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dc.contributor.authorLyndon, H
dc.contributor.authorLatour, JM
dc.contributor.authorMarsden, J
dc.contributor.authorCampbell, S
dc.contributor.authorStevens, K
dc.contributor.authorKent, B
dc.date.accessioned2019-07-18T15:09:27Z
dc.date.available2019-07-18T15:09:27Z
dc.date.issued2019-06-21
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.urihttp://hdl.handle.net/10026.1/14652
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>During an initial phase of this research, an e‐Delphi survey was conducted to gain consensus among stakeholders on the components of a nurse‐led assessment and care planning intervention for older people who live with frailty in primary care. This feasibility randomized controlled trial (fRCT) will test the proposed intervention and its implementation and determine methods for the design of a conclusive randomized controlled trial.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The fRCT, with embedded qualitative study, aims to recruit 60 participants. Moderately and severely frail older people will be identified using the electronic frailty index (eFI) and the intervention will be delivered by senior community nurses. The control participants will receive usual primary care for frailty. The study is funded by the National Institute of Health Research (NIHR; funding granted in May 2016, ref: ICA‐CDRF‐2016‐02‐018) and received NHS and University Research Ethics Committee approval in 2018.</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>There is evidence that the delivery of complex interventions for community‐dwelling older people can reduce care home and hospital admissions and falls, there is less evidence for the benefit of any specific type or intensity of intervention or the additional benefits of targeting the frail population. This trial will determine feasibility of the intervention, define recruitment and retention parameters and trial logistics, and decide outcome measures.</jats:p></jats:sec><jats:sec><jats:title>Impact</jats:title><jats:p>This study aims to address the limitations of current research by using a systematic method of frailty diagnosis and participant identification, trialling implementation of a person‐centred intervention, and testing of feasibility parameters.</jats:p><jats:p>Trial registration number: ISRCTN: 74345449.</jats:p></jats:sec>

dc.format.extent3078-3087
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherWiley
dc.subjectassessment
dc.subjectfrailty
dc.subjectholistic intervention
dc.subjectnursing
dc.subjectolder people
dc.subjectprimary care
dc.titleThe Holistic Assessment and care Planning in Partnership Intervention Study [HAPPI]: A Protocol for a feasibility, cluster randomised controlled trial
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/31222778
plymouth.issue11
plymouth.volume75
plymouth.publisher-urlhttp://dx.doi.org/10.1111/jan.14106
plymouth.publication-statusPublished
plymouth.journalJournal of Advanced Nursing
dc.identifier.doi10.1111/jan.14106
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Health Professions
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Applied Parkinson's Research
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2019-05-21
dc.rights.embargodate2020-6-20
dc.identifier.eissn1365-2648
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/jan.14106
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-06-21
rioxxterms.typeJournal Article/Review


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