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VALENF-HAD: optimizing nursing assessment in hospital-at-home units

Development and validation of a comprehensive meta-instrument for assessing functional capacity, risk of pressure injuries, risk of falls, frailty, nutritional status, suspected dysphagia, and sleep quality in patients admitted to hospital-at-home units, based on the analysis of other validated nursing assessment tools

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN94528203
Enrollment
1180
Registered
2025-05-09
Start date
2025-02-01
Completion date
Unknown
Last updated
2025-12-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

To develop and validate a comprehensive meta-instrument for the assessment of functional capacity, risk of pressure injuries, risk of falls, frailty, nutritional status, suspected dysphagia, and sleep in patients admitted to hospital-at-home units. Injury, Occupational Diseases, Poisoning

Interventions

assessment performed within the first 24–48 hours of admission
This is a multicenter, cross-sectional study aimed at developing and validating a meta-instrument that consolidates various nursing assessment tools used in hospital-at-home units to evaluate function
and informed consent provided for participation in the study. Assessments will be excluded if patients are not expected to remain in the unit for more than 48 hours, such as those frequently readmitte
risk of pressure injuries (Braden Scale)
risk of falls (STRATIFY Scale)
VALENF Instrument
frailty (FRAIL Questionnaire)
nutritional status (Nutritional Screening Initiative tool)
suspected dysphagia (Eating Assessment Tool)
and sleep quality (Athens Insomnia Scale). Data collection will be carried out using the Research Electronic Data Capture (REDCap) software following patient admission, based on routine nursing asses

Sponsors

Universitat Jaume I
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 110 Years

Inclusion criteria

Inclusion criteria: 1. The patient undergoing assessment must be over 18 years of age 2. Nursing assessments must be conducted within the first 24–48 hours after admission to the hospital-at-home unit 3. Patients who voluntarily agree to participate in the study and sign the Informed Consent Form, or in cases of disability, their primary caregiver

Exclusion criteria

Exclusion criteria: 1. Nursing assessments of patients who are not expected to remain in the hospital-at-home unit for more than 48 hours. 2. Patients who are frequently readmitted for the administration of recurrent treatments, such as: 2.1. Transfusion support 2.2. Medication delivery under a day-hospital model

Design outcomes

Primary

MeasureTime frame
The nursing assessment meta-instrument will be developed by consolidating data collected by the following assessment tools within the first 24–48 hours after admission: 1. Barthel Index 2. Lawton and Brody Scale 3. Braden Scale 4. STRATIFY Scale 5. FRAIL Questionnaire 6. Nutritional Screening Initiative Tool 7. Eating Assessment Tool 8. Athens Insomnia Scale

Secondary

MeasureTime frame
The psychometric properties of the new meta-instrument will be examined, including content validity, construct validity, internal consistency, and inter-rater reliability using data collected during the study at one timepoint

Countries

Spain

Contacts

Public ContactGIENF Nursing Research Group
gienf@uji.es+630578341

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026