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Phase I development and phase II evaluation of a community-based intervention targeting frail dependent older people and their carers PDF Print

The objective of the study is to develop a multi-component (complex) intervention package for use by non-specialist health workers targeting frail dependent older people and their carers, and carry out initial evaluation, as preparatory work for a definitive randomized controlled trial. 

Phase I development:  a) Carry out a systematic review to gain understanding of the literature especially from developing countries and to assist in identifying active ingredients of the intervention; b) Carry out a qualitative study involving community health professionals who will be involved in the administration of the intervention, to explore attitudes and expectations regarding elder care, current practices and perceived issues and problems.

Intervention development: From the completed reviews it is evident that: a)There are simple, cheap and effective interventions available for much common impairment among frail dependent older people; b) In some cases there is evidence that non-specialist healthcare workers can deliver the intervention effectively at community level. The review did not however identify any studies from low or middle income countries. Absence of evidence is not evidence of absence, so with the support from WHO (World Health Organisation) and Dr. John Beard, Director of the Department of Ageing and Life Course at WHO, we will establish an external advisory group to assist us in this task.

Phase II evaluation: a) Establish the feasibility of each of the components of the intervention, with respect to the time needed for training and its effectiveness, the time taken to administer by CHWs, and its fidelity, and the acceptability to older people and carers; b) Assess the likely efficacy of individual components of the intervention with simple before and after assessment of appropriate outcomes; c) Establish the most active components, and test delivery and implementation factors.

Expected outcome: Evidence based multi-component (complex) intervention package for use by non-specialist health workers targeting frail dependent older people and their carers will be the final output of this project.

This research is being done as part of a PhD at Institute of Psychiatry, King's College Londonunder the PHFI-UKC Wellcome Trust Capacity Building Programme.

PhD Scholar: AT Jotheeswaran
Supervisor: Vikram Patel & Y. Sitamma  (India), Martin Prince (UK)
Project Duration: 2009 – 2013
 
Current
Completed
Last Modified : August 10, 2011, 10:41 am