Frailty
Conditions
Keywords
Comprehensive Geriatric Assessment, Frailty, electronic Frailty Index, eFI, Care and Support plan, Primary Care
Brief summary
The study aims to explore feasibility of implementing a tailored CGA to older adults with frailty and evaluate staff and patients perception of the intervention. In line with this, the objectives of the study are: 1. To assess applicability of finding older adults with frailty using eFI and delivering subsequent CGA and care planning at patients' home 2. To investigate staff and older adults' perception of CGA programme 3. To assess the health care resource usage and cost of the CGA programme 4. To measure key health related outcome domains including function, quality of life, loneliness, pain, falls and mobility.
Interventions
OTHERCGA group
CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP)
Sponsors
Derbyshire Clinical Commissioning Groups
University of Derby
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Age 65 to 95 years * eFI score \> 0.12
Exclusion criteria
* Do not meet criteria for frailty based on Gait speed, timed up and go test and PRISMA questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospitalisation and Nursing Home Admissions | at 6 months post intervention | Number of hospital and/or care home admissions during the 6 months period and reported in terms of admitted v. not admitted |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Loneliness | at baseline and 6 months post intervention | Improve overall, emotional, and social loneliness calculated using the De Jong Gierveld Loneliness Scale total score. The scale is used to assess subjective perception of social participation or isolation in elderly adults. |
| Health related Quality of Life | at baseline and 6 months post intervention | Change in health related quality of life calculated using the 36-Item Short Form Survey (SF-36). The Sf-36 is patient reported outcome measure with a set of generic quality of life measures including vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning, mental health subscales. |
| Number of 999 calls and A+E attendance during the 6 months period | at 6 months post intervention | — |
| Functional Status | at baseline and 6 months post intervention | Improve Patient functional ability measured using Functional Independence Measure (FIM) questionnaire total score |
| Length of time stayed in hospital or care home during the 6 months period | at 6 months post intervention | — |
| Therapist and staff time spent on CGA during the 6 months period | at 6 months post intervention | — |
| Number of GP/GP out of office attendance (including calls to GP) during the 6 months period | at 6 months post intervention | — |
| Length of time spent on A+E during the 6 months period | at 6 months post intervention | — |
Countries
United Kingdom
Outcome results
None listed