A nurse-led comprehensive geriatric assessment intervention in primary care: A feasibility cluster randomized controlled trial
dc.contributor.author | Lyndon, H | |
dc.contributor.author | Latour, Jos M | |
dc.contributor.author | Marsden, Jonathan | |
dc.contributor.author | Kent, B | |
dc.date.accessioned | 2023-04-24T09:36:52Z | |
dc.date.available | 2023-04-24T09:36:52Z | |
dc.date.issued | 2023-03-31 | |
dc.identifier.issn | 1365-2648 | |
dc.identifier.issn | 1365-2648 | |
dc.identifier.uri | https://pearl.plymouth.ac.uk/handle/10026.1/20750 | |
dc.description.abstract |
Aim To determine the feasibility of a nurse-led, primary care-based comprehensive geriatric assessment (CGA) intervention. Design A feasibility cluster randomized controlled trial. Methods The trial was conducted in six general practices in the United Kingdom from May 2018 to April 2020. Participants were moderately/severely frail people aged 65 years and older living at home. Clusters were randomly assigned to the intervention arm control arms. A CGA was delivered to the intervention participants, with control participants receiving usual care. Study outcomes related to feasibility of the intervention and of conducting the trial including recruitment and retention. A range of outcome measures of quality of life, function, loneliness, self-determination, mortality, hospital admission/readmission and number of prescribed medications were evaluated. Results All pre-specified feasibility criteria relating to recruitment and retention were met with 56 participants recruited in total (30 intervention and 26 control). Retention was high with 94.6% of participants completing 13-week follow-up and 87.5% (n = 49) completing 26-week follow-up. All outcome measures instruments met feasibility criteria relating to completeness and responsiveness over time. Quality of life was recommended as the primary outcome for a definitive trial with numbers of prescribed medications as a secondary outcome measure. Conclusion It is feasible to implement and conduct a randomized controlled trial of a nurse-led, primary care-based CGA intervention. Impact The study provided evidence on the feasibility of a CGA intervention for older people delivered in primary care. It provides information to maximize the success of a definitive trial of the clinical effectiveness of the intervention. Patient or Public Contribution Patient and public representatives were involved in the study design including intervention development and production of participant-facing documentation. Representatives served on the trial management and steering committees and, as part of this role, interpreted feasibility data. ISRCTN Number: 74345449. | |
dc.format.extent | 3473-3486 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.publisher | Wiley | |
dc.subject | cluster trial | |
dc.subject | comprehensive geriatric assessment | |
dc.subject | feasibility | |
dc.subject | frailty | |
dc.subject | nurse-led | |
dc.subject | older people | |
dc.subject | primary care | |
dc.title | A nurse-led comprehensive geriatric assessment intervention in primary care: A feasibility cluster randomized controlled trial | |
dc.type | journal-article | |
dc.type | Randomized Controlled Trial | |
dc.type | Journal Article | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000962219000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 9 | |
plymouth.volume | 79 | |
plymouth.publication-status | Published | |
plymouth.journal | Journal of Advanced Nursing | |
dc.identifier.doi | 10.1111/jan.15652 | |
plymouth.organisational-group | |Plymouth | |
plymouth.organisational-group | |Plymouth|Research Groups | |
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|Research Groups|Institute of Health and Community | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA | |
plymouth.organisational-group | |Plymouth|Users by role | |
plymouth.organisational-group | |Plymouth|Users by role|Academics | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | |Plymouth|Research Groups|FoH - Applied Parkinson's Research | |
plymouth.organisational-group | |Plymouth|Research Groups|Plymouth Institute of Health and Care Research (PIHR) | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2023-03-08 | |
dc.date.updated | 2023-04-24T09:36:46Z | |
dc.rights.embargodate | 2023-4-25 | |
dc.identifier.eissn | 1365-2648 | |
dc.rights.embargoperiod | forever | |
rioxxterms.versionofrecord | 10.1111/jan.15652 |