Topic: Primary Care, Ageing
Conditions
Interventions
General Practices will identify eligible patients and invite them to take part. Participants will be randomised to receive the intervention or treatment as usual. Intervention visits will be recorded
Sponsors
University College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 65 or over 2. Registered with one of participating General Practices 3. Score as ‘pre-frail’ (0.2 - 0.35 on the Frailty Index of cumulative deficits 9) 4. Community-dwelling (including people living in extra care housing) 5. Life expectancy greater than 6 months 6. Capacity to consent to participate in this research (including those with dementia or communication difficulties who retain capacity to consent)
Exclusion criteria
Exclusion criteria: 1. Those living in care homes 2. On GP palliative care register 3. Those who lack capacity to consent (e.g. advanced dementia); those already case managed (e.g. by community matrons, some reablement schemes)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility is determined by successful recruitment and retention into the study, measured at the end of the trial period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of life outcomes are measured using the EQ-5D questionnaire at baseline and 6 months 2. Activity levels are measured using the International Physical Activity Questionnaire – Extended (IPAQ-E) at baseline and 6 months 3. Alcohol use is measured using the Alcohol Use Disorders Identification Test (AUDIT-C) at baseline and 6 months 4. Capability adjusted life years are measured using ICECAP-O at baseline and 6 months 5. Mental well-being is measured using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) at baseline and 6 months 6. Psychological morbidity is measured using the 12-item General Health Questionnaire (GHQ-12) at baseline and 6 months 7. Grip strength is measured using a dynamometer at baseline and 6 months 8. Anthropomorphic factors (weight, height and BMI) are measured at baseline and 6 months 9. Mobility is measured using gait speed at baseline and 6 months 10. Smoking is measured using participant interviews at baseline and 6 months 11. Cognitive functioning is measured using the Montreal Cognitive Assessment (MoCA) at baseline and 6 months 12. Patient demographics are self-reported at baseline 13. Social and community services uptake is measured using an adapted Client Service Resource Inventory at baseline, 3 and 6 months 14. Functioning is measured using the Modified Barthel index at baseline and 6 months 15. Frailty is measured using the electronic frailty index (from medical records, where possible) at baseline and after 6 months follow-up 16. Prescribed medication is determined from medical records at baseline and after 6 months follow-up | — |
Countries
United Kingdom
Contacts
Public ContactKalpa Kharicha
Outcome results
None listed