Ageing Other
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 75 years plus 2. Living with frailty (based on clinical judgement) 3. Living with one or more long-term condition(s) 4. Using five or more regular medicines 5. Returning to a domiciliary setting 6. At least one medicine change during inpatient stay 7. Manage medicines without a formal social care package, i.e., the patient does not rely on formal paid carers for the administration of medicines
Exclusion criteria
Exclusion criteria: 1. Are on the End-of-Life pathway 2. Are discharged to a temporary care setting 3. Reside in a care home 4. Medicines are administered by formal paid care providers 5. Lack capacity (assessed by the care team and/or research nurse)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Rate of recruitment measured using Median Recruitment Rate (MRR) at months 1, 2, 3, 4, 5, and 6 of the overall recruitment period 2.Loss of follow-up at 2 months measured using the Percentage Method at 2 months post-discharge 3.Intervention delivery measured using observations and interviews at months 19, 20, 21, 22, 23 and 24 of the overall study period 4.Participation engagement with the intervention measured using routine data, observations, questionnaires and interviews at months 19, 20, 21, 22, 23 and 24 of the overall study period 5.Evidence of feasibility of collecting outcome measures measured using PREM questionnaires, EQ5D questionnaire, healthcare utilisation questionnaire, MARS_5 scale, SEAMS scale and MRP questionnaire at 2 weeks post-discharge and 3 months post-discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. [PREM] measured using a questionnaire [2 weeks post-discharge and 3 months post-discharge]. 2. [Quality of Life] measured using the EQ5D questionnaire [2 weeks post-discharge and 3 months post-discharge] 3. [Healthcare utilisation] measured using a healthcare utilisation questionnaire [2 weeks post-discharge and 3 months post-discharge] 4. [Adherence] measured using a MARS_5 scale [2 weeks post-discharge and 3 months post-discharge] 5. [Self-efficacy] measured using the SEAMS scale [2 weeks post-discharge and 3 months post-discharge] 6. [Medicines-related problems (MRPs)] measured using an MRP questionnaire [2 weeks post-discharge and 3 months post-discharge] | — |
Countries
England, United Kingdom