Clinical trial NCT03394534: Comprehensive Geriatric Assessment in Primary Care: A Randomised Feasibility Trial
Official title: 'Comprehensive Geriatric Assessment' for Older Adults With Frailty Within Primary Care Setting: A Randomised Feasibility Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Frailty
Keywords: Comprehensive Geriatric Assessment
Frailty
electronic Frailty Index
eFI
Care and Support plan
Primary Care
Lead sponsor: University of Derby
Sponsor class: OTHER
Collaborators: name: Derbyshire Clinical Commissioning Groups
First posted: 2018-01-09
Enrollment: 72
Sex: ALL
Minimum age (years): 65
Maximum age (years): 95
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_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.


Eligibility criteria: 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

Primary outcomes:
measure: Hospitalisation and Nursing Home Admissions
timeFrame: at 6 months post intervention
Secondary outcomes:
measure: Functional Status
timeFrame: at baseline and 6 months post intervention
measure: Loneliness
timeFrame: at baseline and 6 months post intervention
measure: Health related Quality of Life
timeFrame: at baseline and 6 months post intervention
measure: Number of 999 calls and A+E attendance during the 6 months period
timeFrame: at 6 months post intervention
measure: Length of time spent on A+E during the 6 months period
timeFrame: at 6 months post intervention
measure: Length of time stayed in hospital or care home during the 6 months period
timeFrame: at 6 months post intervention
measure: Therapist and staff time spent on CGA during the 6 months period
timeFrame: at 6 months post intervention
measure: Number of GP/GP out of office attendance (including calls to GP) during the 6 months period
timeFrame: at 6 months post intervention
Other outcomes:
Locations:
city: Derby
country: United Kingdom
facility: University of Derby
Study officials:
affiliation: University of Derby
name: Reza Safari, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.