CGANCT06646575
Exploring the User Experience of CGA-Q
An observational study of CGA and Comprehensive Geriatric Assessment, run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.
Trial summary
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). Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- CGA, Comprehensive Geriatric Assessment, Person Centred Care
- How many people
- 10 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 4 Nov 2024to 30 Apr 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Child, Adult, Older adult
Study population: Individuals who have experienced the CGA-Q either as a healthcare professional or as a patient or informal carer of a patient
Who may be able to join
- 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
Show all 20Show fewer
- 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
Who cannot join
- 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
Show all 14Show fewer
- 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
Trial locations and contacts
1 site in 1 country.
About this study
Official title: 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.
Read the 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.
- Conditions
- CGA, Comprehensive Geriatric Assessment, Person Centred Care, Frailty
- Being tested
- Qualitative data, no intervention
- Medical subject headings
- Frailty
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Qualitative data, no interventionOther
This is a qualitative study
| Study group | Role | What they receive |
|---|---|---|
| Patient participant | Not described Receives: Other: Qualitative data, no intervention | |
| Informal carer participant | Not described Receives: Other: Qualitative data, no intervention | |
| Healthcare professional participant | Not described Receives: Other: Qualitative data, no intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participants experience of the CGA-Q and its impact on person-centred care
This data will consist of qualitative data collected through three separate focus group discussions with patients, informal carers, and health care professionals
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2024
- Study start4 Nov 2024
- Primary completion17 Mar 2025
- Study completion30 Apr 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for CGAStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Guy's and St Thomas' NHS Foundation Trust
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06646575
- Sponsor's protocol ID
- 337803
- Status last verified
- Aug 2025
- First submitted
- 8 Oct 2024
- Last updated
- 15 Aug 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Society, B. G. (2019). Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners. B. G. Society. https://www.bgs.org.uk/sites/default/files/content/resources/files/2019-02-08/BGS%20Toolkit%20-%20FINAL%20FOR%20WEB_0.pdf
Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, Conroy SP, Kircher T, Somme D, Saltvedt I, Wald H, O'Neill D, Robinson D, Shepperd S. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2017 Sep 12;9(9):CD006211. doi: 10.1002/14651858.CD006211.pub3.
PubMed 28898390Partridge JS, Harari D, Martin FC, Dhesi JK. The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review. Anaesthesia. 2014 Jan;69 Suppl 1:8-16. doi: 10.1111/anae.12494.
PubMed 24303856Shepperd S, Cradduck-Bamford A, Butler C, Ellis G, Godfrey M, Gray A, Hemsley A, Khanna P, Langhorne P, Makela P, Mort S, Ramsay S, Schiff R, Singh S, Smith S, Stott DJ, Tsiachristas A, Wilkinson A, Yu LM, Young J. Hospital at Home admission avoidance with comprehensive geriatric assessment to maintain living at home for people aged 65 years and over: a RCT. Southampton (UK): NIHR Journals Library; 2022 Jan. Available from http://www.ncbi.nlm.nih.gov/books/NBK577408/
PubMed 35129936Soo WK, King MT, Pope A, Parente P, Darzins P, Davis ID. Integrated Geriatric Assessment and Treatment Effectiveness (INTEGERATE) in older people with cancer starting systemic anticancer treatment in Australia: a multicentre, open-label, randomised controlled trial. Lancet Healthy Longev. 2022 Sep;3(9):e617-e627. doi: 10.1016/S2666-7568(22)00169-6. Epub 2022 Aug 22.
PubMed 36102776World Health Organization, W. (2015). WHO global strategy on people-centred and integrated health services: interim report. https://www.afro.who.int/sites/default/files/2017-07/who-global-strategy-on-pcihs-main-document_final.pdf
Poochikian-Sarkissian S, Sidani S, Ferguson-Pare M, Doran D. Examining the relationship between patient-centred care and outcomes. Can J Neurosci Nurs. 2010;32(4):14-21.
PubMed 21268489Whittle AK, Kalsi T, Babic-Illman G, Wang Y, Fields P, Ross PJ, Maisey NR, Hughes S, Kwan W, Harari D. A comprehensive geriatric assessment screening questionnaire (CGA-GOLD) for older people undergoing treatment for cancer. Eur J Cancer Care (Engl). 2017 Sep;26(5). doi: 10.1111/ecc.12509. Epub 2016 May 1.
