Evidence map›Paper›PMID 41917835›Full record

ArticleBMC geriatrics2026

A rehabilitation intervention to improve recovery after delirium in older people: mixed methods process evaluation of the RecoverED multi-site feasibility study.

Shruti Raghuraman, Aseel Mahmoud, Alison Bingham, Abigail Laverick, Kirstie Chandler, Abby O'Connell, Jinpil Um, Obioha C Ukoumunne, Elizabeth Goodwin, Annie Hawton and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Shruti RaghuramanHealth and Community Sciences, University of Exeter, Exeter, UK. s.raghuraman@exeter.ac.uk.
Aseel MahmoudHealth and Community Sciences, University of Exeter, Exeter, UK.
Alison BinghamHealth and Community Sciences, University of Exeter, Exeter, UK.
Abigail LaverickHealth and Community Sciences, University of Exeter, Exeter, UK.
Kirstie ChandlerHealth and Community Sciences, University of Exeter, Exeter, UK.
Abby O'ConnellExeter Clinical Trials Unit, University of Exeter, Exeter, UK.
Jinpil UmHealth and Community Sciences, University of Exeter, Exeter, UK.
Obioha C UkoumunneNIHR Applied Research Collaboration South West Peninsula, University of Exeter, Exeter, UK.
Elizabeth GoodwinHealth Economics Group, University of Exeter Medical School, University of Exeter, Exeter, UK.
Annie HawtonHealth Economics Group, University of Exeter Medical School, University of Exeter, Exeter, UK.
Lesley CollierFaculty of Health and Well‑Being, University of Winchester, Winchester, UK.
Sarah Joanna RichardsonAGE Research Group, Newcastle upon Tyne Hospitals NHS Foundation Trust, Cumbria Northumberland Tyne and Wear NHS Foundation Trust, Newcastle University, Newcastle Upon Tyne, UK.
Alasdair MaclullichScottish Hip Fracture Audit (SHFA), NHS National Services Scotland, Edinburgh, UK.
Rachael LitherlandInnovations in Dementia, Exeter, UK.
Victoria A GoodwinHealth and Community Sciences, University of Exeter, Exeter, UK.
Linda ClareHealth and Community Sciences, University of Exeter, Exeter, UK.
Louise AllanHealth and Community Sciences, University of Exeter, Exeter, UK.
Sarah Morgan-TrimmerSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.

Funding

National Institute of Health and Care Research Programme Grants for Applied Research Programme NIHR202338
6 · The paper itself

Abstract

objectiveA mixed-methods process evaluation was conducted alongside a multi-site feasibility trial of RecoverED, a multicomponent delirium rehabilitation intervention for older people in post-acute settings. A modified Conceptual Model for Implementation Fidelity was used. Findings on implementation and acceptability are presented. DESIGN AND

methodsOlder adults with delirium, their carers, and trained healthcare professionals (HCPs) from six UK NHS hospitals participated. Adherence to content, dose, and coverage, alongside moderating factors such as recruitment, context, and delivery quality, were examined. Findings from in-depth interviews, focus groups, trial documentation, and training logs were triangulated.

resultsNineteen participant-carer pairs were recruited to the study. Post-intervention, five older adults, nine carers, and eight HCPs participated in interviews, while seven HCPs took part in focus groups. Adherence to content was challenging to assess due to the intervention’s personalised nature. Psychosocial support was delivered more frequently than planned. Participant-led goals were highly valued, with strong engagement and perceived benefit. Implementation was largely as intended. Most withdrawals (N = 10) were attributed to complex needs. No participants from minority ethnic backgrounds were recruited.

conclusionsThe RecoverED intervention was acceptable, though recruitment and retention challenges necessitate caution when interpreting acceptability and fidelity to dose and coverage. Implementation fidelity was high and well-received.

Indexed as

DeliriumRecovery of FunctionAgedAged, 80 and overFeasibility StudiesFemaleFocus GroupsHumansMaleUnited KingdomAcceptabilityCommunity rehabilitationDeliriumHealthcare deliveryImplementation fidelity

Identifiers

PMID41917835
PMCPMC13185282

What OpenQuestion holds

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Registered trials

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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.