HOspitals and patients WoRking in Unity (HOW R U?): protocol for a prospective feasibility study of telephone peer support to improve older patients' quality of life after emergency department discharge.
| Autor: | Lowthian JA; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Lennox A; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Curtis A; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Dale J; Warwick Medical School, University of Warwick, Coventry, UK., Browning C; RDNS Institute, RDNS, Melbourne, Victoria, Australia.; International Institute for Primary Health Care Research, Shenzhen, China.; School of Primary Health Care, Monash University, Melbourne, Victoria, Australia., Smit V; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia., Wilson G; Volunteer Services, Alfred Health, Melbourne, Victoria, Australia., O'Brien D; Emergency Department, Cabrini Health, Malvern, Victoria, Australia., Rosewarne C; Volunteer Services, Cabrini Health, Malvern, Victoria, Australia., Boyd L; Nursing Services, Cabrini Institute, Cabrini Health, Malvern, Victoria, Australia., Garner C; Department of Mission and Strategy, Cabrini Health, Malvern, Victoria, ., Cameron P; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ open [BMJ Open] 2016 Dec 02; Vol. 6 (12), pp. e013179. Date of Electronic Publication: 2016 Dec 02. |
| DOI: | 10.1136/bmjopen-2016-013179 |
| Abstrakt: | Introduction: Older people presenting to an emergency department (ED) have a higher likelihood of social isolation, loneliness and depression; which are all associated with negative health outcomes and increased health service use, including higher rates of ED attendance. The HOW R U? study aims to ascertain the feasibility and acceptability of a postdischarge telephone support programme for older ED patients following discharge. The intervention, which aims to improve quality of life, will be delivered by hospital-based volunteers. Methods and Analysis: A multicentre prospective uncontrolled feasibility study will enrol 50 community-dwelling patients aged ≥70 years with symptoms of loneliness or depression who are discharged home within 72 hours from the ED or acute medical ward. Participants will receive weekly supportive telephone calls over a 3-month period from a volunteer-peer. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in level of loneliness (UCLA-3 item Loneliness Scale), mood (Geriatric Depression Scale-5 item) and health-related quality of life (EQ-5D-5L and EQ-VAS) will also be measured postintervention (3 months). Ethics and Dissemination: Research ethics and governance committee approval has been granted for this study by each participating centre (reference: 432/15 and 12-09-11-15). Study findings will inform the design and conduct of a future multicentre randomised controlled trial of a postdischarge volunteer-peer telephone support programme to improve social isolation, loneliness or depressive symptoms in older patients. Results will be disseminated through peer-reviewed journal publication, and conference and seminar presentation. Trial Registration Number: ACTRN12615000715572, Pre-results. Competing Interests: Conflicts of Interest: None declared. (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.) |
| Databáze: | MEDLINE |
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