Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06621290
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-19
Brief Title:
Patient Experience of CFS-assessment in the ED
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Understanding the Patient Experience of Geriatric Assessment in the Emergency Department
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
An increasingly common subject of interest among emergency care research is frailty which is commonly described as a decline in several inter-related physiological systems in addition to an increased vulnerability to stressors To increase emergency care staffs ability to intervene appropriately in patients who need interventions to improve their outcomes geriatric emergency care guidelines include recommendations to identify frailty during the emergency department ED visit However the patients experience of frailty assessment in general is sparsely investigated and such studies within the ED context are even more limited
It is conceivable that the patients experience of a frailty assessment may differ depending on several different factors including which assessment tool is used
A large number of assessment tools have been developed to help identify frailty of which the Clinical Frailty Scale CFS is one of the most widely used The CFS has been validated for persons 65 years of age and has been evaluated for validity reliability and feasibility in an ED-setting The CFS consists of pictograms combined with clinical descriptions of a persons level of functioning in daily life and cognitive status Hence to determine the CFS-score the healthcare staff needs to ask the patient about their physical activity and function level regarding instrumental and personal activities of daily living eg banking shopping medication management housekeeping dressing and hygiene matters
Since the different questions are often not directly linked to the patients acute illness but touch on personal subjects like the persons abilities and life situation it is desirable to understand the patients experience of such an assessment in order to optimise the approach from a patient perspective To the best of our knowledge there are no studies that focus on how patients experience being assessed with CFS during their ED-visit
The aim of this study is therefore to inform a model to guide emergency department staff in assessing frailty with CFS directed by the perspective from patients along the frailty trajectory Specifically our question is
- How do older ED-patients experience the frailty assessment with the CFS
It is conceivable that the patients experience of a frailty assessment may differ depending on several different factors including which assessment tool is used
A large number of assessment tools have been developed to help identify frailty of which the Clinical Frailty Scale CFS is one of the most widely used The CFS has been validated for persons 65 years of age and has been evaluated for validity reliability and feasibility in an ED-setting The CFS consists of pictograms combined with clinical descriptions of a persons level of functioning in daily life and cognitive status Hence to determine the CFS-score the healthcare staff needs to ask the patient about their physical activity and function level regarding instrumental and personal activities of daily living eg banking shopping medication management housekeeping dressing and hygiene matters
Since the different questions are often not directly linked to the patients acute illness but touch on personal subjects like the persons abilities and life situation it is desirable to understand the patients experience of such an assessment in order to optimise the approach from a patient perspective To the best of our knowledge there are no studies that focus on how patients experience being assessed with CFS during their ED-visit
The aim of this study is therefore to inform a model to guide emergency department staff in assessing frailty with CFS directed by the perspective from patients along the frailty trajectory Specifically our question is
- How do older ED-patients experience the frailty assessment with the CFS
Detailed Description:
With the nature of qualitative data a definitive sample size cannot be determined in advance An estimate is that data will need to be collected for 15-25 patients The analysis is planned to start in parallel with the data collection and when no further significant findings are made during the progress of the analysis the data collection will end To ensure study quality a reflexive approach and data-researcher triangulation will be applyed
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None