Comprehensive Geriatric Assessment in Primary Care: A Randomised Feasibility Trial

NCT ID: NCT03394534

Last Updated: 2022-05-18

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

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-15

Study Completion Date

2021-09-30

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:

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.

Detailed Description

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Conditions

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Frailty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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CGA group

Group Type EXPERIMENTAL

CGA group

Intervention Type OTHER

CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP)

Treatment as Usual

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CGA group

CGA Plus Individualised Care and Support Plan delivered by Advanced Clinical Practitioner (ACP)

Intervention Type OTHER

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
Minimum Eligible Age

65 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Derbyshire Clinical Commissioning Groups

UNKNOWN

Sponsor Role collaborator

University of Derby

OTHER

Sponsor Role lead

Responsible Party

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Reza Safari

Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Reza Safari, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Derby

Locations

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University of Derby

Derby, , United Kingdom

Site Status

Countries

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United Kingdom

References

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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.

Reference Type BACKGROUND
PMID: 23666405 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23395245 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26941353 (View on PubMed)

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.

Reference Type 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.

Reference Type BACKGROUND
PMID: 25355618 (View on PubMed)

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.

Reference Type DERIVED
PMID: 37620760 (View on PubMed)

Other Identifiers

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v3.6

Identifier Type: -

Identifier Source: org_study_id

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