This study is testing a program called the OSCAR-S Care Transition Model to see if it can improve how older adults (65 and older) recover after colorectal surgery. If you join, you or your family would receive support from a surgery nurse coach to help with your transition from the hospital back home. The researchers want to see if this model can reduce the number of times patients need to be readmitted to the hospital or die within 30 days after surgery. They are also looking at whether this program is practical to use. To be eligible, you must be over 65, scheduled for elective colorectal surgery, and able to give informed consent. The study is currently unclear about its recruitment status and plans to enroll 30 participants.

Study design

This is an interventional study, meaning participants will receive a specific intervention. It plans to enroll 30 participants.

What's involved

Patients and families in the intervention group will receive touch points from a surgery nurse coach to support their care transition from hospital to home after surgery. The care transition intervention involves in-person visits and phone calls over four weeks.

Compensation

Not stated in the trial record.

Follow-up

The primary outcome, readmission or death, is measured at 30 days after discharge.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.