Frailty in Rural Primary Care

  • Research type

    Research Study

  • Full title

    Comparing frailty care pathways in Rural Primary Care: a feasibility study

  • IRAS ID

    283450

  • Contact name

    Marco Arkesteijn

  • Contact email

    maa36@aber.ac.uk

  • Sponsor organisation

    Aberystwyth University

  • Duration of Study in the UK

    1 years, 6 months, 0 days

  • Research summary

    GPs are always looking at ways to improve the care of older people and ways to prevent older people from losing their independence. Pro-active provision of support often involves lifestyle advice and is a potentially important aspect of that, as it supports older people before acute care is needed. It’s preventative caring, rather than reactive caring. But, implementing pro-active care is hampered by the high current workload of acute care, the uncertainty of ‘what works’ and whether patients are responsive to pro-active care plans. This project will explore different ways of providing pro-active support to older people who could be at risk of losing their independence and requiring frequent acute care. The benefits of pro-active care are arguably the greatest in these individuals.

    Participants will be patients of various GP surgeries. After volunteering to take part, they will be randomly allocated to receive either a new form of care, or continue to receive their usual care. Those receiving a new form of pro-active care will be monitored and compared to those receiving usual care. Participants will undergo a baseline assessment of their level of daily functioning (including strength, walking, physical activity, well-being), which will be repeated after 3 and 12 months.

    It is hoped that the new form of care will ultimately reduce acute care requirements in these participants and improve their well-being and daily functioning, be less costly than current care (early investment that pays off in a year) and makes patients feel more empowered and independent. If successful, the project would help develop new strategies that GPs can use in the (pro-active) care of older people.

  • REC name

    West Midlands - South Birmingham Research Ethics Committee

  • REC reference

    20/WM/0224

  • Date of REC Opinion

    24 Aug 2020

  • REC opinion

    Unfavourable Opinion