Comprehensive Geriatric Assessment in Primary Care: A Randomised Feasibility Trial

Not Applicable

Completed

• Conditions: Frailty
• Interventions: Other: CGA group

• Registration Number: NCT03394534
• Lead Sponsor: University of Derby

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-12-18
• Study First Submitted QC: 2018-01-08
• Study First Posted: 2018-01-09
• Study Start: 2019-01-15
• Primary Completion: 2019-06-15
• Study Completion: 2021-09-30
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-17
• Last Update Posted: 2022-05-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 72

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CGA group	CGA group	-

Primary Outcome Measures

Name	Time	Method
Hospitalisation and Nursing Home Admissions	at 6 months post intervention	Number of hospital and/or care home admissions during the 6 months period and reported in terms of admitted v. not admitted

Secondary Outcome Measures

Name	Time	Method
Length of time spent on A+E during the 6 months period	at 6 months post intervention
Number of 999 calls and A+E attendance during the 6 months period	at 6 months post intervention
Functional Status	at baseline and 6 months post intervention	Improve Patient functional ability measured using Functional Independence Measure (FIM) questionnaire total score
Loneliness	at baseline and 6 months post intervention	Improve overall, emotional, and social loneliness calculated using the De Jong Gierveld Loneliness Scale total score. The scale is used to assess subjective perception of social participation or isolation in elderly adults.
Health related Quality of Life	at baseline and 6 months post intervention	Change in health related quality of life calculated using the 36-Item Short Form Survey (SF-36). The Sf-36 is patient reported outcome measure with a set of generic quality of life measures including vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning, mental health subscales.
Length of time stayed in hospital or care home during the 6 months period	at 6 months post intervention
Therapist and staff time spent on CGA during the 6 months period	at 6 months post intervention
Number of GP/GP out of office attendance (including calls to GP) during the 6 months period	at 6 months post intervention

Trial Locations

Locations (1)

University of Derby; 🇬🇧 Derby, United Kingdom