Using video recordings to improve care for frail older patients
Acceptability, Feasibility, and Potential Effectiveness of Video-based Patient Records for Supporting Care Delivery for Older People With Frailty.
This study is testing if using video recordings can help improve the care and communication for older patients with frailty and their caregivers.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 95 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Imperial College London Academic / other |
| Locations | 1 site (London) |
| Trial ID | NCT06504641 on ClinicalTrials.gov |
What this trial studies
This observational study aims to assess the feasibility of using video recordings to capture the changing functional abilities and support needs of older patients with frailty. By documenting daily tasks and communication preferences, the study seeks to enhance communication among healthcare professionals involved in the care of these patients. The approach addresses the challenges of disjointed care and ineffective communication that often lead to avoidable health complications. The study will involve patients aged 65 and older admitted to an acute Medicine for the Elderly ward at St Mary's Hospital, along with their unpaid carers.
Who should consider this trial
Good fit: Ideal candidates for this study are older patients aged 65 and above who are considered frail or pre-frail by their care team.
Not a fit: Patients who lack capacity to consent without a personal consultee available to advise on their wishes may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to improved communication and coordination of care for frail older patients, ultimately enhancing their quality of life and independence.
How similar studies have performed: While the use of video recordings in healthcare is an emerging approach, similar studies have shown promise in improving communication and care coordination.
Eligibility criteria
Show full inclusion / exclusion criteria
Patients. Inclusion Criteria: * Admitted as an inpatient to an acute Medicine for the Elderly ward at St Mary's Hospital during a 3-month pilot phase of Isla's visual record platform * Aged ≥65 years old * Are considered to be frail or pre-frail by the direct care team * Have capacity to consent to study participation OR lack capacity to consent on the condition that a 'personal consultee' is available to advise on the patient's likely wishes and feelings about taking part. Exclusion Criteria: * Patients who lack capacity to consent will be excluded if a personal consultee is not available to advise on the patients' likely wishes or feelings about taking part. Carers. Inclusion Criteria: * Aged ≥18 years * Provide the patient/care-recipient with assistance in their daily activities and are unpaid for these caring activities * Are willing to participate in an interview as part of the study * A carer may be a member of the patient's family, a friend, or other person who provides the patient with unpaid care Exclusion Criteria: \- Carers will be excluded if the patient/care-recipient declined to participate in the study Ward team. Inclusion Criteria: * Clinical staff working on an acute Medicine for the Elderly ward at St Mary's Hospital. * Staff must be working regular shifts on the ward during study initiation and pilot phases * Staff must have an active nhs.net account. Exclusion Criteria: * Ad-hoc bank/agency staff * Permanent staff on long-term leave (e.g. sick/maternity) during the pilot
Where this trial is running
London
- St Mary's Hospital — London, United Kingdom (Recruiting)
Study contacts
- Principal investigator: Phoebe Averill, PhD — Imperial College London
- Study coordinator: Phoebe Averill, PhD
- Email: phoebe.averill@nhs.net
- Phone: 020 7594 9038
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.