None listed
Conditions
Brief summary
In response to recommendations by the Australian Commission on Quality and Safety in Healthcare and in collaboration with the National Centre for Healthy Ageing Data Platform, there is a plan to implement routine collection of PROMs at Peninsula Health. Since 2020, we have conducted several studies, informed by an evidence-based framework, that have led to the i) selection of an acceptable PROM to be routinely collected across the service and ii) development of a co-designed PROMs collection system and strategy to maximise routine collection. This study is a feasibility implementation study that will be conducted sequentially across two sites, one acute and one sub-acute hospital ward, using an iterative design approach. We aim to determine the feasibility of the co-designed PROMs collection system prior to organisational-wide implementation. Consumer participants will include all patients aged 60 years or older who are discharged to a private residence or residential aged care home during the study period. Patients with cognitive or communication impairments will complete the PROM via proxy (i.e. family member, next of kin, carer completes the PROM on their behalf). In addition to the consumer participants, volunteers who administer PROMs will be recruited to the project to explore their perceptions of the feasibility of the PROMs collection system. The primary outcome will be the feasibility of using the co-designed digital PROMs collection system which will be determined using the following focus areas of Bowen et al.’s framework: Acceptability (e.g. acceptability of the PROM and collection system measured using surveys), demand (e.g. proportion of participants who complete the PROM), implementation (e.g. item completion/completeness of data), practicality (e.g. cost of implementing PROMs collection system), and adaptation (e.g. differences in outcomes between acute and sub-acute wards).
Interventions
Name of the intervention: Co-designed PROMs collection system. This system, including the PROMs collected, modes of delivery of PROMs, who assists with delivery of PROMs and timing of collection of PROMs (described below) was co-designed with healthcare consumers. Materials used: The PROMs will be the Euroqol 5-Dimension Quality of Life tool (EQ-5D-5L) with added items on fatigue and cognition. The added cognitive item is scored on the same response levels as the EQ-5D-5L. The added fatigue item is from the Rivermead Post-Concussion Symptoms Questionnaire. Completion of PROMs will take 5-10 minutes. Who will deliver the intervention: The PROM will be administered by a volunteer and/or research assistant (i.e. not a health professional) and/or self-completion. Mode of Delivery: electronic (tablet, smart phone) or face to face using a paper based version of the PROM in hospital; and electronic (tablet, smart phone) or telephone in private residences and residential aged care facilities. Location: The PROM will be administered at hospital wards (acute and sub-acute); private residences; and residential aged care facilities. Timing and dose: PROMs are administered on 2 occasions: 1) at discharge from hospital (acute or sub-acute) and 2) at 3-6 months following discharge. Patients will receive one follow-up at 3-6 months regardless of how any times they are admitted to hospital during the trial period. This follow-up will be 3-6 months following discharge from hospital at first admission. Procedures and personalisation: As early as possible during their hospital stay, patients will be informed of PROMs data collection and will be provided with the opportunity to indicate their preference for mode of collection. Participants with cognitive impairment will complete the PROM via proxy (i.e. family member, next of kin, carer completes the PROM on their behalf).
Sponsors
Study design
Eligibility
Inclusion criteria
Consumer Participants: Consumer participants will include all patients aged 60 years or older on the participating acute general medicine and sub-acute inpatient general rehabilitation wards at Peninsula Health who are discharged to a private residence or residential aged care home during the study period. Patients with cognitive or communication impairments will complete the PROM via proxy (i.e., family member, next of kin, carer completes the PROM on their behalf) as per recommendations for use of the EQ-5D-5L. Therefore, participants will consist of two groups: 1) Patients aged 60 years or older with cognitive capacity to complete the PROM And 2) Carers/Next of Kin of patients who are 60 years or older without capacity to complete the PROM Volunteer Participants: Volunteer participants will include all Peninsula Health volunteers who volunteer their time to assisting with the administration of PROMs on the participating wards during the trial.
Exclusion criteria
Consumer Participants: 1) Not meeting the inclusion criteria 2) Death- no further PROMs or surveys will be administered 3) No cognitive or communicative capacity to participate and no Carer/NOK available to participate on their behalf Volunteer Participants: - Volunteers not affiliated with Peninsula Health will not be eligible for inclusion.