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

NCT03308123 | Completed

• 2 other identifiers: 15/EE/0007DTC-RP-PG-0311-12004
• Study Type: observational
• Target: 52
• Locations: 1 country
• Sites: 1

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.

Conditions

Dementia; Hip Fractures

Outcome Measures

Primary Outcomes (1)

• Semi-Structure Interview

  Stakeholder experiences

  1 month

Study Arms (3)

Health Care Professionals

Health care professionals

Other: Observational study, not interventional

Carers of hip-fracture patients with moderate/severe

Carers of hip-fracture patients with moderate/severe

Other: Observational study, not interventional

Discharged hip-fracture patient with memory difficulty

Discharged hip-fracture patient with memory difficulty

Other: Observational study, not interventional

Interventions

Observational study, not interventional OTHER

Not an intervention study

Carers of hip-fracture patients with moderate/severe; Discharged hip-fracture patient with memory difficulty; Health Care Professionals

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Recently discharged (within a month) hip-fracture patients with mild memory difficulties

You may qualify if:

• A hip-fracture patient recently discharged (within a month) from an acute hospital in one of the study locations.
• 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

You may not qualify if:

• Lacks mental capacity

Sponsors & Collaborators

• University of East Anglia: lead

Study Sites (1)

University of East Anglia

Norwich, Norfolk, NR4 7TJ, United Kingdom

Location

MeSH Terms

Conditions

Dementia; Hip Fractures

Interventions

Observation

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Officials

• George C Fox

  University of East Anglia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 9, 2017
• First Posted: October 12, 2017
• Study Start: February 1, 2015
• Primary Completion: July 1, 2015
• Study Completion: February 22, 2016
• Last Updated: October 12, 2017

Record last verified: 2017-08

Locations

GB (1)