Comprehensive Geriatric Assessment in Primary Care: A Randomised Feasibility Trial

Study Overview
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Brief Summary
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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: To assess applicability of finding older adults with frailty using eFI and delivering subsequent CGA and care planning at patients' home To investigate staff and older adults' perception of CGA programme To assess the health care resource usage and cost of the CGA programme To measure key health related outcome domains including function, quality of life, loneliness, pain, falls and mobility.

Official Title
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'Comprehensive Geriatric Assessment' for Older Adults With Frailty Within Primary Care Setting: A Randomised Feasibility Trial

Conditions
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Frailty

Intervention / Treatment
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* Other: CGA group


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 95 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CGA group<br> | Other: CGA group<br>* CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP)<br>|
| No Intervention: Treatment as Usual<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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. | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Comprehensive Geriatric Assessment, Frailty, electronic Frailty Index, eFI, Care and Support plan, Primary Care