Personalized iPad audio messages to reduce confusion after hip fracture surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot randomized controlled trial tests whether short, personalized audio reorientation messages delivered via an iPad app can be implemented on busy orthopaedic wards and whether they show early signs of reducing post-operative delirium in older hip fracture patients. Nurses will use the Shortcut app to play standardized 2-minute messages in English, Mandarin, Malay, or Tamil through noise-cancelling headphones, providing orientation, recovery updates, encouragement for therapy, and reassurance about caregivers. Eligible participants aged 60+ without pre-existing cognitive impairment who undergo hip fracture repair and are admitted to the orthopaedic ward will be randomized to receive the audio intervention or usual care. Primary outcomes are feasibility measures (delivery by nursing staff, recruitment and retention, and patient tolerance) and preliminary clinical signals for reduced delirium compared between groups.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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 Criteria:

* 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

Where it's running

• Sengkang General Hospital
  Singapore, Singapore Recruiting

Study contacts

• Study coordinator: Elaine Goh, RN, BSN
• Email: elaine.goh.sh@skh.com.sg
• Phone: +65 82288624

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.