Clinical and cost-effectiveness of an in-home personalised health promotion intervention enabling independence in older people with mild frailty (‘HomeHealth’): A Randomised Controlled Trial


Addressing complex needs in older people is challenging for the NHS and social care. Current services focus on those with highest levels of need/frailty, but this can be expensive, with mixed outcomes. We know little on clinically and cost-effective interventions for people with mild frailty. The aim of HomeHealth is to test the clinical and cost-effectiveness of the HomeHealth intervention on maintaining independence in older people with mild frailty.

The study is a single-blind individually randomised controlled trial of the HomeHealth intervention compared to treatment as usual. The setting is General Practices in diverse areas of London, Yorkshire & Hertfordshire. The target population is older people 65+ years with mild frailty. Those in care homes, receiving palliative care, who lack capacity, already case managed (e.g. by community teams) are excluded from the study.

The HomeHealth intervention is a theory/evidence-based co-designed behaviour change health promotion intervention, supporting older people to work on goals to maintain independence, addressing factors (e.g. weakness) impacting on capability, opportunity and motivation. This includes physical activity/balance and strength exercises, nutrition, mood and enabling social engagement, individually tailored.

For further information please contact:

Other projects

Promoting healthy lifestyles to reduce dementia risk factors in minority ethnic communities

Better Start Bradford is making support and services for families stronger, and finding what works, so that children can have the best start in life. Born in Bradford’s Better Start...

Development and national implementation of eFI-2

Currently, the UK and international guidelines support routine identification of frailty in primary care to enable timely and targeted care for older people. Our Older people with Frailty theme lead,...

Research prioritisation

The population of older people living with frailty is increasing, and research needs to focus on improving areas of health and wellbeing for this population. There is limited evidence about...

Do you have a research idea or want to learn more about our work and how it could be implemented in your area?