ArticleMethods and protocols2021
Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial.
Article in Methods and protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 4 citations in OpenAlex.
- Improving Quality of Care Through Detection of Complexity Among Community-Dwelling Older People Receiving District-Nurse Support: ImPaCt Study Randomised Controlled Trial.Nursing open · 2025Trial
- Characteristics, care and support needs of older Victorians requiring a government-funded Home Care Package: An observational study.Australasian journal on ageing · 2025Observational
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity-dwelling older clients are becoming increasingly complex. Detecting this complexity in clinical practice is limited, with greater reliance on community nurses' clinical judgment and skills. The lack of a consistent approach to complexity impacts the level of care and support for older clients to remain in their homes for longer.
objectiveTo examine the effectiveness of the Patient Complexity Instrument (PCI) in addition to nurses' clinical judgment to enhance detection of complexity, and subsequent older clients' resource allocation compared to usual nursing assessment.
designA pragmatic randomized controlled trial will be conducted within a community nursing service in regional Victoria, Australia. Clients 65 years and over referred to the service who are eligible for Commonwealth Home Support Programme (CHSP) funding will be randomized into Control group: usual nursing assessment or Intervention group: usual nursing assessment plus the PCI. Nurse participants are Registered Nurses currently employed in the community nursing service.
resultsThis study will explore whether introducing the PCI in a community nursing service enhances detection of complexity and client care resource allocation compared to nurses' clinical judgment based on usual nursing assessment.
conclusionThis protocol outlines the study to enhance the detection of complexity by nurses delivering care for community-dwelling older people in the regional Australian context. The findings will inform the use of a standardized tool to detect complexity among community-dwelling older Australians.
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Registered trials
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