Promoting independence in older adults with multi-morbidities Not Applicable
Conditions
Interventions
Participants will be monitored by the Howz Home Care sensor system throughout the time they are receiving usual service level from the Discharge Assessment Service at Salford Royal NHS Foundation Trus
Sponsors
Salford Royal NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 28/07/2021: Patients: 1. Aged 55 and above 2. Living with mild or moderate frailty (based on a score of 4, 5 or 6 on the Rockwood Clinical Frailty Scale) 3. Receiving input from the DAS at Salford Royal NHS Foundation Trust 4. Living alone or with one other older person (aged 55 and above) 5. Capacity to provide informed consent to participate in the study 6. Reasonable understanding of written and verbal English Previous inclusion criteria: Patients: 1. Aged 55 and above 2. Presence of at least one long-term condition 3. Living alone 4. Capacity to provide informed consent to participate in the study 5. Reasonable understanding of written and verbal English Relatives: 1. Act in an informal caring role to the patient 2. Capacity to provide informed consent to participate in the study 3. Access to and ability to operate a digital device compatible with the Howz app 4. Reasonable understanding of written and verbal English Staff: 1. Work within the Discharge Assessment Service at Salford Royal NHS Foundation Trust
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 28/07/2021: Patients: 1. Aged 54 and below. 2. Not living with mild or moderate frailty (based on a score outside 4, 5 or 6 on the Rockwood Clinical Frailty Scale) 3. Not receiving input from the DAS at Salford Royal NHS Foundation Trust 4. Living with a younger person, or in a multi-occupancy household with two or more people 5. Presence of cognitive impairment which prevents the ability to provide informed consent 6. Does not understand written and verbal English 7. Receiving telehealth solutions (except pendant alarms, which are permitted) Previous exclusion criteria: Patients: 1. Absence of long-term conditions 2. Unable to mobilise without assistance 3. Receiving telehealth solutions (except pendant alarms which are permitted) 4. Presence of cognitive impairment which prevents an individual giving informed consent 5. Does not understand written and verbal English Relatives: 1. Does not act in a caring role to the patient 2. Presence of cognitive impairment which prevents an individual giving informed consent 3. Does not understand written and verbal English 4. Does not have access to a digital device compatible with the Howz app
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The feasibility and acceptability of the intervention, based on: 1. Volume and regularity of data generated by the Howz systems, measured using data completeness report and weekly summary charts at the end of the trial 2. The views/experiences of the Howz system by older people living in their own homes following a discharge from hospital, measured using qualitative interview at 3-month follow-up 3. The views/experiences of the Howz system by relatives/carers of older people following a discharge from hospital, measured using qualitative interview at 3-month follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The feasibility of using a range of outcome measures will be assessed: 1.1. Activities of daily living measured using the Nottingham Activities of Daily Living Scale (participants only) at baseline, discharge and 3-month follow-up 1.2. Anxiety measured using the GAS-10 (participants only) at baseline, discharge and 3-month follow-up 1.3. Frailty measured using the Groningen Frailty Indicator (participants only) at baseline, discharge and 3-month follow-up 1.4. Caregiver wellbeing measured using the Caregiver Self-Assessment Questionnaire (relatives/carers only) at baseline, discharge and 3-month follow-up 2. Validation of the Howz system routine change algorithms using validation call to participants at weekly intervals throughout the intervention 3. Whether the Howz system can support people who may be self-isolating in relation to the COVID-19 pandemic, measured using qualitative interview and visit reports via participant calls at the end of the trial | — |
Countries
England, United Kingdom
Contacts
Public ContactLouise Rogerson
Outcome results
None listed