Bathing adaptations in the homes of older adults 2

ABSTRACT

ConditionBathing adaptations in the homes of older adults
Not Applicable

InterventionCurrent interventions as of 13/07/2023

Participants will be randomly allocated 11 to the usual care or intervention group. We will use “pairwise” randomisation. The randomisation will be stratified by ability to complete the SF-36; 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 of the strata will be considered in cases where finding a pair is problematic. The randomisation sequence will be generated by a statistician at York Trials Unit.

Study groups
Control Usual waiting list group. People in this group will remain on the usual waiting list and be allocated to a project officer surveyor to begin the adaptations process when they reach the top of the waiting list and/or by the usual processes and timescales within the local authority. The waiting list at our sites before the COVID-19 pandemic was between 4 and 9 months, but this can vary.
Intervention Accelerated list group. People in this group will be allocated to a project officer/surveyor to begin the adaptations process and/or will have their adaptations process expedited by active management of the process and rapid or fast-tracked contracting.

Baseline consultation
Local authority staff will contact people who have been referred for an accessible shower to let them know they have been added to a waiting list for this. If the person fulfils the eligibility criteria the administrator will also give a brief overview of the study and ask permission for a research assistant to make contact with them about the study and to send further information. If a participant requires consultee support either a personal or nominated consultee will attempt to be identif

Primary outcome: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

CriteriaInclusion 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 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