hutchinson-beingyourbestprotocol-2021.pdf (361.88 kB)
Being Your Best: protocol for a feasibility study of a codesigned approach to reduce symptoms of frailty in people aged 65 years or more after transition from hospital
journal contribution
posted on 2021-03-01, 00:00 authored by J A Lowthian, M Green, C Meyer, E Cyarto, E Robinson, A Mills, F Sutherland, Alison HutchinsonAlison Hutchinson, D V Smit, L Boyd, K Walker, H Newnham, M RoseIntroduction 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 Being Your Best 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. Being Your Best 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.
History
Journal
BMJ OpenVolume
11Issue
3Article number
e043223Pagination
1 - 6Publisher
BMJ Publishing GroupLocation
London, Eng.Publisher DOI
Link to full text
ISSN
2044-6055eISSN
2044-6055Language
EnglishPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2021, The Author(s)Usage metrics
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General & Internal Medicinegeneral medicine (see internal medicine)geriatric medicineLife Sciences & BiomedicineMedicine, General & Internalpublic healthScience & Technologyaccident and emergency medicineaccident &emergency medicineOLDER-ADULTSACUTE-CAREINTERVENTIONVERSIONaccident & emergency medicine
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