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Nursing
Protocol
Study protocol for Care cOORDInatioN And sympTom managEment (COORDINATE) programme: a feasibility study
  1. Binu Koirala1,
  2. Sarah Badawi1,
  3. Steven Frost2,
  4. Caleb Ferguson2,
  5. David N Hager3,
  6. Lara Street4,
  7. Nancy Perrin1,
  8. Cheryl Dennison Himmelfarb1,
  9. Patricia Davidson2
  1. 1Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
  2. 2University of Wollongong, Wollongong, New South Wales, Australia
  3. 3Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  4. 4The Johns Hopkins Hospital, Baltimore, Maryland, USA
  1. Correspondence to Dr Binu Koirala; bkoiral1{at}jhu.edu

Abstract

Introduction Sustainable approaches to support care coordination and symptom management needs of critically ill adults living with multimorbidity are needed to combat the challenges and complexity that multimorbidity presents. The study aims to test the feasibility of the Care cOORDInatioN And sympTom managEment (COORDINATE) intervention to improve health outcomes of adults living with multimorbidity.

Methods and analysis A multicomponent nurse-driven intervention was developed using experience-based co-design and human-centred design. Inclusion criteria include (1) age 55 years and older, (2) admitted to an intermediate care unit, (3) presence of two or more chronic health conditions and (4) signed informed consent. Data collection will occur at baseline (time of recruitment predischarge) and 6 weeks and 3 months following hospital discharge. Outcome of interest from this feasibility study is to evaluate the financial, technical and logistic feasibility of a full-scale study including data collection and protocol adherence. Additionally, Cohen’s d effect sizes for the change in outcomes over time will be computed to establish power calculations required for a full-scale study. The protocol was prepared in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) checklist.

Ethics and dissemination The study has been reviewed and approved by the Institutional Review Board of Johns Hopkins Medical Institutions. Given the success of this feasibility study, the potential for the COORDINATE intervention to decrease the symptom burden and improve participant quality of life among critically ill people with multimorbidity will be tested in a full-scale study, and findings will be actively disseminated.

Trial registration number NCT05985044.

  • quality of life
  • adult intensive & critical care
  • quality in health care
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2023-072846

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    Footnotes

    • Twitter @davidnhager

    • Contributors BK and PD conceptualised the study. BK, SB, DNH, LS, NP, CDH and PMD were involved in the planning of the study. BK is the study’s principal investigator and is responsible for conducting the study. SF and CF provided feedback on the planning and conduct of the study. All authors provided their expertise for the intervention development and continuous refinement, critically appraised and approved the reporting in a manuscript, and assumed responsibility for the content of the manuscript.

    • Funding Dr Koirala is supported by the NINR P30 NR18093, the Building Interdisciplinary Research Careers in Women's Health (BIRCWH, K12HD085845; PI: Daniel Ernest Ford) program, and the Johns Hopkins School of Nursing Discovery and Innovation Award. The content is solely the responsibility of the authors and does not necessarily represent the official views of the supporting agencies.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods and analysis section for further details.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.