Wang YY, Yue JR, Xie DM, et al. - In this 2-arm, parallel-group, single-blind, cluster-randomized clinical trial of 281 older adults in China, done from August 24, 2015, to February 28, 2016, on six surgical floors (gastric, colorectal, pancreatic, biliary, thoracic, and thyroid), experts examined the efficiency of the Tailored, Family-Involved Hospital Elder Life Program (t-HELP) for preventing postoperative delirium (POD) and functional reduction in elderly people following a noncardiac surgical procedure. Experts were randomized to receive t-HELP (n = 152) or usual care (n = 129). Postoperative delirium happened in four individuals in the intervention group and in 25 in the control group. Individuals in the intervention group vs the control group exhibited less decrease in physical and cognitive function at discharge, as well as shorter mean (SD) length of hospital stay (LOS). Hence, the findings imply that in decreasing POD for the elderly people, sustaining or enhancing their physical and cognitive functions, and reducing the LOS, t-HELP, with family involvement at its core, is efficient. Moreover, the results of this t-HELP trial could enhance generalizability and improve the implementation of this program.