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

Whitehead, Phillip J.; James, Marilyn; Belshaw, Stuart; Dawson, Tony; Day, Miriam R.; Walker, Marion F.

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


Authors

Phillip J. Whitehead

MARILYN JAMES MARILYN.JAMES@NOTTINGHAM.AC.UK
Professor of Health Economics

Stuart Belshaw

Tony Dawson

Marion F. Walker



Abstract

Introduction The Care Act 2014 has placed a responsibility on local authorities in England to provide services that prevent deterioration and minimise the use of other health and social care services. Housing adaptations have been identified as 1 of the 10 most promising prevention services for older adults, with bathing adaptations being the most requested. However, many local authorities have lengthy waiting times which may increase costs, reduce effectiveness and reduce the preventive effect. There is no robust evidence of the effect of these adaptations on: health, well-being and functional ability.

Methods and analysis This is a feasibility randomised controlled trial (RCT) with nested qualitative interview study. The RCT will recruit between 40 and 60 people who have been referred for an accessible showering facility, and their carers, from 1 local authority in England. They will be randomised to either usual adaptations (?3-month wait) or immediate adaptations (no wait). The primary outcome is the feasibility of conducting a powered study. The outcomes assessed will be: health and social care-related quality of life, independence in activities of daily living and bathing, falls and use of health and social care services. Outcomes will be assessed at 3 and 6?months. Preliminary health economic feasibility will be established.

Ethics and dissemination Favourable ethical opinion was provided by the Social Care Research Ethics Committee (reference number 16/IEC08/0017). The results of this study will lay the foundations for a further powered study. This would investigate the effect of bathing adaptations on quality of life and whether increased waiting times are associated with poorer outcomes and increased costs. The results have further potential to inform trials of other housing or social care interventions using the novel waiting list control method. Dissemination will include peer-reviewed publications and presentations at national and international conferences.

Trial registration number ISRCTN14876332; Pre-results.

Citation

Whitehead, P. J., James, M., Belshaw, S., Dawson, T., Day, M. R., & Walker, M. F. (2016). Bathing adaptations in the homes of older adults (BATH-OUT): protocol for a feasibility randomised controlled trial (RCT). BMJ Open, 6(10), 1-7. https://doi.org/10.1136/bmjopen-2016-013448

Journal Article Type Article
Acceptance Date Sep 6, 2016
Online Publication Date Oct 6, 2016
Publication Date Oct 6, 2016
Deposit Date Oct 12, 2016
Publicly Available Date Mar 28, 2024
Journal BMJ Open
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 6
Issue 10
Article Number e013448
Pages 1-7
DOI https://doi.org/10.1136/bmjopen-2016-013448
Public URL https://nottingham-repository.worktribe.com/output/824474
Publisher URL http://bmjopen.bmj.com/content/6/10/e013448

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