Evidence map›Paper›PMID 40355820›Full record

ArticleBMC psychiatry2025

Outcomes of a pilot feasibility study of comprehensive geriatric assessment for younger frail patients with severe mental illness.

Urska Arnautovska, Rebecca Soole, Winona Wing Ling Kwan, Natasha Reid, Andrea Baker, Emily H Gordon, Ruth E Hubbard, Dan Siskind, Nicola Warren

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

9 authors.

Urska ArnautovskaFaculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia. u.arnautovska@uq.edu.au.
Rebecca SooleFaculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Winona Wing Ling KwanMetro South Addiction and Mental Health Services, Woolloongabba, QLD, Australia.
Natasha ReidFaculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Andrea BakerQueensland Centre for Mental Health Research, Wacol, QLD, 4076, Australia.
Emily H GordonFaculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Ruth E HubbardFaculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Dan Siskind *Faculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.
Nicola Warren *Faculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia.

Funding

NHMRC Emerging Leadership Fellowship GNT1194635the Metro South Health Research Support Scheme (MSH RSS) Early Career Researcher Grant RSS_2022_111
6 · The paper itself

Abstract

backgroundIndividuals with severe mental illness (SMI) are at risk of early-onset frailty, leading to adverse outcomes. Effective interventions for reducing frailty in this population are currently lacking.

aimsTo assess the feasibility, acceptability, and preliminary efficacy of Comprehensive Geriatric Assessment (CGA), delivered by an Advanced Trainee in Geriatric Medicine, as an intervention for individuals with co-occurring frailty and SMI.

methodParticipants, aged 18-64, with frailty and SMI were recruited from public community outpatient clinics between July 2022 and January 2023. Feasibility of CGA was evaluated through mixed methods. Secondary outcomes included a range of mental and physical health factors.

resultsOut of 38 eligible individuals, 17 were enrolled and 14 completed the study; three dropped out post-baseline assessment and CGA. 86% were male, average age was 48.4, Body Mass Index 34.6, and Frailty Index 0.35. Participants expressed high acceptability and perceived benefits of CGA, including increased insight about one's health and receipt of multidisciplinary holistic care. While this study was inadequately powered to show statistically significant changes in secondary outcomes, positive trends were observed in overall psychosis symptoms and weekly physical activity engagement which increased by 56.6 min, reaching the recommended levels to achieve health benefits.

conclusionThe findings of this study support the feasibility of CGA as an intervention in routine care of people with SMI and provide evidence for designing future trials of frailty interventions in this population. The study underscores the significance of tailored, multidisciplinary, and individualised approaches, though further research is required to substantiate its efficacy in this priority population.

Indexed as

FrailtyGeriatric AssessmentMental DisordersAdolescentAdultFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsYoung AdultComprehensive geriatric assessmentFrailtyPhysical comorbiditySchizophreniaSevere mental illness

Identifiers

PMID40355820
PMCPMC12070768

What Socratic 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 Socratic graph.