Official Title: Exploring the Experience of Patients Carers and Healthcare Clinicians of the CGA-Q a Tool to Facilitate Person-centred Comprehensive Geriatric Assessment CGA
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-10
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: As people become older they may start to have more than one health issue at one time Geriatricians are doctors who specialise in looking after older people A tool that geriatricians use is the Comprehensive Geriatric Assessment CGA Its purpose is to make sure that all parts of an older persons health are looked after This includes their physical psychological social environmental and functional health The problem with CGA is that sometimes it does not focus on what is important to the patient When a clinician makes sure that they are looking after the things that are most important to a patient this is called person-centred care The CGA-Q is a questionnaire It aims to improve how person-centred someones care This study aims to find out what people think of CGA-Q
Detailed Description: Comprehensive Geriatric Assessment CGA is a multi-disciplinary multi-domain intervention that involves reviewing an older persons physical psychological social and environmental health and then implementing a plan in collaboration with the patient Its purpose is to facilitate a holistic assessment of an older person that considers the multiple and potentially overlapping issues they may be experiencing
Cochrane reviews have shown that when CGA is delivered in an inpatient setting it reduces the risk of an individual dying or moving into a care facility It has also been shown through randomised control trials to improve outcomes in the perioperative hospital-at-home and oncology setting As a result it is considered the gold-standard for managing frailty in older adults
Person-centred care describes care that is focused on the needs and expectations of an individual rather than a single disease or process It improves the individuals quality of life and their satisfaction with their care Its impact on outcomes is such that the World Health Organisation has called for it to be a key priority in healthcare delivery Person-centred care is heralded as the gold-standard method for delivering care
Currently research on person-centred care primarily focuses on how an individual can measure whether care is person-centred Conversely there is clinical equipoise in regards to how a clinician can be supported to deliver person-centred CGA The CGA-Q is a tool that is currently being used as part of routine care in some outpatient CGA clinics in the NHS and it seeks to facilitate person-centred care The CGA-questionnaire was adapted from the CGA-GOLD questionnaire which is validated for use in the outpatient older persons oncology service The CGA-GOLD questionnaires purpose is to identify which older person needs to undergo a CGA However the CGA-questionnaire differs significantly from this as its purpose is not for a needs assessment but instead to facilitate person-centred care To understand the acceptability and impact of the CGA-Q and how it integrates into an NHS service the investigators will conduct focus groups with stakeholders including patients carers and healthcare professionals The aim is to understand the stakeholder experience of using the CGA-Q The investigators will also seek to understand the experience of engaging with CGA and their opinions of person-centred care
By understanding the experience of using the CGA-Q the investigators will be able to generate an evidence base to inform its future use and wider application in healthcare services