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PERFECTED: Caring for Patients With Hip-fracture & Memory Difficulties (PERFECTED)

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ClinicalTrials.gov Identifier: NCT03308123
Recruitment Status : Completed
First Posted : October 12, 2017
Last Update Posted : October 12, 2017
Sponsor:
Information provided by (Responsible Party):
University of East Anglia

Brief Summary:

This qualitative study is part of the 5-year long (2013-18) PERFECTED (Peri-operative Enhanced Recovery hip-fracture Care of paTiEnts with Dementia) National Institute for Health Research (NIHR) funded research programme. PERFECTED's overall aim is to develop and pilot an evidence-based intervention to improve the hospital care of patients living with dementia who have fractured their hip. The findings from this particular study will support PERFECTED's other activities by exploring stakeholder (lay and professional) views of the hospital care experiences of hip-fracture patients who are experiencing memory difficulties. Best practices and priorities, including attention to cost-consequences will be explored.

Semi-structured interviews will be conducted with 15-30 hip-fracture patients with mild memory difficulties recently discharged from acute hospitals in Norwich, Nottingham and Bradford. Equal attention will be given to those patients discharged directly home and those discharged to community hospitals for further rehabilitation. Interviews will be conducted with 15-30 recognised carers of hip-fracture patients with moderate/severe memory difficulties who have recently been discharged from acute hospitals in the same three regions. Semi-structured interviews will also be carried out with a nominated dementia lead in each region. Finally, in each region, small focus groups, face-to-face or telephone interviews will be conducted, with clinical staff of various grades and professions, hospital managers and with NHS commissioners. This study will enable a range of topics and perspectives to be explored and potential components for PERFECTED's intervention to be identified.

As part of PERFECTED's on-going commitment to Public Patient Involvement (PPI), lay researchers will be trained to assist in interviewing recognised carers of hip-fracture patients with moderate/severe memory difficulties. Interviews and focus groups will be recorded, transcribed and analysed thematically. Resulting data will address the pre-defined aims of the current study and feed into findings reported across the whole of Work Package 1 of PERFECTED.


Condition or disease Intervention/treatment
Dementia Hip Fractures Other: Observational study, not interventional

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Study Type : Observational
Actual Enrollment : 52 participants
Observational Model: Other
Time Perspective: Retrospective
Official Title: PERFECTED WP1 P4: A Qualitative Exploration of Lay and Professional Stakeholder Views of Care Delivery in Hospitals for Patients With Hip-fracture & Memory Difficulties
Actual Study Start Date : February 1, 2015
Actual Primary Completion Date : July 1, 2015
Actual Study Completion Date : February 22, 2016

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Health Care Professionals
Health care professionals
Other: Observational study, not interventional
Not an intervention study

Carers of hip-fracture patients with moderate/severe
Carers of hip-fracture patients with moderate/severe
Other: Observational study, not interventional
Not an intervention study

Discharged hip-fracture patient with memory difficulty
Discharged hip-fracture patient with memory difficulty
Other: Observational study, not interventional
Not an intervention study




Primary Outcome Measures :
  1. Semi-Structure Interview [ Time Frame: 1 month ]
    Stakeholder experiences



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Recently discharged (within a month) hip-fracture patients with mild memory difficulties
Criteria

Inclusion Criteria:

  • A hip-fracture patient recently discharged (within a month) from an acute hospital in one of the study locations.
  • 60 years or older
  • Having some memory difficulties as recognised by a relevant member of their care team - supported by an AMT score of 5-8 if required
  • Has the cognitive ability to engage with a research interview as determined by a relevant member of their care team

Exclusion Criteria:

  • Lacks mental capacity

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03308123


Locations
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United Kingdom
University of East Anglia
Norwich, Norfolk, United Kingdom, NR4 7TJ
Sponsors and Collaborators
University of East Anglia
Investigators
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Principal Investigator: George C Fox University of East Anglia
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Responsible Party: University of East Anglia
ClinicalTrials.gov Identifier: NCT03308123    
Other Study ID Numbers: 15/EE/0007
DTC-RP-PG-0311-12004 ( Other Grant/Funding Number: National Institute for Health Research )
First Posted: October 12, 2017    Key Record Dates
Last Update Posted: October 12, 2017
Last Verified: August 2017
Additional relevant MeSH terms:
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Fractures, Bone
Hip Fractures
Wounds and Injuries
Femoral Fractures
Hip Injuries
Leg Injuries