Housing adaptations Not Applicable
Conditions
Interventions
Randomisation to parallel groups in random varying block sizes via web-based randomisation. Randomisation will be stratified for privately and publicly owned properties. Outcome assessor will be maske
however they will be randomised to either:
Usual Adaptations Service (waiting-list control group)
Those randomised to the control group will receive the usual routine service provided by the Adaptati
Sponsors
University of Nottingham (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Service users: 1. Aged 65 or over 2. Referred to the Adaptations and Renewals Agency, by a social care occupational therapy team member, for provision of an accessible showering facility. Carers 1. Where a participant has a carer they will also be approached for informed consent to take part in the study. We will take a broad definition of ‘carer’ which will be led by the service user and carer’s views of their role. This will encompass people who provide practical and/or emotional support, those who assist with personal care and those who do not. NB where a service user consents to take part in the study but a carer declines then the service user will still be eligible to participate.
Exclusion criteria
Exclusion criteria: Service users: 1. Referred for an accessible showering facility plus one or more other adaptations (e.g. hoist, ramp, lift) 2. Priority ‘A’ referrals (those which are being ‘fast-tracked’ based on clinical assessment) Carers: 1. Unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main outcome for the study is to determine the feasibility of conducting a larger, powered study. This will be a composite of: 1. Whether the eligibility criteria are realistic 2. Whether users and carers are willing to be randomized 3. The study attrition rate 4. Whether the adaptations can be completed within 4 to 6 weeks of allocation to a project officer (in both groups) 5. The suitability and sensitivity of outcome measures 6. The most suitable outcome measure for use in the main study 7. The feasibility of collecting the data on costs and health and social care use | — |
Secondary
| Measure | Time frame |
|---|---|
| The service user outcomes to be assessed, at three and six months post-randomisation, will be: 1. Health-related quality of life – EQ5D-5L 2. Social care related quality of life – Adult Social Care Outcomes Toolkit (ASCOT) 3. Perceived physical and mental health/wellbeing – Short Form 36 (physical and mental component summaries) 4. Personal activities of daily living – Barthel Index 5. Fear of falling – Falls Efficacy Scale 6. Falls 7. Number of care support hours 8. Health and social care service usage – a purposely designed questionnaire will gather information on the use of other health and social care services, with particular emphasis on the use of homecare and residential care. The carer outcomes to be assessed, at three and six months post-randomisation, will be: 1. Health related quality of life – EQ5D-5L 2. Perceived physical and mental health/wellbeing – Short Form 36 (physical and mental component summaries) 3. Carer Strain – Caregiver Strain Index We will also gather data on the carers’ use of health and social care services. | — |
Countries
England, United Kingdom
Contacts
Public ContactMiriam Day
Outcome results
None listed