Frailty
Conditions
Interventions
Stage 1: Training for care managers Providing training consisting of: (1) What is advance care planning for frail older adults?
(2) Introduction to the intervention Ready to Talk
(3) Practice of the intervention through role-play
(4) Instruction on the overview of the feasibility study Stage 2: Conducting '
Ready to Talk'
Conducting the intervention '
with 6 steps: (1) Normalising the topic
(2) Gaining permission to continue the conversation
(3) Asking "
what matters most to you?"
(4) Exploring why it is important
(5) Identifying when they wish to have conversations on this topic
Sponsors
King's College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: [Older adults] 1. Aged 65 and over 2. Residing at home in Izumisano City, Osaka, Japan 3. Receiving long-term home care services through the long-term care insurance system 4. Identified as pre-frail or frail (Clinical Frailty Scale: score 4 to 8) 5. Demonstrates decisional capacity to consent and participate in an intervention and individual interview, assessed using Mental Capacity Act criteria [Family carers] 1. Aged 18 and over 2. Supporting a community-dwelling frail older adult as an informal carer 3. Includes all types of family members, regardless of relationship with the older adult, as well as close friends 4. Demonstrates decisional capacity to consent and participate in an individual interview, assessed using Mental Capacity Act criteria [Home care managers] 1. Aged 18 and over 2. Providing home care services for frail older adults
Exclusion criteria
Exclusion criteria: [Frail older adults] Frail older adults who are hospitalised or institutionalised
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility: The number of older adults and family members approached by care managers, the number who provided consent, and reasons for declining participation. The time required to conduct the intervention. The potential impact of training and the 'Ready to Talk' intervention on readiness for ACP. Fidelity: The extent to which care managers could deliver the planned intervention content. Acceptability: Whether the intervention was helpful for older adults, family members, and care managers. The principal investigator will conduct follow-up meetings with one representative from each home care support office every two weeks, with content recorded in field notes. Within five days after the intervention, an interview survey will be conducted with older adults and family members, and a questionnaire will be conducted with care managers. | — |
Countries
Japan
Contacts
Public ContactMiki Fujimoto
King's College London Cicely Saunders Institute
Outcome results
None listed