Comprehensive Geriatric Assessment for younger outpatients with severe mental illness: protocol for a feasibility study

IntroductionIndividuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasib...

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Published inBMJ open Vol. 13; no. 2; p. e069518
Main Authors Arnautovska, Urska, Siskind, Dan, Pearson, Ella, Baker, Andrea, Reid, Natasha, Kwan, Winona Wing Ling, Wang, Nancy, Gordon, Emily, Hubbard, Ruth, Warren, Nicola
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 21.02.2023
BMJ Publishing Group LTD
BMJ Publishing Group
SeriesProtocol
Subjects
Adult psychiatry
Aged
Aging
Bipolar disorder
Clinical trials
Consent
Feasibility Studies
Frailty
Geriatric Assessment - methods
GERIATRIC MEDICINE
Geriatrics
Health services
Humans
Intervention
Lifestyles
Mental depression
Mental Disorders
MENTAL HEALTH
Metabolism
Mortality
Nutrition research
Older people
Outpatient care facilities
Outpatients
Patient-Centred Medicine
Patients
Quality in health care
Quality of Life
Schizophrenia
Schizophrenia & psychotic disorders
Clinical trials
Schizophrenia & psychotic disorders
MENTAL HEALTH
Adult psychiatry
Quality in health care
GERIATRIC MEDICINE
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Abstract IntroductionIndividuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness.Methods and analysisTwenty-five participants with frailty and severe mental illness, aged 18–64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors.Ethics and disseminationAll procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.
AbstractList Introduction Individuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness.Methods and analysis Twenty-five participants with frailty and severe mental illness, aged 18–64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors.Ethics and dissemination All procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.
Individuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness.INTRODUCTIONIndividuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness.Twenty-five participants with frailty and severe mental illness, aged 18-64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors.METHODS AND ANALYSISTwenty-five participants with frailty and severe mental illness, aged 18-64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors.All procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.ETHICS AND DISSEMINATIONAll procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.
IntroductionIndividuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness.Methods and analysisTwenty-five participants with frailty and severe mental illness, aged 18–64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors.Ethics and disseminationAll procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.
Individuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of frailty and minimises the associated negative outcomes in this population. This study aims to provide novel evidence on the feasibility, acceptability and preliminary effectiveness of Comprehensive Geriatric Assessment (CGA) to improve health outcomes among people with co-occurring frailty and severe mental illness. Twenty-five participants with frailty and severe mental illness, aged 18-64 years, will be recruited from Metro South Addiction and Mental Health Service outpatient clinics and provided with the CGA. Primary outcome measures will include the feasibility and acceptability of the CGA embedded in routine healthcare. Other variables of interest will include frailty status, quality of life, polypharmacy, and a range of mental and physical health factors. All procedures involving human subjects/patients were approved by Metro South Human Research Ethics Committee (HREC/2022/QMS/82272). Study findings will be disseminated through peer-reviewed publications and conference presentations.
Author Baker, Andrea
Kwan, Winona Wing Ling
Pearson, Ella
Hubbard, Ruth
Warren, Nicola
Wang, Nancy
Siskind, Dan
Reid, Natasha
Arnautovska, Urska
Gordon, Emily
AuthorAffiliation 4 Queensland Centre for Mental Health Research , Wacol , Queensland , Australia
1 Faculty of Medicine , The University of Queensland , Brisbane , Queensland , Australia
3 College of Medicine and Public Health , Flinders University , Adelaide , South Australia , Australia
5 Faculty of Medicine, Centre for Health Services Research , The University of Queensland , Woolloongabba , Queensland , Australia
2 Metro South Addiction and Mental Health Service , Woolloongabba , Queensland , Australia
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– name: 1 Faculty of Medicine , The University of Queensland , Brisbane , Queensland , Australia
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– name: 5 Faculty of Medicine, Centre for Health Services Research , The University of Queensland , Woolloongabba , Queensland , Australia
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/36810179$$D View this record in MEDLINE/PubMed
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Keywords Clinical trials
Schizophrenia & psychotic disorders
MENTAL HEALTH
Adult psychiatry
Quality in health care
GERIATRIC MEDICINE
Language English
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Snippet IntroductionIndividuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces...
Individuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces the risk of...
Introduction Individuals with severe mental illness are at risk of becoming prematurely frail. There is a critical unmet need for an intervention that reduces...
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bmj
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StartPage e069518
SubjectTerms Adult psychiatry
Aged
Aging
Bipolar disorder
Clinical trials
Consent
Feasibility Studies
Frailty
Geriatric Assessment - methods
GERIATRIC MEDICINE
Geriatrics
Health services
Humans
Intervention
Lifestyles
Mental depression
Mental Disorders
MENTAL HEALTH
Metabolism
Mortality
Nutrition research
Older people
Outpatient care facilities
Outpatients
Patient-Centred Medicine
Patients
Quality in health care
Quality of Life
Schizophrenia
Schizophrenia & psychotic disorders
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Title Comprehensive Geriatric Assessment for younger outpatients with severe mental illness: protocol for a feasibility study
URI https://bmjopen.bmj.com/content/13/2/e069518.full
https://www.ncbi.nlm.nih.gov/pubmed/36810179
https://www.proquest.com/docview/2779724140
https://www.proquest.com/docview/2779346638
https://pubmed.ncbi.nlm.nih.gov/PMC10439344
https://doaj.org/article/3840e4c477ae43fa9aeb9a1a59629dd3
Volume 13
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