Clinical Trials Logo
  1. Home
  2. Ageing
  3. NCT02617719

Comprehensive Geriatric Assessment in Primary Care: The Fit for Late Life Project

Ageing Clinical Trial

Official title:
Comprehensive Geriatric Assessment in Primary Care: The Fit for Late Life

Clinical Trial Summary

Comprehensive Geriatric Assessment is an effective process to identify and address the needs of older patients. In the United Kingdom this usually takes place in acute care or in the patients home. This project will assess the feasibility of implementing this service in primary care.

Clinical Trial Description

With the ageing of the United Kingdom population, it is crucial that evidence on optimal healthcare is effectively translated into improved clinical practice to both maximise the health and independence of older people as well as contain costs. Comprehensive Geriatric Assessment (CGA) is a multidimensional, interdisciplinary process used to identify and address the complex healthcare needs of older people. Evidence of its effectiveness has been confirmed in a number of systematic reviews and meta-analyses and beneficial outcomes reported include improved function and independence. However its implementation across healthcare settings remains variable. This study aims to establish the feasibility, acceptability and cost of implementing a Comprehensive Geriatric Assessment Clinic in a single primary care practice.

The Fit for Later Life Project describes the implementation of a Comprehensive Geriatric Assessment Clinic in primary care for older people who referred by their General Practitioner (GP). We will utilise a mixed-methods design including Normalisation Process Theory (NPT), a sociological toolkit designed to explore how different stakeholders engage with the real-world process of translating evidence into practice. Interviews and focus groups will be used to collect data from patients, carers and health professionals on coherence, cognitive participation, collective action, and reflexive monitoring. These data will be thematically analysed to identify barriers, strengths and weaknesses for the implementation of a Comprehensive Geriatric Assessment Clinic in primary care. A clinical audit of the records of older people who are service users at the participating practice will be conducted and an assessment will be made of the costs of the clinic. Together these data will provide implementation guidelines describing the feasibility and acceptability of a United Kingdom primary care Comprehensive Geriatric Assessment clinic.

The planned outcome is guidelines for the implementation of a Comprehensive Geriatric Assessment Clinic in United Kingdom primary care. The barriers and facilitators that affect starting and running the service will be described as will the patients who could potentially attend and those who actually attend. The costs will also be determined.

This research is funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Wessex. ;

Study Design

Observational Model: Case-Only, Time Perspective: Prospective

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT02617719
Study type Observational
Source University of Southampton
Contact
Status Enrolling by invitation
Phase N/A
Start date November 2015
Completion date December 2016
View Details
See also
  Status Clinical Trial Phase
Completed NCT05534464 - Protein Digestibility in Older and Younger Adults N/A
Completed NCT02796508 - Attention and Memory Training With Video Games in Old Age N/A
Completed NCT02843009 - Fish Oil and Adaptations to Resistance Exercise in Older People N/A
Active, not recruiting NCT04199195 - Microbiome of the Ageing Gut and Its Effect on Human Gut Health and Cognition.
Completed NCT02745275 - Supporting Healthy Aging by Peer Education and Support N/A
Recruiting NCT05822154 - Comprehensive Geriatric Assessment in the Elderly Subjects (PROMISING)
Completed NCT02575742 - Colonic Motility in Constipation and Ageing
Completed NCT02604641 - Assessment of the Impact of a Coenzyme Q10 Supplementation on the Skin N/A
Active, not recruiting NCT01466582 - Comorbidity and Aging With HIV
Completed NCT01997320 - Effect of Strength Training and Protein Supplementation on Muscles in the Very-old N/A
Completed NCT02810769 - The Acute Effect of Two Berry Extracts on Cognition and Mood in Adults Aged 40 to 60 N/A
Completed NCT01682330 - The Long-term Effects of Training on Muscle Strength and Functionality N/A
Completed NCT02130154 - Brown Adipose Tissue Activity and Age N/A
Completed NCT01451476 - Human Skin Aging: Clinical Parameters and Gene Expression Profiling
Completed NCT00176319 - Leipzig Exercise Intervention in Chronic Heart Failure and Aging Phase 2
Completed NCT02393742 - Nitrite Supplementation for Improving Physiological Function in Older Adults N/A
Completed NCT02373111 - Effects of Isoflavone Combined With Astaxanthin on Skin Aging N/A
Completed NCT02603029 - Influence of of Cream With the Silver Fir Wood Extract (Belinal) on Skin N/A
Completed NCT02300272 - Health Behaviors and Time-of-Day: Older Adult Cognitive Function
Completed NCT01294137 - Sleep Apnea in Frail Elderly N/A