Frailty
Conditions
Keywords
Hydration, Fluid Intake, Frailty, Feasibility Study
Brief summary
PARCHED (Prompting And encouRaging Community Hydration through EDucation) is studying how to improve the hydration (fluid intake) of people living at home who use catheters. The investigator would like to see if improved hydration (fluid intake) reduces the risk of frailty. PARCHED will randomise four areas in Cwm Taf University Health Board to receive one of four different interventions. Individuals will receive an intervention based on which area they live in, each participant will take part in the study for 12 weeks.
Detailed description
PARCHED is a cluster feasibility randomized control trial (RCT) exploring the potential of an innovative prompting cup and education as person-centred and holistic tools to empower nursing leadership to reduce frailty in a catheterised community-dwelling population. This project will investigate interventions to improve hydration as potentially economically viable solutions to reducing frailty in a vulnerable population. Interventions have been developed using behaviour change theory and techniques. 80 participants will be recruited and will receive one of three interventions or usual care for a period of 12 weeks, data will be collected at baseline, 4 weeks and 12 weeks. Questionnaires, semi-structured interviews, and routine hospital records will be collected or accessed as part of the study.
Interventions
BEHAVIORALEducation Session
Participants will receive an education session from their District Nurse, advising on how to improve their hydration.
DEVICEPrompting Cup
The Droplet Cup is an electronic prompting cup that emits a sound and/or light to encourage the participant to take a drink
Sponsors
PRIME Centre Wales
Cwm Taf University Health Board (NHS)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* PARCHED will recruit district nurse patients at medium or high risk of dehydration (using the G, U and L of the GULP tool1), * with a urinary catheter, * living at home in community or residential care, * aged 18 years or above
Exclusion criteria
* Inability to provide informed consent, * medical conditions or dietary restrictions that would substantially limit ability to complete study requirements (i.e. intravenous fluid intake, inability to lift cup), * living in nursing care setting, * end of life pathway, * diagnosed swallowing difficulty, * inability to communicate in English or Welsh.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Data Collection | 12 weeks | Completion of Case Report Forms |
| Recruitment of participants | 12 Weeks | — |
| Retention of participants | 12 Weeks | — |
| Retention of District Nurses | 12 Weeks | — |
| Acceptability and practicality of intervention for participants | 12 Weeks | Participants will be approached to complete semi structured interviews which will explore the mechanisms and outcomes of the interventions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PANAS mood questionnaire | 12 weeks | — |
| Montreal cognitive assessment | 12 weeks | — |
| Semi-structured longitudinal interviews with District Nurses | 12 weeks | — |
| Hydration risk score (G, U and L of the GULP tool) | 12 weeks | — |
| Healthcare cost questionnaire | 12 weeks | — |
| Evaluation Questionnaire | 12 Weeks | — |
| Long-term follow up by NHS databases | 12 months | — |
| Tilburg Frailty Indicator Questionnaire | 12 weeks | — |
| Fluid and food frequency questionnaires | 12 weeks | BEV-15 |
| Hydration self-efficacy Questionnaire | 12 weeks | — |
| Quality of life Questionnaire | 12 weeks | EQ5D |
Countries
United Kingdom
Contacts
Primary ContactChristina Lloydwin, PhD
Backup ContactClaire Nott, BSc
Outcome results
None listed