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

Binu Koirala¹, Sarah Badawi², Steven Frost³

¹Johns Hopkins University School of Nursing, Baltimore, Maryland, USA bkoiral1@jhu.edu.

|December 18, 2023

Summary

This summary is machine-generated.

This study tested the feasibility of the Care cOORDInatioN And sympTom managEment (COORDINATE) intervention for critically ill adults with multimorbidity. The COORDINATE intervention shows promise for improving care coordination and symptom management in this complex patient population.

Keywords:

adult intensive & critical care quality in health care quality of life

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Area of Science:

Gerontology
Nursing Science
Health Services Research

Background:

Critically ill adults with multimorbidity face complex care coordination and symptom management challenges.
Sustainable interventions are needed to address the needs of this growing patient population.

Purpose of the Study:

To test the feasibility of the Care cOORDInatioN And sympTom managEment (COORDINATE) intervention.
To evaluate the potential of the COORDINATE intervention to improve health outcomes for adults with multimorbidity.

Main Methods:

A multicomponent nurse-driven intervention developed using experience-based and human-centered design.
Inclusion criteria: age ≥55, intermediate care unit admission, ≥2 chronic conditions, informed consent.
Data collected at baseline, 6 weeks, and 3 months post-discharge; feasibility evaluated on financial, technical, and logistical aspects.

Main Results:

Feasibility of the COORDINATE intervention's implementation and data collection was assessed.
Effect sizes were computed for outcome changes to inform power calculations for a full-scale study.
The study protocol adhered to the SPIRIT checklist.

Conclusions:

The COORDINATE intervention feasibility study provides a foundation for a larger trial.
Successful feasibility suggests potential for the COORDINATE intervention to reduce symptom burden and enhance quality of life.
Findings will be disseminated to inform future research and clinical practice.