Evidence map›Paper›PMID 40679327›Full record

ArticleAge and ageing2025

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

Louise M Allan, Abigail O'Connell, Rowan H Harwood, Alison Bingham, Abigail Laverick, Kirstie Chandler, Shruti Raghuraman, Obi Ukoumunne, Thomas Andrew Jackson, Sarah Joanna Richardson and 8 more

Abstract read
In one paragraph

Article in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Louise M AllanUniversity of Exeter, Centre for Research in Ageing and Cognitive Health, Exeter, Devon EX1 2LU, UK.ORCID 0000-0002-8912-4901
Abigail O'ConnellUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Rowan H HarwoodUniversity of Nottingham, School of Health Sciences, Queens Medical Centre, Derby Road, Nottingham NG7 2HA, UK.ORCID 0000-0002-4920-6718
Alison BinghamUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Abigail LaverickUniversity of Exeter, Centre for Research in Ageing and Cognitive Health, Exeter, Devon, UK.
Kirstie ChandlerUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Shruti RaghuramanUniversity of Exeter, Centre for Research in Ageing and Cognitive Health, Exeter, Devon, UK.
Obi UkoumunneUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Thomas Andrew JacksonUniversity of Birmingham, Institute of Inflammation and Ageing, Centre for Translational Inflammation Research Queen Elizabeth Hospital Mindelsohn Way, Birmingham B15 2WD, UK.ORCID 0000-0001-6320-9600
Sarah Joanna RichardsonNewcastle University, Translational and Clinical Research Institute, Newcastle upon Tyne NE4 5PL, UK.ORCID 0000-0002-5771-1845
Rob AndersonUniversity of Exeter Medical School, Evidence Synthesis & Modelling for Health Improvement (ESMI) Research Group, University of Exeter Medical School, Health Services and Policy Research Group, Exeter Collaboration for Academic Primary Care (APEx), NIHR School for Primary Care Research, Exeter, Devon, UK.ORCID 0000-0002-3523-8559
Rachel LitherlandInnovations in Dementia, Exeter, Devon, UK.
Lesley CollierUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Victoria A GoodwinUniversity of Exeter, Faculty of Health and Life Sciences, Exeter, Devon, EX4 4QJ, UK.ORCID 0000-0003-3860-9607
Sarah Morgan-TrimmerUniversity of Exeter, Centre for Research in Ageing and Cognitive Health, Exeter, Devon EX1 2LU, UK.
Annie HawtonUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Elizabeth GoodwinUniversity of Exeter Medical School, Heavitree Road, Exeter, Devon, EX1 2LU, UK.
Linda ClareUniversity of Exeter, Centre for Research in Ageing and Cognitive Health, Exeter, Devon EX1 2LU, UK.ORCID 0000-0003-3989-5318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

DeliriumRehabilitation ResearchState MedicineAgedFeasibility StudiesHumansPatient SelectionUnited KingdomlearningNHSolder peoplerehabilitationtrials

Identifiers

PMID40679327
PMCPMC12272840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.