{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:13:08Z","timestamp":1778825588348,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["PRC2 2032751"],"award-info":[{"award-number":["PRC2 2032751"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delirium, a common, serious and often preventable complication in older hospitalised adults, contributes to significant health and social care costs. Carers are uniquely positioned to identify early signs and support delirium prevention. The Prevention &amp; Early Delirium Identification Carer Toolkit (PREDICT), a novel model of care designed to educate carers about delirium management and prevention strategies, enables them to actively participate in the care and recovery of their person. Developed through a comprehensive literature review, a co\u2010designed eDelphi and pilot study, PREDICT demonstrated acceptability and feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effectiveness, implementation and cost\u2010benefit of a PREDICT in hospital settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A stepped\u2010wedge cluster randomised controlled trial (SW\u2010cRCT), consisting of a cohort study, healthcare service evaluation, and process evaluation. The study will assess carer and staff knowledge of delirium, carer care giving stress, health service outcomes (e.g., incidence, length of stay, readmissions) and cost\u2010benefit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>PREDICT is a scalable, person\u2010centred approach that supports both patients and carers, with the potential to embed best\u2010practice delirium management into routine healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Public and Patient Involvement<\/jats:title>\n                    <jats:p>This study was developed in consultation with older adults, carers and healthcare staff. Two consumer representatives joined the project steering committee and contributed to shaping the research question, refining the study protocol and selecting outcome measures relevant to families and healthcare staff. Carers were involved in reviewing participant information sheets and the PREDICT website, providing feedback to ensure clarity and accessibility. Results will be shared with participants and the wider community through plain\u2010language summaries and public presentations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Australian and New Zealand Clinical trial: ACTRN12625000705482 registered on the 3rd of July 2025<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70302","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T04:41:04Z","timestamp":1761712864000},"page":"6882-6893","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevention and Early Delirium Identification Carer Toolkit (\n                    <scp>PREDICT<\/scp>\n                    ): A Study Protocol for a Stepped\u2010Wedge, Cluster Randomised Controlled Trial"],"prefix":"10.1111","volume":"82","author":[{"given":"Christina","family":"Aggar","sequence":"first","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4797-0042","authenticated-orcid":false,"given":"Kasia","family":"Bail","sequence":"additional","affiliation":[{"name":"University of Canberra  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Sunner","sequence":"additional","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Golam","family":"Sorwar","sequence":"additional","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Hughes","sequence":"additional","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Taylor","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2069-2767","authenticated-orcid":false,"given":"Roslyn M.","family":"Compton","sequence":"additional","affiliation":[{"name":"University of Saskatchewan  Saskatoon Saskatchewan Canada"},{"name":"University of the Sunshine Coast  Sunshine Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Baker","sequence":"additional","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"},{"name":"Australian Social Prescribing Institute of Research and Education  Surry Hills New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennene","family":"Greenhill","sequence":"additional","affiliation":[{"name":"Southern Cross University  Lismore New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Ho","sequence":"additional","affiliation":[{"name":"Queensland Cyber Infrastructure Foundation Ltd. (QCIF)  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8603-3134","authenticated-orcid":false,"given":"Alison","family":"Craswell","sequence":"additional","affiliation":[{"name":"University of the Sunshine Coast  Sunshine Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2022.11.001"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13229"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010024\u201008734\u20106"},{"key":"e_1_2_17_5_1","volume-title":"Disability, Ageing and Carers, Australia: Summary of Findings","author":"Australian Bureau of Statistics","year":"2022"},{"key":"e_1_2_17_6_1","volume-title":"Partnering With Consumers Standard [Internet]","author":"Australian Commission on Safety and Quality in Health Care","year":"2019"},{"key":"e_1_2_17_7_1","unstructured":"Australian Commission on Safety and Quality in Healthcare.2021.\u201cDelirium Clinical Care Standard.\u201dhttps:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/2021\u201011\/delirium_clinical_care_standard_2021.pdf."},{"key":"e_1_2_17_8_1","unstructured":"Australian Institute of Health and Welfare.2023.\u201cMy Hospitals.\u201dhttps:\/\/www.aihw.gov.au\/reports\u2010data\/myhospitals."},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-019-0141-7"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13139"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752\u20107325.2011.00233.x"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20150409-01"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701960.2015.1079702"},{"key":"e_1_2_17_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd013307.pub3"},{"key":"e_1_2_17_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-019-00257-2"},{"key":"e_1_2_17_17_1","article-title":"Developing and Evaluating Complex Interventions the New Medical Research Council Guidance","volume":"337","author":"Craig P.","year":"2008","journal-title":"BMJ (Clinical Research Ed.)"},{"key":"e_1_2_17_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_2_17_19_1","volume-title":"An Introduction to Generalized Linear Models, Fourth Edition","author":"Dobson A. 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