{"id":43,"date":"2022-03-01T14:09:35","date_gmt":"2022-03-01T14:09:35","guid":{"rendered":"https:\/\/sites.exeter.ac.uk\/dream\/?page_id=43"},"modified":"2023-10-26T07:47:21","modified_gmt":"2023-10-26T07:47:21","slug":"home","status":"publish","type":"page","link":"https:\/\/sites.exeter.ac.uk\/dream\/","title":{"rendered":"Digital and Remote Enhancements for the Assessment and Management of older people living with frailty (DREAM)"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\"><strong>Study Summary<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>The population is getting older. For some people this can mean having several health problems and difficulty doing<br>everyday things. A Comprehensive Geriatric Assessment (CGA) is a process involving older people (usually aged<br>65 and over), their families, and health and social care staff to identify and help manage these problems and<br>prevent new problems arising. This can mean that people are less likely to need hospitalisation or to go into a care<br>home because their health is better managed. At present, however, many older people have difficulty accessing<br>healthcare, and COVID-19 has led to fewer face-to-face hospital appointments, which means that people may not<br>currently be getting the best care. <\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<p>Our research wants to see if we can develop a process of remote assessment and care called enhanced CGA<br>(eCGA). This would look at how best to meet the needs of older people and their families. This will involve us<br>looking at research that has already been done to see where alternatives to face-to-face contact could be used (or<br>not). This could include using telephone or video, as well as novel digital technology such as Apps, smart<br>speakers or sensors. We will interview older people and their families, and staff, to ask:<\/p>\n<\/div><\/div>\n\n\n\n<ul>\n<li>what would be acceptable to them to use<\/li>\n\n\n\n<li>what might help or hinder eCGA<\/li>\n\n\n\n<li>how best to measure to see if eCGA has a positive impact on health and well being<\/li>\n<\/ul>\n\n\n\n<p>With the information, we will devise a plan of what would be part of eCGA and how this could work in practice.<br>All our research will be completed in collaboration with a stakeholder group of older people, their family members,<br>and health and care professionals. They will meet eight times during the 15-month project. The stakeholder work<br>will be led and supported by our Patient, Public Involvement and Engagement (PPIE) lead and our PPIE<br>representative. The outcomes of our development work will be a detailed plan of eCGA, developed with<br>stakeholders, and a proposal for a future programme of work.<\/p>\n\n\n\n<p>Our future programme to evaluate eCGA would involve a series of research studies to:<\/p>\n\n\n\n<ul>\n<li>check that enhanced CGA is suitable for older people, families and staff understand how eCGA could affect the health of people with different backgrounds, such as ethnicity, income and education<\/li>\n\n\n\n<li>check the practicalities of testing and delivering eCGA, and see whether it is possible to do a large scale trial<\/li>\n\n\n\n<li>assess whether eCGA is better than what is currently provided, and whether it is cost-effective<\/li>\n<\/ul>\n\n\n\n<p>The anticipated impact of our work is:<\/p>\n\n\n\n<ul>\n<li>improved ability to manage everyday things<\/li>\n\n\n\n<li>reducing need for health and care services by having better health<\/li>\n\n\n\n<li>better experience of care<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p><strong><em>This study\/project is funded by the National Institute for Health and Care Research (NIHR) under its Programme Grants for Applied Research Programme (NIHR203293) and the School for Primary Care Research (Reference 601). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.  <\/em><\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR203293\">https:\/\/fundingawards.nihr.ac.uk\/award\/NIHR203293<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Study Summary The population is getting older. For some people this can mean having several health problems and difficulty doingeveryday things. A Comprehensive Geriatric Assessment (CGA) is a process involving older people (usually aged65 and over), their families, and health and social care staff to identify and help manage these problems andprevent new problems arising. [&hellip;]<\/p>\n","protected":false},"author":103,"featured_media":299,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sidebar-boxed-feature-img.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Digital and Remote Enhancements for the Assessment and Management of older people living with frailty (DREAM) - The DREAM Project<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.exeter.ac.uk\/dream\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Digital and Remote Enhancements for the Assessment and Management of older people living with frailty (DREAM) - The DREAM Project\" \/>\n<meta property=\"og:description\" content=\"Study Summary The population is getting older. For some people this can mean having several health problems and difficulty doingeveryday things. A Comprehensive Geriatric Assessment (CGA) is a process involving older people (usually aged65 and over), their families, and health and social care staff to identify and help manage these problems andprevent new problems arising. 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