{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:57:15Z","timestamp":1789610235354,"version":"build-2803163510"},"reference-count":52,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"unspecified","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Applied Research Collaboration","award":["NIHR202338"],"award-info":[{"award-number":["NIHR202338"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,19]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"\n Objectives<\/jats:title>\n To test a theory-informed, person-centred rehabilitation intervention for older adults following a hospital admission complicated by delirium, developed in line with the Medical Research Council framework for complex interventions, to determine whether: (a) the intervention is acceptable to individuals with delirium and (b) a definitive trial and parallel economic evaluation of the intervention are feasible.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Multicentre, single-arm feasibility study.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n 19 patient (aged >65 years old) and carer pairs were recruited from six National Health Service acute hospitals across the UK.<\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Home-based rehabilitation programme designed to support recovery after hospital discharge, addressing cognitive, physical, physiological and psychosocial needs. Delivered by a trained team of occupational therapists, physiotherapists and rehabilitation support workers, the intervention included a comprehensive home assessment, collaborative goal setting, up to 10 personalised sessions over 12 weeks and the use of a recovery record to guide progress, education and psychosocial support.<\/jats:p>\n <\/jats:sec>\n \n Outcome measures<\/jats:title>\n Examined aspects of feasibility including eligibility, recruitment, data collection, attrition, acceptability of the rehabilitation intervention and potential to calculate cost-effectiveness.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In total, 419 patients were identified as having delirium and 36 met the full eligibility. 19 patient and carer pairs agreed to participate in the study (consent rate 53%; 95%\u2009CI 35% to 70%) with 13 participants going on to start the intervention (68%; 95%\u2009CI 43% to 87%) and 10 participants completing final follow-up (53%; 95%\u2009CI 29% to 76%). Baseline assessments were conducted either during hospitalisation or postdischarge, with initial assessments occurring a mean of 18 days (SD=13.0) postdischarge, and 77% completed within 14 days. Participants completed a mean of eight sessions (SD=2.9). 19 participants completed the primary outcome at baseline, while 10 participants completed it at 6-month follow-up. The economic evaluation indicated a total cost of \u00a31249.29 per participant, covering assessments, intervention sessions and training costs.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The intervention showed feasibility among older adults recovering from delirium, as evidenced by the trial processes for participants who entered the study. However, recruitment challenges indicate a need for better strategies and further research through a definitive randomised controlled trial to demonstrate the effectiveness and cost-effectiveness of the intervention.<\/jats:p>\n <\/jats:sec>\n \n Trial registration number<\/jats:title>\n \n NCT15676570<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-102316","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T16:25:43Z","timestamp":1776875143000},"page":"e102316","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rehabilitation intervention to improve Recovery after an Episode of Delirium in adults over 65 years (RecoverED): a multicentre, single-arm feasibility study in NHS acute hospitals in the 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