PROM-OPAC-CI

  • Research type

    Research Study

  • Full title

    Patient-Reported Outcome Measures in Older People living with frailty receiving Acute Care who have Cognitive Impairment (PROM-OPAC-CI)

  • IRAS ID

    344975

  • Contact name

    James D van Oppen

  • Contact email

    james.vanoppen@nhs.net

  • Sponsor organisation

    Sheffield Teaching Hospitals NHS Foundation Trust

  • Duration of Study in the UK

    0 years, 5 months, 1 days

  • Research summary

    This project proposal involves collecting the PROM-OPAC questionnaire in emergency and acute care settings from older people living with frailty who have cognitive impairment.

    Frailty is a concept of vulnerability and is routinely measured during emergency care. Around 40% of people with frailty in emergency departments have some degree of cognitive impairment, usually due to a dementia or delirium. The PROM-OPAC questionnaire is a validated measure of effectiveness and outcomes from acute care for older people. This uses eight questions about enablement (self-determination in decisions and situational security) and is completed alongside another well-known quality of life measure, the EQ-5D using five questions about function and health.

    We need to show whether the PROM-OPAC questionnaire is feasible to collect from people with cognitive impairment, and whether there is a certain severity at which this becomes impossible and where we must resort to asking friends or relatives. We need this information so that we can be open and honest about the accessibility of the PROM-OPAC and its potential to adequately represent people living with frailty in research.

    We will invite participants to complete the questionnaires totalling fourteen single-sentence questions with consistent multiple-choice answers. These will be anonymous so that the research team cannot identify people from the questionnaires. This process takes around 10-15 minutes. We will also use an existing clinical tool to measure the severity of participants’ cognitive impairment. This uses six questions such as knowing the year and recalling an address. We are aiming to understand the proportion of people approached who take part, the proportion who take part who complete all the questions, and the relationship between these with the severity of cognitive impairment. We will also report the average scores for categories of increasing cognitive impairment to show whether these change.

  • REC name

    Wales REC 4

  • REC reference

    24/WA/0193

  • Date of REC Opinion

    26 Jul 2024

  • REC opinion

    Further Information Favourable Opinion