Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial

被引：7

作者：

Brazil, Kevin ^{[1
]}

Scott, David ^{[1
]}

Wallace, Emma ^{[2
]}

Clarke, Mike ^{[3
]}

Fahey, Tom ^{[2
]}

Gillespie, Patrick ^{[4
]}

O'Halloran, Peter ^{[1
]}

Cardwell, Christopher ^{[3
]}

Carter, Gillian ^{[1
]}

McGlade, Kieran ^{[5
]}

Doyle, Frank ^{[2
,6
]}

机构：

[1] Queens Univ Belfast, Sch Nursing & Midwifery, 97 Lisburn Rd, Belfast BT9 7BL, Antrim, North Ireland

[2] Royal Coll Surgeons Ireland, 123 St Stephens Green, Dublin D02 YN77, Ireland

[3] Queens Univ Belfast, Royal Victoria Hosp, Ctr Publ Hlth, ICSB, Belfast BT12 6BA, Antrim, North Ireland

[4] Natl Univ Ireland, Hlth Econ & Policy Anal Ctr, Galway H91 TK33, Ireland

[5] Queens Univ Belfast, Ctr Med Educ, Sch Med Dent & Biomed Sci, 97 Lisburn Rd, Belfast BT9 7BL, Antrim, North Ireland

[6] Queens Univ Belfast, Sch Psychol, Univ Rd, Belfast BT7 1NN, Antrim, North Ireland

来源：

TRIALS | 2020年 / 21卷 / 01期

基金：

英国医学研究理事会;

关键词：

Cluster randomised controlled trial; Anticipatory care planning; Primary care; Frailty; Functional decline; PEOPLE; ILLNESS; HEALTH;

D O I：

10.1186/s13063-020-4100-2

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background The treatment and management of long-term health conditions is the greatest challenge facing health systems around the world today. Innovative approaches to patient care in the community such as Anticipatory Care Planning (ACP), which seek to help with the provision of high-quality comprehensive care to older adults at risk of functional decline, require evaluation. This study will evaluate one approach that will include primary care as the setting for ACP. Methods/design This study will help to determine the feasibility for a definitive randomised trial to evaluate the implementation and outcomes of an ACP intervention. The intervention will be delivered by specially trained registered nurses in a primary care setting with older adults identified as at risk of functional decline. The intervention will comprise: (a) information collection via patient assessment; (b) facilitated informed dialogue between the patient, family carer, general practitioner and other healthcare practitioners; and, (c) documentation of the agreed support plan and follow-up review dates. Through a structured consultation with patients and their family carers, the nurses will complete a mutually agreed personalised support plan. Discussion This study will determine the feasibility for a full trial protocol to evaluate the implementation and outcomes of an (ACP) intervention in primary care to assist older adults aged 70 years of age or older and assessed as being at risk of functional decline. The study will be implemented in two jurisdictions on the island of Ireland which employ different health systems but which face similar health challenges. This study will allow us to examine important issues, such as the impact of two different healthcare systems on the health of older people and the influence of different legislative interpretations on undertaking cross jurisdictional research in Ireland. Protocol version Version 1, 17 September 2019.

引用

页数：10

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