Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial
Abstract 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-quali...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-020-4100-2 |
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| author | Kevin Brazil David Scott Emma Wallace Mike Clarke Tom Fahey Patrick Gillespie Peter O’Halloran Christopher Cardwell Gillian Carter Kieran McGlade Frank Doyle |
| author_facet | Kevin Brazil David Scott Emma Wallace Mike Clarke Tom Fahey Patrick Gillespie Peter O’Halloran Christopher Cardwell Gillian Carter Kieran McGlade Frank Doyle |
| author_sort | Kevin Brazil |
| collection | DOAJ |
| description | Abstract 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. Trial registration Clinicaltrials.gov, ID: NCT03902743. Registered on 4 April 2019. |
| first_indexed | 2024-12-21T11:20:33Z |
| format | Article |
| id | doaj.art-21ba66865a8346fd960877962ada486e |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-21T11:20:33Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-21ba66865a8346fd960877962ada486e2022-12-21T19:05:48ZengBMCTrials1745-62152020-02-0121111010.1186/s13063-020-4100-2Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trialKevin Brazil0David Scott1Emma Wallace2Mike Clarke3Tom Fahey4Patrick Gillespie5Peter O’Halloran6Christopher Cardwell7Gillian Carter8Kieran McGlade9Frank Doyle10School of Nursing and Midwifery, Queen’s University of BelfastSchool of Nursing and Midwifery, Queen’s University of BelfastRoyal College of Surgeons in IrelandCentre for Public Health, ICSB, Royal Victoria Hospital, Queen’s University BelfastRoyal College of Surgeons in IrelandHealth Economics and Policy Analysis Centre, National University of IrelandSchool of Nursing and Midwifery, Queen’s University of BelfastCentre for Public Health, ICSB, Royal Victoria Hospital, Queen’s University BelfastSchool of Nursing and Midwifery, Queen’s University of BelfastCentre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University BelfastRoyal College of Surgeons in IrelandAbstract 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. Trial registration Clinicaltrials.gov, ID: NCT03902743. Registered on 4 April 2019.https://doi.org/10.1186/s13063-020-4100-2Cluster randomised controlled trialAnticipatory care planningPrimary careFrailtyFunctional decline |
| spellingShingle | Kevin Brazil David Scott Emma Wallace Mike Clarke Tom Fahey Patrick Gillespie Peter O’Halloran Christopher Cardwell Gillian Carter Kieran McGlade Frank Doyle Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial Trials Cluster randomised controlled trial Anticipatory care planning Primary care Frailty Functional decline |
| title | Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial |
| title_full | Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial |
| title_fullStr | Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial |
| title_full_unstemmed | Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial |
| title_short | Anticipatory care planning intervention for older adults at risk of functional decline: study protocol for a primary care cluster feasibility randomised trial |
| title_sort | anticipatory care planning intervention for older adults at risk of functional decline study protocol for a primary care cluster feasibility randomised trial |
| topic | Cluster randomised controlled trial Anticipatory care planning Primary care Frailty Functional decline |
| url | https://doi.org/10.1186/s13063-020-4100-2 |
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