Study protocol for Care cOORDInatioN And sympTom managEment (COORDINATE) programme: a feasibility study.

Koirala, B; Badawi, S; Frost, S; Ferguson, C; Hager, DN; Street, L; Perrin, N; Dennison Himmelfarb, C; Davidson, P

Study protocol for Care cOORDInatioN And sympTom managEment (COORDINATE) programme: a feasibility study.

Koirala, B Badawi, S Frost, S Ferguson, C Hager, DN Street, L Perrin, N Dennison Himmelfarb, C Davidson, P

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Publisher:: BMJ Publishing Group
Publication Type:: Journal Article
Citation:: BMJ Open, 2023, 13, (12), pp. 1-8
Issue Date:: 2023-12-18

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Field	Value	Language
dc.contributor.author	Koirala, B
dc.contributor.author	Badawi, S
dc.contributor.author	Frost, S
dc.contributor.author	Ferguson, C
dc.contributor.author	Hager, DN
dc.contributor.author	Street, L
dc.contributor.author	Perrin, N
dc.contributor.author	Dennison Himmelfarb, C
dc.contributor.author	Davidson, P https://orcid.org/0000-0003-2050-1534
dc.date.accessioned	2024-01-18T01:46:42Z
dc.date.available	2024-01-18T01:46:42Z
dc.date.issued	2023-12-18
dc.identifier.citation	BMJ Open, 2023, 13, (12), pp. 1-8
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/174754
dc.description.abstract	INTRODUCTION: Sustainable approaches to support care coordination and symptom management needs of critically ill adults living with multimorbidity are needed to combat the challenges and complexity that multimorbidity presents. The study aims to test the feasibility of the Care cOORDInatioN And sympTom managEment (COORDINATE) intervention to improve health outcomes of adults living with multimorbidity. METHODS AND ANALYSIS: A multicomponent nurse-driven intervention was developed using experience-based co-design and human-centred design. Inclusion criteria include (1) age 55 years and older, (2) admitted to an intermediate care unit, (3) presence of two or more chronic health conditions and (4) signed informed consent. Data collection will occur at baseline (time of recruitment predischarge) and 6 weeks and 3 months following hospital discharge. Outcome of interest from this feasibility study is to evaluate the financial, technical and logistic feasibility of a full-scale study including data collection and protocol adherence. Additionally, Cohen's d effect sizes for the change in outcomes over time will be computed to establish power calculations required for a full-scale study. The protocol was prepared in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) checklist. ETHICS AND DISSEMINATION: The study has been reviewed and approved by the Institutional Review Board of Johns Hopkins Medical Institutions. Given the success of this feasibility study, the potential for the COORDINATE intervention to decrease the symptom burden and improve participant quality of life among critically ill people with multimorbidity will be tested in a full-scale study, and findings will be actively disseminated. TRIAL REGISTRATION NUMBER: NCT05985044.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ Publishing Group
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2023-072846
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Adult
dc.subject.mesh	COVID-19
dc.subject.mesh	Critical Illness
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Quality of Life
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Critical Illness
dc.subject.mesh	Quality of Life
dc.subject.mesh	Humans
dc.subject.mesh	Critical Illness
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Adult
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Critical Illness
dc.subject.mesh	Quality of Life
dc.title	Study protocol for Care cOORDInatioN And sympTom managEment (COORDINATE) programme: a feasibility study.
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2024-01-18T01:46:37Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	13
utslib.citation.issue	12

Abstract:

INTRODUCTION: Sustainable approaches to support care coordination and symptom management needs of critically ill adults living with multimorbidity are needed to combat the challenges and complexity that multimorbidity presents. The study aims to test the feasibility of the Care cOORDInatioN And sympTom managEment (COORDINATE) intervention to improve health outcomes of adults living with multimorbidity. METHODS AND ANALYSIS: A multicomponent nurse-driven intervention was developed using experience-based co-design and human-centred design. Inclusion criteria include (1) age 55 years and older, (2) admitted to an intermediate care unit, (3) presence of two or more chronic health conditions and (4) signed informed consent. Data collection will occur at baseline (time of recruitment predischarge) and 6 weeks and 3 months following hospital discharge. Outcome of interest from this feasibility study is to evaluate the financial, technical and logistic feasibility of a full-scale study including data collection and protocol adherence. Additionally, Cohen's d effect sizes for the change in outcomes over time will be computed to establish power calculations required for a full-scale study. The protocol was prepared in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) checklist. ETHICS AND DISSEMINATION: The study has been reviewed and approved by the Institutional Review Board of Johns Hopkins Medical Institutions. Given the success of this feasibility study, the potential for the COORDINATE intervention to decrease the symptom burden and improve participant quality of life among critically ill people with multimorbidity will be tested in a full-scale study, and findings will be actively disseminated. TRIAL REGISTRATION NUMBER: NCT05985044.

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http://hdl.handle.net/10453/174754