{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:15:30Z","timestamp":1785413730531,"version":"3.56.0"},"reference-count":40,"publisher":"European Delirium Association","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family participation in the delivery of nonpharmacological measures has shown in past studies to prevent 17-75% of incident delirium. A scalable and sustainable method to partner with family (i.e., care partners) and support their delivery of nonpharmacologic measures is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objectives\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To test the feasibility, acceptability, and usability of iPREPARED in a pilot randomized controlled clinical trial (RCT). iPREPARED is a mobile health technology co-designed with patients and care partners containing resources on nonpharmacological interventions to prevent delirium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Hospitalized adults (\n                      <jats:underline>&gt;<\/jats:underline>\n                      65 years) with\n                      <jats:underline>&gt;<\/jats:underline>\n                      1 delirium risk factor and a care partner (family or friend\n                      <jats:underline>&gt;<\/jats:underline>\n                      18yo) willing to participate were enrolled. The primary outcomes were feasibility, acceptability, and usability. Descriptive statistics are reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 23 dyads completed the study (median age 72 years (IQR 64, 79), 60% male, and 100% Caucasian). Dyads reported that iPREPARED was acceptable, with moderate usability. Recruitment in the emergency department was feasible whereas recruitment once hospitalized and admitted was more difficult.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study design was feasible. iPREPARED was acceptable and usable as an intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.56392\/001c.127872","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T12:48:17Z","timestamp":1750078097000},"source":"Crossref","is-referenced-by-count":0,"title":["A Pilot Randomized Controlled Clinical Trial to Test the Feasibility, Acceptability, and Usability of iPREPARED; A Mobile Health Technology for Patients and Care Partners"],"prefix":"10.56392","author":[{"given":"Ivan N.","family":"Ayala","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qp3tb03","id-type":"ROR","asserted-by":"publisher"}],"name":"Mayo Clinic","department":["Department of Nursing, Nursing Research Division"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Friesen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qp3tb03","id-type":"ROR","asserted-by":"publisher"}],"name":"Mayo Clinic","department":["Department of Nursing"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Bellolio","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qp3tb03","id-type":"ROR","asserted-by":"publisher"}],"name":"Mayo Clinic","department":["Department of Emergency Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zayn","family":"Boustani","sequence":"additional","affiliation":[{"name":"3 University of Indiana School of Public Health","department":["Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Pagali","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qp3tb03","id-type":"ROR","asserted-by":"publisher"}],"name":"Mayo Clinic","department":["Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Chambers","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02qp3tb03","id-type":"ROR","asserted-by":"publisher"}],"name":"Mayo Clinic","department":["Department of Nursing"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Musey","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ets8c94","id-type":"ROR","asserted-by":"publisher"}],"name":"Indiana University School of Medicine","department":["Emergency Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malaz","family":"Boustani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ets8c94","id-type":"ROR","asserted-by":"publisher"}],"name":"Indiana University School of Medicine","department":["Aging Research, Health Innovation and Implementation Science"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Lindroth","sequence":"additional","affiliation":[{"name":"Mayo Clinic College of Medicine and Science","department":["Department of Nursing"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35609","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"issue":"7","key":"ref1","doi-asserted-by":"publisher","first-page":"1372","DOI":"10.1111\/jgs.15283","article-title":"Agile Implementation: A Blueprint for Implementing Evidence-Based Healthcare Solutions","volume":"66","author":"M. 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