做最好的自己：关于减少 65 岁或以上从医院转院后虚弱症状的联合设计方法的可行性研究协议,BMJ Open

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做最好的自己：关于减少 65 岁或以上从医院转院后虚弱症状的联合设计方法的可行性研究协议
BMJ Open ( IF 2.9 ) Pub Date : 2021-03-01 , DOI: 10.1136/bmjopen-2020-043223
Judy A Lowthian _{1,

2,

3} , Maja Green ₄ , Claudia Meyer _{4,

5,

6} , Elizabeth Cyarto _{3,

4,

7} , Elizabeth Robinson ₄ , Amber Mills ₈ , Fran Sutherland ₉ , Alison M Hutchinson _{10,

11} , De Villers Smit _{2,

12} , Leanne Boyd ₁₃ , Katie Walker _{14,

15,

16} , Harvey Newnham _{16,

17} , Michael Rose _{16,

18}

Affiliation

Bolton Clarke Research Institute, Bentleigh, Victoria, Australia
School of Public Health and Preventive Medicine, Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Bolton Clarke Research Institute, Bentleigh, Victoria, Australia.
Rehabilitation, Ageing and Independent Living Research Centre, Monash University, Clayton, Victoria, Australia.
Centre for Health Communication and Participation, La Trobe University, Bundoora, Victoria, Australia.
Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia.
Inclusive Communities, Research and Policy Centre, Brotherhood of St Laurence, Collingwood, Victoria, Australia.
Cabrini Health, Malvern, Victoria, Australia.
School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia.
Centre for Quality and Safety Research, Monash Health-Deakin University Partnership, Melbourne, Victoria, Australia.
Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
Learning and Teaching, Nursing and Midwifery, Eastern Health, Box Hill, Victoria, Australia.
Emergency Medicine, Casey Hospital, Monash Health, Berwick, Victoria, Australia.
Health Services, Monash University, Melbourne, Victoria, Australia.
Central Clinical School, Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
Emergency and Acute Medicine, Alfred Health, Melbourne, Victoria, Australia.
Geriatric Medicine, Cabrini Health, Malvern, Victoria, Australia.

简介人口正在老龄化，对健康和支持性护理的需求不断增加。对于老年人来说，复杂的慢性健康状况和虚弱可能导致一连串的反复住院和进一步下降。现有的解决方案是分散的，而不是以人为中心的。提议的“成为你最好的”计划整合了医院和社区环境中的护理，以解决虚弱症状。方法与分析一项多中心实用混合方法研究，旨在招募 80 名最近出院的年龄≥65 岁的社区居民患者。成为您的最佳人选是一项为期 6 个月的代码设计计划，提供转介和与现有服务的联系，包括四个模块，以预防或减轻身体、营养、认知和社会虚弱的症状。可行性将在招聘方面进行评估，参与者对干预措施的接受程度和在计划中的保留程度。虚弱（修正报告的埃德蒙顿虚弱量表）、认知（简易精神状态检查）、功能能力（Barthel 和 Lawton）、孤独感（加州大学洛杉矶分校孤独感量表 3 项目）和营养（营养不良筛查工具）的变化也将在 6 个月和 12 个月时测量。伦理和传播本研究已获得蒙纳士健康人类研究伦理委员会 (RES-19-0000904L) 的批准。结果将通过同行评审的期刊、会议和研讨会报告进行传播。试用注册号ACTRN12620000533998；预结果。认知（小型精神状态检查）、功能能力（Barthel 和 Lawton）、孤独感（加州大学洛杉矶分校孤独感量表 3 项）和营养（营养不良筛查工具）也将在 6 个月和 12 个月时进行测量。伦理和传播本研究已获得蒙纳士健康人类研究伦理委员会 (RES-19-0000904L) 的批准。结果将通过同行评审的期刊、会议和研讨会报告进行传播。试用注册号ACTRN12620000533998；预结果。认知（小型精神状态检查）、功能能力（Barthel 和 Lawton）、孤独感（加州大学洛杉矶分校孤独感量表 3 项）和营养（营养不良筛查工具）也将在 6 个月和 12 个月时进行测量。伦理和传播本研究已获得蒙纳士健康人类研究伦理委员会 (RES-19-0000904L) 的批准。结果将通过同行评审的期刊、会议和研讨会报告进行传播。试用注册号ACTRN12620000533998；预结果。伦理和传播本研究已获得蒙纳士健康人类研究伦理委员会 (RES-19-0000904L) 的批准。结果将通过同行评审的期刊、会议和研讨会报告进行传播。试用注册号ACTRN12620000533998；预结果。伦理和传播本研究已获得蒙纳士健康人类研究伦理委员会 (RES-19-0000904L) 的批准。结果将通过同行评审的期刊、会议和研讨会报告进行传播。试用注册号ACTRN12620000533998；预结果。

"点击查看英文标题和摘要"

Being Your Best: protocol for a feasibility study of a codesigned approach to reduce symptoms of frailty in people aged 65 years or more after transition from hospital

Introduction The population is ageing, with increasing health and supportive care needs. For older people, complex chronic health conditions and frailty can lead to a cascade of repeated hospitalisations and further decline. Existing solutions are fragmented and not person centred. The proposed Being Your Best programme integrates care across hospital and community settings to address symptoms of frailty. Methods and analysis A multicentre pragmatic mixed methods study aiming to recruit 80 community-dwelling patients aged ≥65 years recently discharged from hospital. Being Your Best is a codesigned 6-month programme that provides referral and linkage with existing services comprising four modules to prevent or mitigate symptoms of physical, nutritional, cognitive and social frailty. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in frailty (Modified Reported Edmonton Frail Scale), cognition (Mini-Mental State Examination), functional ability (Barthel and Lawton), loneliness (University of California Los Angeles Loneliness Scale-3 items) and nutrition (Malnutrition Screening Tool) will also be measured at 6 and 12 months. Ethics and dissemination The study has received approval from Monash Health Human Research Ethics Committee (RES-19-0000904L). Results will be disseminated through peer-reviewed journals, conference and seminar presentations. Trial registration number ACTRN12620000533998; Pre-results.

更新日期：2021-03-05

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