Prevention of functional decline in older patients during hospitalisation Mental and Behavioural Disorders
Conditions
Interventions
The Frailty Care Bundle (FCB) is a multi-component behaviour change intervention aimed at nursing and the wider multidisciplinary team. All hospital wards in the study received the intervention, there
Sponsors
Health Research Board
South/SouthWest Hospital Group
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 65 years old and over (age limit was reduced to 60 years to increase the pool of patients for recruitment) 2. Medically stable and able to sit out of bed 3. Eligible to be mobilised by nursing staff based on physiotherapy or nursing assessment 4. Mobile prior to admission (able to walk across a medium-size room (e.g. 3-4 meters, +/-walking aid) in the two weeks prior to admission 5. Able to provide written informed consent (no significant cognitive impairment or delirium as measured by 4-AT or recorded in medical notes)
Exclusion criteria
Exclusion criteria: 1. Unable to mobilise with assistance prior to admission 2. Can only be mobilised by a physiotherapist 3. Patients on end-of-life or palliative pathway 4. Patients who cannot provide informed consent to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient physical function measured using the modified Bartel Index at baseline (pre-hospital admission), enrollment to study, hospital discharge and 6-8 weeks following hospital discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patients’ average daily step count was measured using an accelerometer The Step Watch Activity Monitor (SAM), over 3-4 days on enrollment and into the study during hospitalisation 2. Gait speed-measured using a 4-metre walking test at enrollment to study and hospital discharge 2. Hand-grip strength measured using Jamar Dynamometer at enrollment to study and hospital discharge 3. Appetite measured using the simple nutrition assessment questionnaire (SNAQ) at enrollment to study, hospital discharge and 6-8 weeks follow-up 4. Quality of life measured using EQ-5D Visual Analogue Scale (EuroQol Group 2009) at enrollment to study and 6-8 weeks follow-up Staff outcome measures in a pre-post staff survey 5. Attitude to mobilisation measured using Barriers to Mobilisation (Hoyer et al 2015) 6. Attitudes to nutrition measured using a bespoke instrument pre-post intervention 7. Intervention acceptability, perceived improvement in mobilisation, nutrition, and cognitive activity measured using a bespoke instrument post-intervention staff survey | — |
Countries
Ireland
Outcome results
None listed