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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
72
CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP)
University of Derby
Derby, United Kingdom
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
Time frame: at 6 months post intervention
Functional Status
Improve Patient functional ability measured using Functional Independence Measure (FIM) questionnaire total score
Time frame: 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.
Time frame: 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.
Time frame: at baseline and 6 months post intervention
Number of 999 calls and A+E attendance during the 6 months period
Time frame: at 6 months post intervention
Length of time spent on A+E during the 6 months period
Time frame: at 6 months post intervention
Length of time stayed in hospital or care home during the 6 months period
Time frame: at 6 months post intervention
Therapist and staff time spent on CGA during the 6 months period
Time frame: at 6 months post intervention
Number of GP/GP out of office attendance (including calls to GP) during the 6 months period
Time frame: at 6 months post intervention
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