Establishing the core elements of a frailty at the front door model of care using a modified real-time Delphi technique.
BMC Emerg Med
; 23(1): 123, 2023 10 20.
Article
in En
| MEDLINE
| ID: mdl-37858041
ABSTRACT
BACKGROUND:
Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians, researchers and policymakers due to the deleterious outcomes older adults experience due to prolonged exposure to such an environment. This study aimed to develop a set of expert consensus-based statements underpinning operational design, outcome measurement and evaluation of a Frailty at the Front Door (FFD) model of care for older adults within an Irish context.METHODS:
A modified real-time Delphi method was used. Facilitation of World Café focus groups with an expert panel of 86 members and seperate advisory groups with a Public and Patient Involvement panel of older adults and members of the Irish Association of Emergency Medicine generated a series of statements on the core elements of the FFD model of care. Statements were analysed thematically and incorporated into a real-time Delphi survey, which was emailed to members of the expert panel. Members were asked to rank 70 statements across nine domains using a 9-point Likert scale. Consensus criteria were defined a priori and guided by previous research using 9-point rating scales.RESULTS:
Fifty members responded to the survey representing an overall response rate of 58%. Following analyses of the survey responses, the research team reviewed statements for content overlap and refined a final list of statements across the following domains aims and objectives of the FFD model of care; target population; screening and assessment; interventions; technology; integration of care; evaluation and metrics; and research.CONCLUSION:
Development of a consensus derived FFD model of care represents an important step in generating national standards, implementation of a service model as intended and enhances opportunities for scientific impact. Future research should focus on the development of a core outcome set for studies involving older adults in the ED.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Frailty
Limits:
Aged
/
Humans
Language:
En
Journal:
BMC Emerg Med
Journal subject:
MEDICINA DE EMERGENCIA
Year:
2023
Document type:
Article
Affiliation country:
Ireland