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PERFECTED: Caring for Patients With Hip-fracture & Memory Difficulties

NCT ID: NCT03308123

Last Updated: 2017-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

52 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-02-01

Study Completion Date

2016-02-22

Brief Summary

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This qualitative study is part of the 5-year long (2013-18) PERFECTED (Peri-operative Enhanced Recovery hip-fracture Care of paTiEnts with Dementia) National Institute for Health Research (NIHR) funded research programme. PERFECTED's overall aim is to develop and pilot an evidence-based intervention to improve the hospital care of patients living with dementia who have fractured their hip. The findings from this particular study will support PERFECTED's other activities by exploring stakeholder (lay and professional) views of the hospital care experiences of hip-fracture patients who are experiencing memory difficulties. Best practices and priorities, including attention to cost-consequences will be explored.

Semi-structured interviews will be conducted with 15-30 hip-fracture patients with mild memory difficulties recently discharged from acute hospitals in Norwich, Nottingham and Bradford. Equal attention will be given to those patients discharged directly home and those discharged to community hospitals for further rehabilitation. Interviews will be conducted with 15-30 recognised carers of hip-fracture patients with moderate/severe memory difficulties who have recently been discharged from acute hospitals in the same three regions. Semi-structured interviews will also be carried out with a nominated dementia lead in each region. Finally, in each region, small focus groups, face-to-face or telephone interviews will be conducted, with clinical staff of various grades and professions, hospital managers and with NHS commissioners. This study will enable a range of topics and perspectives to be explored and potential components for PERFECTED's intervention to be identified.

As part of PERFECTED's on-going commitment to Public Patient Involvement (PPI), lay researchers will be trained to assist in interviewing recognised carers of hip-fracture patients with moderate/severe memory difficulties. Interviews and focus groups will be recorded, transcribed and analysed thematically. Resulting data will address the pre-defined aims of the current study and feed into findings reported across the whole of Work Package 1 of PERFECTED.

Detailed Description

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Conditions

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Dementia Hip Fractures

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Health Care Professionals

Health care professionals

Observational study, not interventional

Intervention Type OTHER

Not an intervention study

Carers of hip-fracture patients with moderate/severe

Carers of hip-fracture patients with moderate/severe

Observational study, not interventional

Intervention Type OTHER

Not an intervention study

Discharged hip-fracture patient with memory difficulty

Discharged hip-fracture patient with memory difficulty

Observational study, not interventional

Intervention Type OTHER

Not an intervention study

Interventions

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Observational study, not interventional

Not an intervention study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A hip-fracture patient recently discharged (within a month) from an acute hospital in one of the study locations.
* 60 years or older
* Having some memory difficulties as recognised by a relevant member of their care team - supported by an AMT score of 5-8 if required
* Has the cognitive ability to engage with a research interview as determined by a relevant member of their care team

Exclusion Criteria

* Lacks mental capacity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of East Anglia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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George C Fox

Role: PRINCIPAL_INVESTIGATOR

University of East Anglia

Locations

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University of East Anglia

Norwich, Norfolk, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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DTC-RP-PG-0311-12004

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

15/EE/0007

Identifier Type: -

Identifier Source: org_study_id