Bathing adaptations in the homes of older adults Other
Conditions
Interventions
Current interventions as of 13/07/2023:
Participants will be randomly allocated 1:1 to the usual care or intervention group. We will use “pairwise” randomisation. The randomisation will be stratifie
for those participants who can self-complete the SF-36, it will be further stratified by site and property tenure, and for those who can not, it will be stratified by site only. Additional flexibility
Sponsors
Newcastle University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 13/07/2023: 1. People aged 60 years or over 2. People referred for a major adaptation for provision of an accessible (level or easy access) showering facility. This may be by removal of an existing bath or shower cubicle. 3. People living in housing owned by the local authority or living in privately-owned housing (owner-occupied, privately rented, housing association owned) and appear to be eligible for a Disabled Facilities Grant (DFG) and/or assistance from the local authority. The study will include people who do not speak English and will provide interpreters. The researchers will use the interpreting agency at the site. _____ Previous inclusion criteria as of 27/07/2021: 1. People aged 65 years or over 2. People referred for a major adaptation for provision of an accessible (level or easy access) showering facility. This may be by removal of an existing bath or shower cubicle. 3. People living in housing owned by the local authority or living in privately-owned housing (owner-occupied, privately rented, housing association owned) and appear to be eligible for a Disabled Facilities Grant (DFG) and/or assistance from the local authority. The study will include people who do not speak English and will provide interpreters. The researchers will use the interpreting agency at the site. _____ Previous inclusion criteria: 1. People aged 65 years or over 2. People referred for a major adaptation for provision of an accessible (level or easy access) showering facility. This may be by removal of an existing bath or shower cubicle. 3. People living in housing owned by the local authority or living in privately-owned housing (owner-occupied, privately rented, housing association owned) and appear to be eligible for a Disabled Facilities Grant (DFG) The study will include people who do not speak English and will provide interpreters. The researchers will use the interpreting agency at the site.
Exclusion criteria
Exclusion criteria: 1. People referred for an accessible showering facility plus one or more other adaptations (e.g. ramps, hoists, lifts) as these adaptations are more complex and will involve extended timescales 2. People referred for a rapid, fast-tracked or urgent priority bathing adaptation 3. People who lack the mental capacity to provide informed consent and we are unable to identify a personal or nominated consultee 4. People who lack the mental capacity to provide informed consent and who are unable to provide any study outcomes with support or where we are unable to identify an “alternative participant” to provide data
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 13/07/2023: Physical Component Summary score (PCS) of the SF-36 measured in: 1. Both groups at baseline 2. Four weeks post-adaptation in the intervention group 3. Four weeks post-adaptation in control group 4. 12 weeks post-adaptation in control group _____ Previous primary outcome measure: Physical Component Summary score (PCS) of the SF-36 measured in: 1. Both groups at baseline 2. Four weeks post-adaptation in the intervention group 3. Two weeks pre-adaptation in control group 4. Four weeks post-adaptation in control group 5. 12 weeks post-adaptation in control group | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 13/07/2023: 1. Perceived mental health status measured via the Mental Component Summary score (MCS) of the SF-36 measured at the above timepoints. 2. Number of falls (self reported) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 3. Health and social care service use and associated costs measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 4. Health related quality of life using the EuroQol EQ-5D-5L measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 5. Social care related quality of life using the Adult Social Care Outcomes Toolkit (ASCOT) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 6. Perceived risk of falling (Short falls efficacy scale) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 7. Independence in bathing (bathing question of the Barthel Index) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 8. Ability to manage personal activities of daily living (Barthel Index) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. 9. Perceived difficulty in bathing (0-100 scale) measured at baseline, four weeks post-adaptation in the intervention group, 4 weeks post-adaptation in control group and 12 weeks post-adaptation in control group. ___ | — |
Countries
United Kingdom
Outcome results
None listed