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: k.walters@ucl.ac.uk
