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| Name | Class |
|---|---|
| Derbyshire Clinical Commissioning Groups | UNKNOWN |
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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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CGA group | Experimental |
| |
| Treatment as Usual | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CGA group | Other | CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalisation and Nursing Home Admissions | Number of hospital and/or care home admissions during the 6 months period and reported in terms of admitted v. not admitted | at 6 months post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Status | Improve Patient functional ability measured using Functional Independence Measure (FIM) questionnaire total score | at baseline and 6 months post intervention |
| Loneliness | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Reza Safari, PhD | University of Derby | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Derby | Derby | DE22 1GB | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23666405 | Background | Edmans J, Bradshaw L, Gladman JR, Franklin M, Berdunov V, Elliott R, Conroy SP. The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical units. Age Ageing. 2013 Nov;42(6):747-53. doi: 10.1093/ageing/aft054. Epub 2013 May 10. | |
| 23395245 |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| at baseline and 6 months post intervention |
| Health related Quality of Life | 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. | at baseline and 6 months post intervention |
| Number of 999 calls and A+E attendance 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 |
| 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 |
| Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet. 2013 Mar 2;381(9868):752-62. doi: 10.1016/S0140-6736(12)62167-9. Epub 2013 Feb 8. |
| 26941353 | Background | Gladman JR, Conroy SP, Ranhoff AH, Gordon AL. New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the 'know-do' gap. Age Ageing. 2016 Mar;45(2):194-200. doi: 10.1093/ageing/afw012. |
| Background | Fit for Frailty - Developing, commissioning and managing services for people living with frailty in community settings - a report from the British Geriatrics Society and the Royal College of General Practitioners 2015. |
| 25355618 | Background | Clegg A, Rogers L, Young J. Diagnostic test accuracy of simple instruments for identifying frailty in community-dwelling older people: a systematic review. Age Ageing. 2015 Jan;44(1):148-52. doi: 10.1093/ageing/afu157. Epub 2014 Oct 29. |
| 37620760 | Derived | Safari R, Jackson J, Boole L. Comprehensive geriatric assessment delivered by advanced nursing practitioners within primary care setting: a mixed-methods pilot feasibility randomised controlled trial. BMC Geriatr. 2023 Aug 24;23(1):513. doi: 10.1186/s12877-023-04218-0. |