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Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme
BACKGROUND: Frailty is increasing in prevalence internationally with population ageing. Frailty can be managed or even reversed through community-based interventions delivered by a multi-disciplinary team of professionals, but to varying degrees of success. However, many of these care models’ implem...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9288058/ https://www.ncbi.nlm.nih.gov/pubmed/35840898 http://dx.doi.org/10.1186/s12877-022-03254-6 |
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author | Tan, Woan Shin Nai, Ze Ling Tan, Hwee Teng Robyn Nicholas, Sean Choo, Robin Ginting, Mimaika Luluina Tan, Edward Teng, Poh Hoon June Lim, Wee Shiong Wong, Chek Hooi Ding, Yew Yoong |
author_facet | Tan, Woan Shin Nai, Ze Ling Tan, Hwee Teng Robyn Nicholas, Sean Choo, Robin Ginting, Mimaika Luluina Tan, Edward Teng, Poh Hoon June Lim, Wee Shiong Wong, Chek Hooi Ding, Yew Yoong |
author_sort | Tan, Woan Shin |
collection | PubMed |
description | BACKGROUND: Frailty is increasing in prevalence internationally with population ageing. Frailty can be managed or even reversed through community-based interventions delivered by a multi-disciplinary team of professionals, but to varying degrees of success. However, many of these care models’ implementation insights are contextual and may not be applicable in different cultural contexts. The Geriatric Service Hub (GSH) is a novel frailty care model in Singapore that focuses on identifying and managing frailty in the community. It includes key components of frailty care such as comprehensive geriatric assessments, care coordination and the assembly of a multi-disciplinary team. This study aims to gain insights into the factors influencing the development and implementation of the GSH. We also aim to determine the programme’s effectiveness through patient-reported health-related outcomes. Finally, we will conduct a healthcare utilisation and cost analysis using a propensity score-matched comparator group. METHODS: We will adopt a mixed-methods approach that includes a qualitative evaluation among key stakeholders and participants in the programme, through in-depth interviews and focus group discussions. The main topics covered include factors that affected the development and implementation of each programme, operations and other contextual factors that influenced implementation outcomes. The quantitative evaluation monitors each programme’s care process through quality indicators. It also includes a multiple-time point survey study to compare programme participants’ pre- and post- outcomes on patient engagement, healthcare services experiences, health status and quality of life, caregiver burden and societal costs. A retrospective cohort study will compare healthcare and cost utilisation between participants of the programme and a propensity score-matched comparator group. DISCUSSION: The GSH sites share a common goal to increase the accessibility of essential services to frail older adults and provide comprehensive care. This evaluation study will provide invaluable insights into both the process and outcomes of the GSH and inform the design of similar programmes targeting frail older adults. TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT04866316. Date of Registration April 26, 2021. Retrospectively registered. |
format | Online Article Text |
id | pubmed-9288058 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92880582022-07-17 Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme Tan, Woan Shin Nai, Ze Ling Tan, Hwee Teng Robyn Nicholas, Sean Choo, Robin Ginting, Mimaika Luluina Tan, Edward Teng, Poh Hoon June Lim, Wee Shiong Wong, Chek Hooi Ding, Yew Yoong BMC Geriatr Study Protocol BACKGROUND: Frailty is increasing in prevalence internationally with population ageing. Frailty can be managed or even reversed through community-based interventions delivered by a multi-disciplinary team of professionals, but to varying degrees of success. However, many of these care models’ implementation insights are contextual and may not be applicable in different cultural contexts. The Geriatric Service Hub (GSH) is a novel frailty care model in Singapore that focuses on identifying and managing frailty in the community. It includes key components of frailty care such as comprehensive geriatric assessments, care coordination and the assembly of a multi-disciplinary team. This study aims to gain insights into the factors influencing the development and implementation of the GSH. We also aim to determine the programme’s effectiveness through patient-reported health-related outcomes. Finally, we will conduct a healthcare utilisation and cost analysis using a propensity score-matched comparator group. METHODS: We will adopt a mixed-methods approach that includes a qualitative evaluation among key stakeholders and participants in the programme, through in-depth interviews and focus group discussions. The main topics covered include factors that affected the development and implementation of each programme, operations and other contextual factors that influenced implementation outcomes. The quantitative evaluation monitors each programme’s care process through quality indicators. It also includes a multiple-time point survey study to compare programme participants’ pre- and post- outcomes on patient engagement, healthcare services experiences, health status and quality of life, caregiver burden and societal costs. A retrospective cohort study will compare healthcare and cost utilisation between participants of the programme and a propensity score-matched comparator group. DISCUSSION: The GSH sites share a common goal to increase the accessibility of essential services to frail older adults and provide comprehensive care. This evaluation study will provide invaluable insights into both the process and outcomes of the GSH and inform the design of similar programmes targeting frail older adults. TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT04866316. Date of Registration April 26, 2021. Retrospectively registered. BioMed Central 2022-07-15 /pmc/articles/PMC9288058/ /pubmed/35840898 http://dx.doi.org/10.1186/s12877-022-03254-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Tan, Woan Shin Nai, Ze Ling Tan, Hwee Teng Robyn Nicholas, Sean Choo, Robin Ginting, Mimaika Luluina Tan, Edward Teng, Poh Hoon June Lim, Wee Shiong Wong, Chek Hooi Ding, Yew Yoong Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title | Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title_full | Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title_fullStr | Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title_full_unstemmed | Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title_short | Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
title_sort | protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9288058/ https://www.ncbi.nlm.nih.gov/pubmed/35840898 http://dx.doi.org/10.1186/s12877-022-03254-6 |
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