PubMed 27132979
Study at a glance
From the registry record, last updated by the sponsor on 15 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exploring the Experience of Patients, Carers, and Healthcare Clinicians of the CGA-Q, a Tool to Facilitate Person-centred Comprehensive Geriatric Assessment (CGA)
- ClinicalTrials.gov ID
- NCT06646575
- Acronym / sponsor ID
- 337803
- Conditions
- CGA, Comprehensive Geriatric Assessment, Person Centred Care, Frailty
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Guy's and St Thomas' NHS Foundation TrustUniversity, hospital or other
- Study start
- 4 Nov 2024 (actual)
- Primary completion
- 17 Mar 2025 (actual)
- Study completion
- 30 Apr 2025 (actual)
- First posted
- 17 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- 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.
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 design
- Observational model
- Other
- Time perspective
- Other
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Patient participant | – | Other: Qualitative data, no intervention |
| Informal carer participant | – | Other: Qualitative data, no intervention |
| Healthcare professional participant | – | Other: Qualitative data, no intervention |
Who may qualify
- Sex
- All
- Age groups
- Child, Adult, Older adult
- Study population
- Individuals who have experienced the CGA-Q either as a healthcare professional or as a patient or informal carer of a patient
Key inclusion criteria (20 listed)
- Patient 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
Key exclusion criteria (14 listed)
- Patient 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Qualitative data, no interventionThis is a qualitative study | Other | Healthcare professional participant, Informal carer participant, Patient participant |
Primary outcome
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
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Aug 2025.
- BackgroundSociety, B. G. (2019). Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners. B. G. Society. https://www.bgs.org.uk/sites/default/files/content/resources/files/2019-02-08/BGS%20Toolkit%20-%20FINAL%20FOR%20WEB_0.pdf
- Background: PubMed 28898390Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, Conroy SP, Kircher T, Somme D, Saltvedt I, Wald H, O'Neill D, Robinson D, Shepperd S. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2017 Sep 12;9(9):CD006211. doi: 10.1002/14651858.CD006211.pub3.
- Background: PubMed 24303856Partridge JS, Harari D, Martin FC, Dhesi JK. The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review. Anaesthesia. 2014 Jan;69 Suppl 1:8-16. doi: 10.1111/anae.12494.
- Background: PubMed 35129936Shepperd S, Cradduck-Bamford A, Butler C, Ellis G, Godfrey M, Gray A, Hemsley A, Khanna P, Langhorne P, Makela P, Mort S, Ramsay S, Schiff R, Singh S, Smith S, Stott DJ, Tsiachristas A, Wilkinson A, Yu LM, Young J. Hospital at Home admission avoidance with comprehensive geriatric assessment to maintain living at home for people aged 65 years and over: a RCT. Southampton (UK): NIHR Journals Library; 2022 Jan. Available from http://www.ncbi.nlm.nih.gov/books/NBK577408/
- Background: PubMed 36102776Soo WK, King MT, Pope A, Parente P, Darzins P, Davis ID. Integrated Geriatric Assessment and Treatment Effectiveness (INTEGERATE) in older people with cancer starting systemic anticancer treatment in Australia: a multicentre, open-label, randomised controlled trial. Lancet Healthy Longev. 2022 Sep;3(9):e617-e627. doi: 10.1016/S2666-7568(22)00169-6. Epub 2022 Aug 22.
- BackgroundWorld Health Organization, W. (2015). WHO global strategy on people-centred and integrated health services: interim report. https://www.afro.who.int/sites/default/files/2017-07/who-global-strategy-on-pcihs-main-document_final.pdf
- Background: PubMed 21268489Poochikian-Sarkissian S, Sidani S, Ferguson-Pare M, Doran D. Examining the relationship between patient-centred care and outcomes. Can J Neurosci Nurs. 2010;32(4):14-21.
- Background: PubMed 27132979Whittle AK, Kalsi T, Babic-Illman G, Wang Y, Fields P, Ross PJ, Maisey NR, Hughes S, Kwan W, Harari D. A comprehensive geriatric assessment screening questionnaire (CGA-GOLD) for older people undergoing treatment for cancer. Eur J Cancer Care (Engl). 2017 Sep;26(5). doi: 10.1111/ecc.12509. Epub 2016 May 1.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of CGA and Comprehensive Geriatric Assessment, run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 20 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Participants experience of the CGA-Q and its impact on person-centred care (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06646575, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Aug 2025.