Action Falls for Domiciliary Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Falls. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United Kingdom
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Adapting and Implementing the Action Falls Programme for Domiciliary Care: A Focus on Rural and Coastal Communities
Overview
Action Falls is a programme that helps older adults avoid falls and injuries. It finds out why someone might fall and suggests ways to help, like checking their medication and encouraging them to stay active. It was created to try and prevent falls in care homes. It includes training for care home staff, a manual, and a checklist of what to look out for and what to do. Home care providers, local care groups, and older adults who live in the community think Action Falls could be useful too, to help reduce the number of falls in older adults who live at home. The investigators have identified that the programme could be particularly useful for older people who are supported by home care services. The goal of this project is to develop ways to deliver and keep the programme running for older people supported by home care services. A future study will then try it out and see it helps people manage falls in home care. The first part aims to plan and make changes to the current Action Falls programme to make sure it is suitable for use in home care settings. The investigators will do this by * observing what happens on home care visits * asking people who are supported by and who deliver home care how the programme needs to be changed. In a future study the investigators will then deliver the programme across home care in Nottinghamshire and Lincolnshire and evaluate how well it has worked. The study will focus on coastal and rural areas.
Detailed description
Action Falls is a falls management programme for older people living in a care home that proactively identifies risk factors for falling and promotes actions to reduce these risks. This can include things such as reviewing medications, checking footwear is appropriate and supporting more activity. It has been collaboratively developed with care home staff, clinicians and researchers. The programme includes a training programme for care home staff, a manual, and a checklist of risk factors and actions. In the course of the work with the care home sector, domiciliary care providers, care organisations and social care practitioners have raised that Action Falls would be beneficial for domiciliary care. Areas where it would need to be adapted have been identified by these groups which include an increased focus on older people and their relatives who support with care needs. It is the push from the sector that has led to this collaborative grant.
Aims and objectives:
The aim is to adapt Action Falls for domiciliary care settings. The work will meet the following objectives:
* To explore the context of delivering Action Falls in domiciliary care * To adapt the Action Falls materials to meet the needs of people accessing domiciliary care * To develop a logic model of the adapted intervention
Evaluation plan:
Action Falls will be adapted, implemented and evaluated using the Adapt framework:
* Step One: To identify Action Falls as a potential intervention for domiciliary care. This has already been completed with Action Falls being identified as a potential intervention. * Step Two: To plan for and undertake adaptations to Action Falls for domiciliary care. This will be done by exploring the context of domiciliary care by observing domiciliary care visits and carrying out interviews with older people, domiciliary care workers and owners and commissioners. The Action Falls materials will then be adapted using co-design workshops.
The final step (step 3) will be to evaluate the delivery of Action Falls. This will be done in a future study
Primary outcome measures
- Types of programme adaptations using the Consolidated Framework for Implementation Research (CFIR) [Time frame: 18 months]
Eligibility criteria
Inclusion criteria
Observations:
- Domiciliary care workers working in the settings and localities in the sample and providing support to older people
- Social care practitioners working in the settings and localities in the sample
Interviews:
- Older people (65 years and over) supported by domiciliary care and providing support to older people
- Relatives of older people supported by domiciliary care
- Social care practitioners
- Owners of domiciliary care
- Commissioners and senior decision makers in Lincolnshire County Council and Nottinghamshire County Council
Co-design workshops:
- Domiciliary care workers working in BelleVie Care
- Older people (65 years and over) supported by domiciliary care
- Relatives of older people supported by domiciliary care
- Social care practitioners
- Owners of domiciliary care
- Commissioners and senior decision makers in Lincolnshire County Council and Nottinghamshire County Council
Exclusion criteria
- Lack of capacity to give informed consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Other
Study locations
United Kingdom · 1 center
- University of Nottingham — Nottingham
Identifiers
NCT: NCT07516054 · FMHS 06-1025