{
  "abstract": "Background Patient-reported outcome measures (PROMs) are more meaningful than service-orientated metrics, but representation must be equitable. PROM-OPAC is currently the only PROM for Older People living with frailty receiving Acute Care. However, there is limited evidence for its feasibility among the 40% of that cohort who have cognitive impairment. This study examined PROM-OPAC for feasibility and psychometric reliability in people with cognitive impairment.Methods Older people living with frailty and cognitive impairment were recruited during emergency attendance at a UK hospital. They completed the six-item cognitive impairment test (6CIT), PROM-OPAC and the EuroQol EQ-5D-5L. Analyses were for feasibility (response rate, completeness, completion time) and reliability (response distribution, internal consistency).Results 60 people (63% (95% CI 53% to 73%) of 95 approached) with significant cognitive impairment participated (median 6CIT 21/28; IQR 16–25). 92% responses were complete, with median time 8 (IQR 5–11) min. Internal consistency was acceptable (Cronbach’s alpha, 0.70) but the observed response distribution (SD <1 in two items) and end effects suggested interpretability issues. Cognitive impairment severity neither correlated with completion time (Spearman’s, p=0.268) nor completeness (Kruskal-Wallis, p=0.858).Conclusion Older people living with frailty and cognitive impairment can complete PROMs during emergency care. This study adds to evidence for PROM-OPAC feasibility and psychometric properties. PROM-OPAC presents a means for patient-centred evaluation of acute frailty care.",
  "authors": [
    {
      "affiliations": [
        "Centre for Urgent and Emergency Care Research, The University of Sheffield, Sheffield, UK"
      ],
      "name": "James David van Oppen"
    },
    {
      "affiliations": [
        "Medical School, The University of Sheffield, Sheffield, UK"
      ],
      "name": "Jamie Plowright"
    },
    {
      "affiliations": [
        "Centre for Urgent and Emergency Care Research, The University of Sheffield, Sheffield, UK"
      ],
      "name": "Steve Goodacre"
    },
    {
      "affiliations": [
        "Sheffield Centre for Health and Related Research (SCHARR), The University of Sheffield, Sheffield, UK"
      ],
      "name": "Anju Devianee Keetharuth"
    }
  ],
  "title": "Feasibility of administering the Patient-Reported Outcome Measure for Older People living with frailty receiving Acute Care (PROM-OPAC) in older people with cognitive impairment",
  "uid": "e3c1cc5f-3d96-5941-bea2-66912ed4b9d4"
}