A multi-centre, single-arm feasibility study of a complex intervention to improve Recovery after an Episode of Delirium in adults over 65 years: the RecoverED study
Delirium
Study design: 1. A feasibility study to see if the intervention is acceptable to participants, sufficient numbers of participants can be recruited and given the intervention and sufficient outcome data can be collected 2. Recruiting male and female adults aged over 65 years diagnosed with delirium for more than 48 hours during admission to hospital, and their informal carers (patient/carer participant pairs) 3. Rehabilitation programme (intervention) delivered in the patient's home by NHS community staff 4. Single group (all participants will be offered the intervention) 5. Multi-centre (recruiting at 6 acute NHS sites) 6. 60 participant/carer pairs 7. Stop/go criteria for progressing to a separate definitive randomised controlled trial comparing the intervention with usual care 8. The primary outcome for the randomised controlled trial would be the Activities of Daily Living, measured using the proxy-reported Disability Assessment for Dementia (DAD) tool. This feasibility study will look at our ability to collect that data at baseline and 3- and 6-months post-discharge home. Recruitment: 1. Screening (from medical records & discussion with the direct care team, non-invasive) 2. If eligible, the research nurse/clinician discusses the study with the patient, provides a PIS and ascertains their capacity to provide informed consent 3. If eligible, has the capacity and is willing to take part - written informed consent obtained 4. If eligible, but lacks capacity - consultee identified, research nurse discusses the study with the patient (to their maximum ability) and consultee and obtains consultee opinion of patient's wishes (or, consent obtained from nearest relative/welfare guardian if in Scotland) 5. Carer participant identified and if eligible, research nurses discusses the study and provides carer PIS. If willing to take part, written informed consent is obtained. 6. The consent form includes the process evaluation (interview) and audio recording of an interventi
Current participant inclusion criteria as of 01/11/2023: Patients: 1. Aged over 65 years 2. Admitted to an acute hospital 3. Clinical diagnosis of delirium while admitted to hospital 4. Expected to be living in a private dwelling after discharge from hospital or immediate care (a period of 4 weeks of intermediate care will be allowed before discharge home) 5. Has a carer who could be approached for the study 6. Has the capacity to provide informed consent to participate, OR, has a consultee who is able to give an opinion on the participation of the person with delirium (in England), OR, has a relative/welfare guardian who is able to give informed consent on behalf of the person with delirium (in Scotland). 7. Lives within the geographical boundary of the local intervention delivery team Carers: 1. Family member or friend of the person with delirium 2. In contact with patient participant for at least one hour per week 3. Able to communicate in English sufficiently well to complete the proxy outcome measures 4. Has the capacity to provide informed consent. Previous participant inclusion criteria: Patients: 1. Aged over 65 years 2. Admitted to an acute hospital 3. Clinical diagnosis of delirium lasting for more than 48 hours 4. Expected to be living in a private dwelling after discharge from hospital or immediate care (a period of 4 weeks of intermediate care will be allowed before discharge home) 5. Has a carer who is willing to assist with the completion of outcomes 6. Has the capacity to provide informed consent to participate, OR, has a consultee who is able to give an opinion on the participation of the person with delirium (in England), OR, has a relative/welfare guardian who is able to give informed consent on behalf of the person with delirium (in Scotland) Carers: 1. Family member or friend of the person with delirium who is going to take part in the study 2. In contact with patient participant for at least 1 hour per week 3. Able to communicate in Eng
Current participant exclusion criteria as of 01/11/2023: Patients: 1. Diagnosis of delirium cannot be confirmed during the patient’s hospital visit 2. Unable to communicate verbally due to advanced dementia or aphasia 3. Carer declines participation in the study 4. Undergoing end-of-life care 5. Participating in another intervention study Carers: There are no exclusion criteria for carer participants Previous participant exclusion criteria: Patients: 1. Diagnosis of delirium cannot be confirmed during the patient’s hospital visit 2. Unable to communicate verbally due to advanced dementia or aphasia 3. Carer declines participation in the study 4. Undergoing end-of-life care 5. Participating in another intervention study Carers There are no exclusion criteria for carers