Isla for Frailty Feasibility Study
Research type
Research Study
Full title
Acceptability, feasibility, and potential effectiveness of video-based patient records for supporting care delivery for older people with frailty.
IRAS ID
313814
Contact name
Rachael Lear
Contact email
Sponsor organisation
Imperial College Healthcare NHS Trust
Duration of Study in the UK
1 years, 4 months, 27 days
Research summary
BACKGROUND: Frailty is a state of increased vulnerability due to a decline in the body’s reserves. Older people with frailty struggle to bounce back after illness or stressful events such as being in hospital. Evidence is clear that these patients benefit from comprehensive assessment and coordinated care. However, ineffective communication between care-providers means assessments are often repeated, and patients and carers become frustrated at being asked the same questions by different professionals. It is often difficult for professionals to build up a complete picture solely from written information in medical records. Healthcare professionals need to understand a person’s functional abilities and support needs (e.g. mobility/assistance required). Smartphones with cameras are now commonplace, and people often tell their stories using photographs/videos. We believe that video-recordings could help with recognising changes in an individual’s day-to-day functioning, delivering better personalised care and communicating support needs. However, we don’t know how patients and carers feel about being video-recorded or whether patient videos will improve care.
AIM: To explore the perspectives of frail older patients, carers, and clinical staff of embedding in the electronic patient record, the video-recordings of patients captured during routine clinical care, and to understand how patient videos could impact on care delivery across care transitions.
METHODS: We will recruit frail, older inpatients, their carers, and clinical staff from a Medicine for the Elderly ward, and clinical stakeholders across an Integrated Care System. Over three months, doctors/nurses/therapists will securely record and view patient videos alongside providing usual care. Videos will capture patients’ functional abilities and support needs to inform ongoing assessment and care. We will collect information from patients/carers/doctors/nurses/therapists about their experiences of the video-recording intervention.REC name
South Central - Oxford C Research Ethics Committee
REC reference
23/SC/0167
Date of REC Opinion
5 Jul 2023
REC opinion
Further Information Favourable Opinion