependency unit care)
  • Patients managed conservatively without surgical intervention.
  • Patients admitted for periprosthetic hip fracture repairs
  • Patients who are deaf and mute

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Interventions

BEHAVIORALAudio-Recorded Reorientation Intervention

Participants in this arm receive personalized audio-recorded reorientation messages delivered three times daily during the first three post-operative days. Each message lasts approximately 2 minutes and contains personalized information including the current location, date and time, and encouraging messages. Messages are delivered via iPad and headphones by nursing staff during routine care. Audio messages are available in English, Mandarin, Malay, and Tamil to accommodate patient language preferences. Participants also receive all standard post-operative care and treatments.


Locations(1)

Sengkang General Hospital

Singapore, Singapore

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NCT07396532


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