Prompting And encouRaging Community Hydration Through EDucation (PARCHED)

Cwm Taf University Health Board (NHS)

Status: Unknown

Conditions: Frailty

Treatments: Device: Prompting Cup; Behavioral: Education Session

Study type: Interventional

Funder types: Other

Identifiers

NCT04187859

257723

Details and patient eligibility

About

PARCHED (Prompting And encouRaging Community Hydration through EDucation) is studying how to improve the hydration (fluid intake) of people living at home who use catheters. The investigator would like to see if improved hydration (fluid intake) reduces the risk of frailty.

PARCHED will randomise four areas in Cwm Taf University Health Board to receive one of four different interventions. Individuals will receive an intervention based on which area they live in, each participant will take part in the study for 12 weeks.

Full description

PARCHED is a cluster feasibility randomized control trial (RCT) exploring the potential of an innovative prompting cup and education as person-centred and holistic tools to empower nursing leadership to reduce frailty in a catheterised community-dwelling population. This project will investigate interventions to improve hydration as potentially economically viable solutions to reducing frailty in a vulnerable population. Interventions have been developed using behaviour change theory and techniques. 80 participants will be recruited and will receive one of three interventions or usual care for a period of 12 weeks, data will be collected at baseline, 4 weeks and 12 weeks. Questionnaires, semi-structured interviews, and routine hospital records will be collected or accessed as part of the study.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• PARCHED will recruit district nurse patients at medium or high risk of dehydration (using the G, U and L of the GULP tool1),
• with a urinary catheter,
• living at home in community or residential care,
• aged 18 years or above

Exclusion criteria

• Inability to provide informed consent,
• medical conditions or dietary restrictions that would substantially limit ability to complete study requirements (i.e. intravenous fluid intake, inability to lift cup),
• living in nursing care setting,
• end of life pathway,
• diagnosed swallowing difficulty,
• inability to communicate in English or Welsh.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 4 patient groups

Education Session

Other group

Description:

The participant will receive an education session in their home, lasting between 15-30 minutes from a District Nurse. The District Nurses will advise the participant on how to drink more fluids, the importance of hydration and the effects of dehydration.

Treatment:

Behavioral: Education Session

Prompting Cup

Other group

Description:

Participants will receive a Droplet Cup with an electronic prompting device and a brief tutorial session from the District Nurse. The Droplet Cup will encourage the participant to stay hydrated during the day, by emitting a voice or light to encourage them to drink more.

Treatment:

Device: Prompting Cup

Control Group

No Intervention group

Description:

There will be no change to the care the participant receives from the District Nurse.

Prompting Cup and Education

Other group

Description:

Participants will receive a Droplet Cup with an electronic prompting device and an education session on the importance of hydration and the effects of dehydration.

Treatment:

Behavioral: Education Session

Device: Prompting Cup