Judy A Lowthian, Maja Green, Claudia Meyer, Elizabeth Cyarto, Elizabeth Robinson, Amber Mills, Fran Sutherland, Alison M Hutchinson, De Villers Smit, Leanne Boyd, Katie Walker, Harvey Newnham, Michael Rose
Journal: BMJ open 2021;11(3):e043223
PMID: 33674372
INTRODUCTION
The population is ageing, with increasing health and supportive care needs. For older people, complex chronic health conditions and frailty can lead to a cascade of repeated hospitalisations and further decline. Existing solutions are fragmented and not person centred. The proposed programme integrates care across hospital and community settings to address symptoms of frailty.
METHODS AND ANALYSIS
A multicentre pragmatic mixed methods study aiming to recruit 80 community-dwelling patients aged ≥65 years recently discharged from hospital. is a codesigned 6-month programme that provides referral and linkage with existing services comprising four modules to prevent or mitigate symptoms of physical, nutritional, cognitive and social frailty. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in frailty (Modified Reported Edmonton Frail Scale), cognition (Mini-Mental State Examination), functional ability (Barthel and Lawton), loneliness (University of California Los Angeles Loneliness Scale-3 items) and nutrition (Malnutrition Screening Tool) will also be measured at 6 and 12 months.
ETHICS AND DISSEMINATION
The study has received approval from Monash Health Human Research Ethics Committee (RES-19-0000904L). Results will be disseminated through peer-reviewed journals, conference and seminar presentations.
TRIAL REGISTRATION NUMBER
ACTRN12620000533998; Pre-results.
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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