Dehydration Nutritional, Metabolic, Endocrine Dehydration
Conditions
Interventions
Care-home residents tell us we must explain to residents and staff why drinking is crucial, and provide clear, consistent prompts – a “pro-drinking” environment. We will work with care-home residents
Sponsors
University of East Anglia
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Residents of care homes taking part in the research who are well enough to approach to discuss the study.
Exclusion criteria
Exclusion criteria: 1. Care home residents who are too ill to be approached 2. Care home residents who state they would prefer not to take part
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess the feasibility of using the intervention and proceeding to a larger RCT, which will depend on our ability to run the intervention in the 3 testing homes, and numbers of residents providing various types of outcome data, and resident impact. As such, there are no formal efficacy analyses for the feasibility study but statistics regarding recruitment, data availability etc. will be presented with 95% confidence intervals. These will be used to inform the design of a future trial. An initial estimate of potential efficacy will be derived through considering changes in outcomes between baseline and 12 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcomes planned for use in the full scale RCT (the ability to collect these data are part of the primary outcome of the feasibility study) 1. Health data. Each of urinary tract infections, respiratory infections, falls, GP contacts, nurse contacts and unplanned hospital admissions 2. Engagement with the activity, with care staff or the activities coordinator, and with other residents will also be assessed during each activity 3. Drinks intake over 24 hours (assessed by staff and also by residents) 4. Functional status (Barthel Index) 5. Cognitive function using the mini-mental state exam (MMSE) 6. Mood using the Geriatric Depression Scale (GDS) 7. Resident impact recorded by one or two resident researchers at each care home 8. Hydration status using a blood test (serum osmolality, sodium, potassium, urea and glucose) 9. Care home impact will be assessed using interviews with the AC, a senior carer and the manager at each intervention home. These 9 interviews will focus on the NPT concepts of implementation, embedding and integration as well as positive, neutral and negative effects to residents, staff and relatives 10. Resources required to provide the intervention including staff time and consumables (recorded by ACs) 11. Health economics. For care home impact and resources we will assess effects on costs and separate out costs of taking part in the research, from the costs of the intervention | — |
Countries
United Kingdom
Outcome results
None listed