Implementing personalised care planning for older people with frailty: a process evaluation of the PROSPER feasibility trial
dc.contributor.author | Kime, N | |
dc.contributor.author | Wright, A | |
dc.contributor.author | Heaven, A | |
dc.contributor.author | Hawkins, R | |
dc.contributor.author | Smith, J | |
dc.contributor.author | Cundill, B | |
dc.contributor.author | Foy, R | |
dc.contributor.author | Lawton, R | |
dc.contributor.author | Farrin, A | |
dc.contributor.author | Hulme, C | |
dc.contributor.author | Clegg, A | |
dc.date.accessioned | 2022-10-10T12:54:10Z | |
dc.date.issued | 2022-09-16 | |
dc.date.updated | 2022-10-10T10:41:09Z | |
dc.description.abstract | BACKGROUND: Personalised Care Planning (PCP) is a collaborative approach used in the management of chronic conditions. Core components of PCP are shared decision making to achieve joint goal setting and action planning by the clinician and patient. We undertook a process evaluation within the PROSPER feasibility trial to understand how best to implement PCP for older people with frailty in the community. METHODS: The trial was set in two localities in England. We observed training sessions and intervention delivery at three time points during the 12-week intervention period. We interviewed delivery teams before, during and after the intervention period, as well as primary care staff. We interviewed older people who had received, declined or withdrawn from PCP. We explored training of staff delivering PCP, structures, mechanisms and resources needed for delivery, and influences on uptake. We undertook a framework approach to data analysis. FINDINGS: We observed thirteen training sessions and interviewed seven delivery staff, five primary care staff, and twenty older people, including seven who had declined or withdrawn from the intervention. Delivery teams successfully acquired skills and knowledge, but felt underprepared for working with people with lower levels of frailty. Timing of training was critical and 'top-ups' were needed. Engagement with primary care staff was tenuous. Older people with lower frailty were unclear of the intervention purpose and benefits, goal setting and action planning. CONCLUSIONS: PCP has the potential to address the individualised needs of older people with frailty. However, training requires careful tailoring and is ideally on-going. Considerable efforts are required to integrate statutory and voluntary stakeholders, understanding the expectations and contributions of each agency from the outset. In addition, older people with frailty need time and support to adjust to new ways of thinking about their own health now and in the future so they can participate in shared decision making. These key factors will be essential when developing models of care for delivering PCP to support older people with frailty to sustain their independence and quality of life. TRIAL REGISTRATION: ISRCTN 12,363,970 - 08/11/2018. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.format.extent | 760- | |
dc.format.medium | Electronic | |
dc.identifier.citation | Vol. 22, article 760 | en_GB |
dc.identifier.doi | https://doi.org/10.1186/s12877-022-03426-4 | |
dc.identifier.grantnumber | RP-PG-0216–20003 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/131170 | |
dc.identifier | ORCID: 0000-0003-2077-0419 (Hulme, Claire) | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/36114521 | en_GB |
dc.rights | © The Author(s) 2022. Open Access. This 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/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | en_GB |
dc.subject | Evaluation | en_GB |
dc.subject | Feasibility | en_GB |
dc.subject | Frailty | en_GB |
dc.subject | Older people | en_GB |
dc.subject | Personalised care planning | en_GB |
dc.title | Implementing personalised care planning for older people with frailty: a process evaluation of the PROSPER feasibility trial | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2022-10-10T12:54:10Z | |
dc.identifier.issn | 1471-2318 | |
exeter.article-number | 760 | |
exeter.place-of-publication | England | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Availability of data and materials: All data generated or analysed during this study are available from the corresponding author on reasonable request. | en_GB |
dc.identifier.eissn | 1471-2318 | |
dc.identifier.journal | BMC Geriatrics | en_GB |
dc.relation.ispartof | BMC Geriatr, 22(1) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2022-08-24 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2022-09-16 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2022-10-10T12:52:34Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2022-10-10T12:54:18Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2022-09-16 |
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