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The challenges of rehabilitation and delirium trials in the current NHS landscape: Learning from the RecoverED feasibility trial

Lookup NU author(s): Dr Sarah Richardson

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).

Abstract

© 2025 The Author(s). Published by Oxford University Press on behalf of the British Geriatrics Society.There is a great need for more high-quality rehabilitation and delirium research and the National Health Service (NHS) should be well placed to deliver such research. This commentary discusses the challenges we faced in delivering a feasibility trial of a rehabilitation intervention aimed at supporting recovery from delirium. We found a number of challenges including identifying therapy teams, delays in study set up, difficulty in identification and recruitment of participants, staff capacity to undertake the research and site selection. As a result of identifying these challenges we propose some recommendations as opportunities to improve the delivery of rehabilitation research in the future. These are: development of research capacity amongst therapy staff; optimising delirium screening to improve patient care and research opportunities; and greater creativity and innovation between funders and researchers to improve recruitment of frail older people with cognitive impairment to research.

Publication metadata

Author(s): Allan LM, O'Connell A, Harwood RH, Bingham A, Laverick A, Chandler K, Raghuraman S, Ukoumunne O, Jackson TA, Richardson SJ, Anderson R, Litherland R, Collier L, Goodwin VA, Morgan-Trimmer S, Hawton A, Goodwin E, Clare L

Publication type: Review

Publication status: Published

Journal: Age and Ageing

Year: 2025

Volume: 54

Issue: 7

Print publication date: 01/07/2025

Online publication date: 18/07/2025

Acceptance date: 03/07/2025

ISSN (print): 0002-0729

ISSN (electronic): 1468-2834

Publisher: Oxford University Press

URL: https://doi.org/10.1093/ageing/afaf196

DOI: 10.1093/ageing/afaf196

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