Evaluation of the effect of tailored frailty interventions aimed at addressing frailty in older people: Frailty in Older people, Rehabilitation Treatment, Research Examining Separate Settings - The FORTRESS study.
- Conditions
- Frailty in older peoplePhysical Medicine / Rehabilitation - Other physical medicine / rehabilitationDiet and Nutrition - Other diet and nutrition disorders
- Registration Number
- ACTRN12620000760976
- Lead Sponsor
- niversity of Sydney
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 539
To be eligible to participate in the FORTRESS study people must:
1)be aged 75 years and over, with an estimated life expectancy of more than 12 months, estimated by a score 1 or 2 on a modified version of the Illness Severity Rating
2)have been admitted to an acute medical or rehabilitation ward in Hornsby Ku-ring-gai Hospital in northern Sydney, or Flinders Medical Centre in southern Adelaide
3)have been assessed as frail (using the FRAIL Scale Risk Assessment Tool) by the FORTRESS study Implementation Clinician (scored equal to or greater than 3 on this scale).
4)be living at home in the community prior to hospitalisation (ie they did not reside in an Aged Care Facility)
5)be able to cooperate with suggested interventions as assessed by the Implementation Clinician or other allied health staff (attain a score of 18 or more on the Mini Mental State Examination (MMSE)
; To be eligible to participate in the FORTRESS study people must:
1)be aged 75 years and over, with an estimated life expectancy of more than 12 months, estimated by a score 1 or 2 on a modified version of the Illness Severity Rating
2)have been admitted to an acute medical or rehabilitation ward in Hornsby Ku-ring-gai Hospital in northern Sydney, or Flinders Medical Centre in southern Adelaide
3)have been assessed as frail (using the FRAIL Scale Risk Assessment Tool) by the FORTRESS study Implementation Clinician (scored equal to or greater than 3 on this scale).
4)be living at home in the community prior to hospitalisation (ie they did not reside in an Aged Care Facility)
5)be able to cooperate with suggested interventions as assessed by the Implementation Clinician or other allied health staff (attain a score of 18 or more on the Mini Mental State Examination (MMSE)
Exclusion criteria for FORTRESS include:
1)People admitted to hospital with stroke. (People with acute stroke are admitted to specialised units in both participating hospitals).
2) People who are not frail or screen as pre-frail (a score of less than 3 on the FRAIL Scale)
3)People who are unable to cooperate with intervention program (cognitive impairment per se is not an exclusion criteria but older people with moderately severe dementia or a score of less than 18 in the Mini Mental State Examination (MMSE) may not be able to participate)
4)People aged less than 75 years of age
5)People who were not mobile prior to admission (unable to walk without the assistance of another person)
6)People with a life expectancy of less than 12 months, estimated by a score of 3 or more on a modified version of the Illness Severity Scale
7) People who reside in a residential aged care facility
8) People who have already been recruited into the study when admitted to another participating ward
; Exclusion criteria for FORTRESS include:
1)People admitted to hospital with stroke. (People with acute stroke are admitted to specialised units in both participating hospitals).
2) People who are not frail or screen as pre-frail (a score of less than 3 on the FRAIL Scale)
3)People who are unable to cooperate with intervention program (cognitive impairment per se is not an exclusion criteria but older people with moderately severe dementia or a score of less than 18 in the Mini Mental State Examination (MMSE) may not be able to participate)
4)People aged less than 75 years of age
5)People who were not mobile prior to admission (unable to walk without the assistance of another person)
6)People with a life expectancy of less than 12 months, estimated by a score of 3 or more on a modified version of the Illness Severity Scale
7) People who reside in a residential aged care facility
8) People who have already been recruited into the study when admitted to another participating ward
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Any change in non-elective hospital re-admissions as determined by data-linkage to hospital records[ Hospital re-admissions will be recorded at 3 and 12 months post-enrolment. ];Any change in non-elective hospital re-admissions as determined by data-linkage to hospital records[ Hospital re-admissions will be recorded at 3 and 12 months post-enrolment. ]
- Secondary Outcome Measures
Name Time Method Change in the overall Frailty status score as measured using the validated FRAIL Scale at 3 and 12 months post-enrolment.[ FRAIL scale will be measured at baseline (enrolment), and at 3 and 12 months post-enrolment.];Change in the total Quality of Life Score as measured using the EQ-5D-5L[ EQ-5d-5L will be measured at baseline (enrolment), and at 3 and 12 months post-enrolment.];Change in the overall Frailty status score as measured using the validated FRAIL Scale at 3 and 12 months post-enrolment.[ FRAIL scale will be measured at baseline (enrolment), and at 3 and 12 months post-enrolment.];Change in the total Quality of Life Score as measured using the EQ-5D-5L[ EQ-5d-5L will be measured at baseline (enrolment), and at 3 and 12 months post-enrolment.]