Gerontologist. 2025 Nov 10:gnaf243. doi: 10.1093/geront/gnaf243. Online ahead of print.
ABSTRACT
BACKGROUND AND OBJECTIVES: To assess the efficacy of a local volunteer program, delirium optimization with volunteer engagement (DOVE), in preventing in-hospital delirium.
RESEARCH DESIGN AND METHODS: Between February 2023 and June 2024, volunteers provided structured interventions to patients at risk for delirium, as identified by the Delirium Risk Assessment (DRA) score. Interventions are humanities-based and included sensory aide assistance, completion of “get to know me” forms, and conversation. Data were retrospectively acquired from electronic health records and compared to a control cohort, from another medical unit. Delirium occurrence was captured when nursing confusion assessment method (CAM) documentation was positive, or clinician documented delirium diagnoses. Cohorts were matched 1:2 (DOVE vs Control) by age, gender, DRA score, month/year of admission, and length of hospital stay.
RESULTS: A total of 168 patients received interventions by DOVE volunteers, of which 139 of those were matched with 261 controls. In-hospital delirium occurrence was lower in the DOVE cohort compared to the control cohort (46.8% vs 56.7%; P = 0.015). Conditional logistic regressions demonstrated a lower Odds Ratio for delirium occurrence 0.55 (95% Confidence Interval [CI]; 0.34-0.89; P = 0.015) associated with DOVE intervention. Subgroup analyses of delirium occurrence among patients with DRA score of 3-4 demonstrated an OR of 0.56 (95% CI; 0.31-1.01; P = 0.053) between the DOVE and control cohorts.
DISCUSSION AND IMPLICATIONS: In-hospital delirium occurrence was ∼10% lower among DOVE cohort patients. This humanities-based intervention offers a feasible strategy, particularly during times of staffing shortages, and should be considered for broader implementation across healthcare institutions.
PMID:41212537 | DOI:10.1093/geront/gnaf243
