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Hospital Elder Lifge Program

HELP References

Articles documenting HELP's effectiveness and cost-effectiveness

  1. Inouye SK, Bogardus ST, Charpentier PA, Leo-Summers L, Acampora Denise, Holford TR, Cooney LM. A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients. New England Journal of Medicine 1999;340:669-76. Controlled clinical trial documenting effectiveness of targeted risk factor intervention strategy for primary prevention of delirium.
  2. Inouye SK, Bogardus ST Jr, Baker DI, Leo-Summers L, Cooney LM Jr . The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. Journal of the American Geriatrics Society 2000;48:1697-1706. A comprehensive overview of the Hospital Elder Life Program, a model of hospital care designed to prevent functional decline of older persons during hospitalization.
  3. Rizzo JA, Bogardus ST Jr, Leo-Summers L, Williams CS, Acampora D, Inouye SK . Multicomponent targeted intervention to prevent delirium in hospitalized older patients: what is the economic value? Medical Care 2001;39:740-752. Analysis of cost implications concluding that the Hospital Elder Life Program is a cost effective treatment option for patients at intermediate risk for developing delirium.
  4. Inouye SK, Bogardus ST Jr, Williams CS, Leo-Summers L, Agostini JV. The Role of Adherence on the Effectiveness of Nonpharmacologic Interventions: Evidence From the Delirium Prevention Trial. Archives of Internal Medicine 2003;163:958-964. Examined the impact of level of adherence on effectiveness of delirium prevention and found that higher levels of adherence resulted in reduced rates of delirium in a directly graded fashion.
  5. Bradley EH, Schlesinger M, Webster TR, Baker D, Inouye SK. Translating research into clinical practice: making change happen. Journal of the American Geriatrics Society 52:1875-1882, 2004. Qualitative study examining common challenges for implementing the Hospital Elder Life Program, and strategies to address them.
  6. Leslie DL, Zhang Y, Bogardus ST, Holford TR, Leo-Summers LS, Inouye SK.Consequences of Preventing Delirium in Hospitalized Older Adults on Nursing Home Costs. Journal of the American Geriatrics Society 2005;52:405-409. Longitudinal follow-up study (N=801) documenting effectiveness of active methods to prevent delirium in decreasing long-term nursing home costs.
  7. Bradley EH, Webster TR, Baker D, Schlesinger M, Inouye, SK. After Adoption: Sustaining the innovation. A case study of disseminating the Hospital Elder Life Program. Journal of the American Geriatrics Society 53:1455-1461, 2005. Longitudinal, qualitative study examining key factors that influence sustainability in the diffusion of the Hospital Elder Life Program.
  8. Rubin FH, Williams JT, Lescisin DA, Mook WJ, Hassan S, Inouye SK. Replicating the Hospital Elder Life Program (HELP) in a Community Hospital and Demonstrating Effectiveness Using Quality Improvement Methodology. J Am Geriatr Soc. 2006;54:969-974. A pretest/posttest quality improvement study evaluating the replication of the Hospital Elder Life Program in a community hospital. The HELP intervention resulting in both clinical and financial benefits.
  9. Bradley EH, Webster TR, Schlesinger M, Baker DI, Inouye SK. The roles of senior management in improving hospital experiences for frail older adults.Journal of Healthcare Management 2006; 51:321-334.
  10. Bradley EH, Webster TR, Schlesinger M, Baker DI, Inouye SK. Patterns of diffusion of evidence-based clinical programs: A case study of the Hospital Elder Life Program. Qual Saf Health Care 2006;15;334-338.
  11. Inouye SK, Baker DI, Fugal P, Bradley EH. Dissemination of the Hospital Elder Life Program: Implementation, adaptation, and successes. J Am Geriatr Soc. 2006;54:10:1492-1499.
  12. Caplan GA, Harper EL. Recruitment of volunteers to improve vitality in the elderly: the REVIVE study. Int Med J. 2007;37:95-100. 
  13. Chen CC, Lin MT, Tien YW, Yen CJ, Huang GH, Inouye SK. Modified hospital elder life program: effects on abdominal surgery patients. J Am Coll Surg 2011;213:245-52.
  14. Sandhaus S, Zalon ML, Valenti D, Dzielak E, Smego RA Jr, Arzamasova U. A volunteer-based Hospital Elder Life Program to reduce delirium. Health Care Manag (Frederick). 2010 Apr-Jun;29(2):150-6. 
  15. Zalon, M. L., S. Sandhaus, et al. (2010). Using PDAs to detect cognitive change in the hospitalized elderly patient. Applied Nursing Research 23(3): e21-27.
  16. Steel Fisher GK, Martin LA, Dowal SL, Inouye Sk. Sustaining Clinical Programs during Difficult Economic Times; A Case Series from the Hospital Elder Life Program. J Am Geriatr Soc. 2011;59:1873-1882.
  17. Rubin FH, Neal K, Fenlon K, Hassan S, Inouye SK. Sustainability and Scalability of the Hospital Elder Life Program at a Community Hospital. Journal of the American Geriatrics Society 2011;59:359-65.
  18. Chong MS, Chan MP, Kang J, Han HC, Ding YY, Tan TL. A new model of delirium care in the acute geriatric setting: geriatric monitoring unit. BMC Geriatr. 2011 Aug 13;11:41
  19. Bakker FC, Persoon A, Schoon Y, Olde Rikkert MG. Hospital elder life program integrated in Dutch hospital care: a pilot. J Am Geriatr Soc. 2013 Apr;61(4):641-2.
  20. Babine RL, Farrington S, Wierman HR. HELP© prevent falls by preventing delirium. Nursing. 2013 May;43(5):18-21. 
  21. Strijbos, M. J., B. Steunenberg, et al. (2013). Design and methods of the Hospital Elder Life Program (HELP), a multicomponent targeted intervention to prevent delirium in hospitalized older patients: efficacy and cost-effectiveness in Dutch health care. BMC Geriatr 13: 78.
  22. Zaubler TS, Murphy K, Rizzuto L, et al. Quality Improvement and Cost Savings with Multicomponent Delirium Interventions: Replication of the Hospital Elder Life Program in a Community Hospital. Psychosomatics 2013;54:219-26.
  23. Yue, J., P. Tabloski, et al. NICE to HELP: operationalizing National Institute for Health and Clinical Excellence guidelines to improve clinical practice. J Am Geriatr Soc 2014;62(4): 754-761.

Please note that Pub Med Central (PMC) full text links are provided wherever available.  However, due to copyright restrictions, only abstracts can be provided for articles not available in PMC.

If you are interested in joining this program, please visit https://help.agscocare.org or email dsandos@americangeriatrics.org.