se of link workers to provide social prescribing and health and social care coordination for people with complex multimorbidity in socially deprived areas

Not Applicable

Completed

Conditions: Multimorbidity
Not Applicable

Registration Number: ISRCTN10287737

Lead Sponsor: Royal College of Surgeons, Ireland

Brief Summary: 2024 Results article in https://pubmed.ncbi.nlm.nih.gov/38943076/ (added 01/07/2024)

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 240

Inclusion Criteria

1. >18 years age
2. On 5 or more regular medications
3. Have 2 or more chronic conditions
4. Living in the community
5. Attending a general practice serving a deprived area

Exclusion Criteria

1. Psychiatric/psychological morbidity/cognitive impairment that would remove the capacity for informed consent
2. Terminal illness likely to lead to death or major disability during the study follow-up period.
3. Living in residential care

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Measured at baseline, three months, and nine months:<br>1. Health related quality of life as measured by EQ5DL<br>2. Mental health as measured by the Hospital Anxiety and Depression Scale

Secondary Outcome Measures

Name	Time	Method
Measured at baseline, three months, and nine months:<br>1. Patient reported outcome measures<br>1.1. Activities of daily living as measured by the Frenchay Activity Index<br>1.2. Self-efficacy as measured by the Patient Activation Measure <br>1.3. Burden of treatment measured by Multimorbidity Burden of Treatment Questionnaire <br>1.4. Social connectedness as measured by the Social Connectedness Scale<br>2. Health care utilisation in the previous 3 months (data from primary care electronic health records except for use of allied health professionals) to include number of visits to the GP, number medications prescribed, number ED attendances, number and duration hospital admissions, number visits to allied health professionals.<br>3. Cost to patients (transport costs, fees to attend community resources)<br>4. Cost to practices (time spent supporting linkworker and referring patients, room hire costs)