Bathing adaptations in the homes of older adults (BATH-OUT): results of a feasibility randomised controlled trial (RCT)

Autor: Miriam Golding-Day, Stuart Belshaw, Tony Dawson, Marion F Walker, Marilyn James, Phillip J Whitehead
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Bathing
medicine.medical_specialty
Activities of daily living
Cost-Benefit Analysis
L500
Housing
Adaptations
Older adults
Bathing
Prevention
Randomised Controlled Trial
Health economics
law.invention
Diagnostic Self Evaluation
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Randomized controlled trial
law
Activities of Daily Living
Outcome Assessment
Health Care
Humans
Medicine
030212 general & internal medicine
Aged
Aged
80 and over
Randomised controlled trial
Adaptations
Health economics
business.industry
030503 health policy & services
Public health
Prevention
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Baths
lcsh:RA1-1270
Home Care Services
Mental health
United Kingdom
Older adults
Economic evaluation
Quality of Life
Physical therapy
Housing
Feasibility Studies
Accidental Falls
Female
0305 other medical science
business
Follow-Up Studies
Research Article
Zdroj: BMC Public Health, Vol 18, Iss 1, Pp 1-11 (2018)
BMC Public Health
ISSN: 1471-2458
Popis: Background Housing adaptations have been identified as an important environmental and prevention intervention for older adults, which may improve health and quality of life. The onset of disability in bathing can act as a warning for further disability in other activities and may therefore be a judicious time-point for intervention. The aim of this study was to determine the feasibility of conducting a Randomised Controlled Trial (RCT) of bathing adaptations, to evaluate whether they improve older adults’ perceived health status and quality of life, prevent further functional deterioration, and reduce the use of other health and social care resources. This study was conducted in preparation for a powered RCT. Method Eligibility criteria were aged > 65 and referred to local authority housing adaptations service for an accessible flush-floor shower. Participants were randomised to either usual adaptations (3–4 month wait) or immediate adaptations (no wait). Outcomes were assessed at 3, 6 and 9 months and included perceived physical and mental health status, health and social care related quality of life, independence in activities of daily living (ADL) and bathing, and falls. Data on costs and the use of health and social care resources were collected during follow-up in order to inform a definitive health economic evaluation. Results Sixty participants were recruited and randomised, 31 to immediate adaptations and 29 to waiting list control. Mean age was 77(SD8), 58% women and 58% living alone. Follow-ups were completed with 90, 85 and 72% at 3, 6 and 9 months respectively. Adaptations were delivered to 65% of participants within the requisite timescales as there were delays with some privately owned properties. There were improvements from baseline in both groups on all outcome measures following the completion of the adaptations. Conclusions This is the first RCT of housing adaptations in the UK. We demonstrated the feasibility of using a waiting list control, subject to minor alterations to the timescales for privately owned properties. A powered trial would evaluate the impact on older adults’ quality of life and investigate the impact of waiting times on functional outcomes and health and care resource use. Trial registration ISRCTN14876332 Registered 12 July 2016. Electronic supplementary material The online version of this article (10.1186/s12889-018-6200-4) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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