Exploring the User Experience of CGA-Q

August 14, 2025 updated by: Guy's and St Thomas' NHS Foundation Trust

Exploring the Experience of Patients, Carers, and Healthcare Clinicians of the CGA-Q, a Tool to Facilitate Person-centred Comprehensive Geriatric Assessment (CGA)

  • As people become older they may start to have more than one health issue at one time.
  • Geriatricians are doctors who specialise in looking after older people.
  • A tool that geriatricians use is the Comprehensive Geriatric Assessment (CGA).
  • Its purpose is to make sure that all parts of an older person's health are looked after. This includes their physical, psychological, social, environmental, and functional health.
  • The problem with CGA is that sometimes it does not focus on what is important to the patient.
  • When a clinician makes sure that they are looking after the things that are most important to a patient this is called person-centred care.
  • The CGA-Q is a questionnaire. It aims to improve how person-centred someone's care.
  • This study aims to find out what people think of CGA-Q.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Comprehensive Geriatric Assessment (CGA) is a multi-disciplinary, multi-domain intervention that involves reviewing an older person's physical, psychological, social and environmental health and then implementing a plan in collaboration with the patient. Its purpose is to facilitate a holistic assessment of an older person that considers the multiple, and potentially overlapping, issues they may be experiencing.

Cochrane reviews have shown that when CGA is delivered in an inpatient setting it reduces the risk of an individual dying or moving into a care facility. It has also been shown, through randomised control trials, to improve outcomes in the perioperative, hospital-at-home, and oncology setting. As a result, it is considered the gold-standard for managing frailty in older adults.

Person-centred care describes care that is focused on the needs and expectations of an individual, rather than a single disease or process. It improves the individual's quality of life and their satisfaction with their care. Its impact on outcomes is such that the World Health Organisation has called for it to be a key priority in healthcare delivery. Person-centred care is heralded as the gold-standard method for delivering care.

Currently, research on person-centred care primarily focuses on how an individual can measure whether care is person-centred. Conversely, there is clinical equipoise in regards to how a clinician can be supported to deliver person-centred CGA. The CGA-Q is a tool that is currently being used as part of routine care in some outpatient CGA clinics in the NHS and it seeks to facilitate person-centred care. The CGA-questionnaire was adapted from the CGA-GOLD questionnaire, which is validated for use in the outpatient older person's oncology service. The CGA-GOLD questionnaire's purpose is to identify which older person needs to undergo a CGA. However, the CGA-questionnaire differs significantly from this as its purpose is not for a needs assessment but instead to facilitate person-centred care. To understand the acceptability and impact of the CGA-Q and how it integrates into an NHS service the investigators will conduct focus groups with stakeholders including patients, carers, and healthcare professionals. The aim is to understand the stakeholder experience of using the CGA-Q. The investigators will also seek to understand the experience of engaging with CGA and their opinions of person-centred care.

By understanding the experience of using the CGA-Q the investigators will be able to generate an evidence base to inform its future use and wider application in healthcare services.

Study Type

Observational

Enrollment (Actual)

10

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
      • London, United Kingdom
        • Guy's and St Thomas' NHS Foundation Trust

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

N/A

Sampling Method

Non-Probability Sample

Study Population

Individuals who have experienced the CGA-Q either as a healthcare professional or as a patient or informal carer of a patient

Description

Inclusion Criteria:

  • Patient inclusion criteria:

    • Age 65 years or older
    • Attending an outpatient CGA appointment
    • Completed a CGA-Q as part of standard care
    • English speaking
    • Have sufficient cognitive function to participate in a focus group
    • Have capacity to consent to participating in the study

Informal carer inclusion criteria:

  • Age 18 years or older
  • An informal carer for a patient who is attending an outpatient CGA appointment
  • An informal carer for a patient who has completed a CGA-Q as part of standard care
  • Attending the outpatient appointment with the individual they care for
  • The person they care for consents to their informal carers participation in the study
  • English speaking
  • Have sufficient cognitive function to participate in a focus group
  • Have capacity to consent to participating in the study

Healthcare professional inclusion criteria:

  • A registered healthcare professional
  • Involved in the delivery of an outpatient CGA appointment
  • Has been involved in the episode of care during which a patient and or their carer completed the CGA-Q

Exclusion Criteria:

  • Patient exclusion criteria:

    • Assessed by the clinical care team to be too clinically unstable to participate in the study
    • Declines to participate
    • Not able to attend the focus group on the pre-set date

Informal carer exclusion criteria:

  • Age less than 18 years
  • Cares for the patient as part of their employment
  • Declines to participate
  • Not able to attend the focus group on the pre-set date

Healthcare professional exclusion criteria:

  • Not involved in the delivery of an outpatient CGA clinic
  • Has not seen any patients who have completed the CGA-Q
  • Declines to participate
  • Not able to attend the focus group on the pre-set date

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Patient participant
Other: Qualitative data, no intervention
This is a qualitative study
Informal carer participant
Other: Qualitative data, no intervention
This is a qualitative study
Healthcare professional participant
Other: Qualitative data, no intervention
This is a qualitative study

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Participants experience of the CGA-Q and its impact on person-centred care
Time Frame: 3 months
This data will consist of qualitative data collected through three separate focus group discussions with patients, informal carers, and health care professionals
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Guy's and St Thomas' NHS Foundation Trust

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 4, 2024

Primary Completion (Actual)

March 17, 2025

Study Completion (Actual)

April 30, 2025

Study Registration Dates

First Submitted

October 8, 2024

First Submitted That Met QC Criteria

October 15, 2024

First Posted (Actual)

October 17, 2024

Study Record Updates

Last Update Posted (Estimated)

August 15, 2025

Last Update Submitted That Met QC Criteria

August 14, 2025

Last Verified

August 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 337803

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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