Older people with mild frailty Other
Conditions
Interventions
Current interventions as of 06/08/2020:
Participants will be recruited through their GP practice, but the HomeHealth service will be delivered at their home. Service delivery will be face-to-face wh
Sponsors
University College London
Eligibility
Sex/Gender
All
Age
65 Years to 120 Years
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 06/08/2020: 1. Older people aged 65+ years 2. Registered with a general practice in the participating site area 3. Scoring as ‘mildly frail’ on the Clinical Frailty Scale 4. Community-dwelling (including extra care housing) 5. Life expectancy of > 6 months 6. Capacity to consent to participate 7. People with dementia will not be excluded from the study, providing they fit the above criteria _____ Previous inclusion criteria: 1. Older people aged 65+ 2. Registered with a participating general practice 3. Scoring as ‘mildly frail’ on the Clinical Frailty Scale 4. Community-dwelling (including extra care housing) 5. Life expectancy of >6 months 6. Capacity to consent to participate 7. People with dementia will not be excluded from the study, providing they fit the above criteria
Exclusion criteria
Exclusion criteria: 1. Care home residents 2. Those with moderate to severe frailty (6-9 on Rockwood Clinical Frailty Scale [CFS]) or not frail (1-4 CFS) 3. Receiving palliative care 4. Already case managed 5. Lack capacity to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Independence in basic activities of daily living will be measured by the modified Barthel Index at baseline, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 06/08/2020: 1. Instrumental activities of daily living measured by the Nottingham Extended Activities of Daily Living at baseline, 6 and 12 months 2. Fried Frailty Phenotype classified by appropriate UK cutoffs for gait speed, grip strength, exhaustion, physical activity and weight loss at baseline, 6 and 12 months 3. Self-reported gait speed measured using Op het Vald's (2018) self-reported frailty measure. This will be measured at baseline, 6 and 12 months. If possible face-to-face physical gait speed assessment (m/s, average of two trials of time taken for the participant to walk a distance of up to 5 m, depending on space available, at their usual speed) will be carried out in a subset of participants to provide validation data 4. Self-reported grip strength measured using Op het Vald's (2018) self-reported frailty measure. Grip strength will be measured at baseline, 6 and 12 months. If possible, physical grip strength will be assessed using a dynamometer (kg, highest score out of three trials following established protocols) in a subsample of trial participants to confirm the validity of the self-report measure 5. Physical activity assessed by the International Physical Activity Questionnaire – Elderly at baseline, 6 and 12 months 6. Exhaustion (as a component of the Fried Frailty Phenotype) assessed by two questions from 7-item Centre for Epidemiological Studies Depression Scale at baseline, 6 and, 12 months 7. Weight loss assessed using the weight loss question from the Mini-Nutritional Assessment Short Form and if possible, weight in kg as measured by weighing scales at baseline, 6 and 12 months 8. Quality of life and Quality-adjusted Life Years measured by Euro-Qol-5D-5L at baseline, 6 and 12 months 9. Capability and Capability-adjusted Life Years measured by the ICEpop CAPability measure for Older people at baseline, 6 and 12 months 10. Wellbeing measured by the Warwick-Edinburgh Mental Wellbeing Scale at baseline | — |
Countries
England, United Kingdom
Contacts
Public ContactRachael Frost
Outcome results
None listed