PDF(Pubmed)
Abstract：
BACKGROUND: The onset of disability in bathing is particularly important for older adults as it can be rapidly followed by disability in other daily activities; this may represent a judicious time point for intervention in order to improve health, well-being and associated quality of life. An important environmental and preventative intervention is housing adaptation, but there are often lengthy waiting times for statutory provision. In this randomised controlled trial (RCT), we aim to evaluate the effectiveness and cost-effectiveness of bathing adaptations compared to no adaptations and to explore the factors associated with routine and expedited implementation of bathing adaptations.
METHODS: BATH-OUT-2 is a multicentre, two-arm, parallel-group RCT. Adults aged 60 and over who are referred to their local authority for an accessible level access shower will be randomised, using pairwise randomisation, 1:1, to receive either an expedited provision of an accessible shower via the local authority or a usual care control waiting list. Participants will be followed up for a maximum of 12 months and will receive up to four follow-ups in this duration. The primary outcome will be the participant\'s physical well-being, assessed by the Physical Component Summary score of the Short Form-36 (SF-36), 4 weeks after the intervention group receives the accessible shower. The secondary outcomes include the Mental Component Summary score of the SF-36, self-reported falls, health and social care resource use, health-related quality of life (EQ-5D-5L), social care-related quality of life (Adult Social Care Outcomes Toolkit (ASCOT)), fear of falling (Short Falls Efficacy Scale), independence in bathing (Barthel Index bathing question), independence in daily activities (Barthel Index) and perceived difficulty in bathing (0-100 scale). A mixed-methods process evaluation will comprise interviews with stakeholders and a survey of local authorities with social care responsibilities in England.
CONCLUSIONS: The BATH-OUT-2 trial is designed so that the findings will inform future decisions regarding the provision of bathing adaptations for older adults. This trial has the potential to highlight, and then reduce, health inequalities associated with waiting times for bathing adaptations and to influence policies for older adults.
BACKGROUND: ISRCTN Registry ISRCTN48563324. Prospectively registered on 09/04/2021.
METHODS: BATH-OUT-2 is a multicentre, two-arm, parallel-group RCT. Adults aged 60 and over who are referred to their local authority for an accessible level access shower will be randomised, using pairwise randomisation, 1:1, to receive either an expedited provision of an accessible shower via the local authority or a usual care control waiting list. Participants will be followed up for a maximum of 12 months and will receive up to four follow-ups in this duration. The primary outcome will be the participant\'s physical well-being, assessed by the Physical Component Summary score of the Short Form-36 (SF-36), 4 weeks after the intervention group receives the accessible shower. The secondary outcomes include the Mental Component Summary score of the SF-36, self-reported falls, health and social care resource use, health-related quality of life (EQ-5D-5L), social care-related quality of life (Adult Social Care Outcomes Toolkit (ASCOT)), fear of falling (Short Falls Efficacy Scale), independence in bathing (Barthel Index bathing question), independence in daily activities (Barthel Index) and perceived difficulty in bathing (0-100 scale). A mixed-methods process evaluation will comprise interviews with stakeholders and a survey of local authorities with social care responsibilities in England.
CONCLUSIONS: The BATH-OUT-2 trial is designed so that the findings will inform future decisions regarding the provision of bathing adaptations for older adults. This trial has the potential to highlight, and then reduce, health inequalities associated with waiting times for bathing adaptations and to influence policies for older adults.
BACKGROUND: ISRCTN Registry ISRCTN48563324. Prospectively registered on 09/04/2021.
摘要：
背景：洗澡的残疾发作对老年人尤为重要，因为它可以迅速跟随其他日常活动的残疾;这可能是一个明智的干预时间点，以改善健康，幸福和相关的生活质量。一项重要的环境和预防性干预措施是住房适应，但是法律规定的等待时间往往很长。在这项随机对照试验(RCT)中，我们旨在评估洗浴适应与无适应相比的有效性和成本效益，并探讨与常规和加速实施洗浴适应相关的因素。
方法：BATH-OUT-2是一个多中心，双臂，平行组RCT。60岁及以上的成年人将被随机分配到当地当局进行无障碍淋浴，使用成对随机化，1：1，以通过地方当局或通常的护理控制等待名单接收快速提供的无障碍淋浴。参与者将接受最长12个月的随访，在此期间将接受多达4次随访。主要结果将是参与者的身体健康，通过简短表格36(SF-36)的物理成分汇总评分进行评估，4周后，干预组接受无障碍淋浴。次要结果包括SF-36的心理成分汇总评分，自我报告的跌倒，健康和社会护理资源的使用，健康相关生活质量（EQ-5D-5L），与社会护理相关的生活质量(成人社会护理结果工具包(ASCOT))，害怕跌倒(短期跌倒功效量表)，洗澡的独立性（Barthel指数洗澡问题），日常活动的独立性（Barthel指数）和洗澡的难度（0-100量表）。混合方法过程评估将包括与利益相关者的访谈以及对英格兰承担社会护理责任的地方当局的调查。
结论：BATH-OUT-2试验的设计目的是使研究结果能够为未来关于为老年人提供洗浴适应的决定提供信息。这次审判有可能凸显，然后减少，与洗澡适应等待时间相关的健康不平等，并影响老年人的政策。
背景：ISRCTN注册表ISRCTN48563324。于2021年04月09日登记。
方法：BATH-OUT-2是一个多中心，双臂，平行组RCT。60岁及以上的成年人将被随机分配到当地当局进行无障碍淋浴，使用成对随机化，1：1，以通过地方当局或通常的护理控制等待名单接收快速提供的无障碍淋浴。参与者将接受最长12个月的随访，在此期间将接受多达4次随访。主要结果将是参与者的身体健康，通过简短表格36(SF-36)的物理成分汇总评分进行评估，4周后，干预组接受无障碍淋浴。次要结果包括SF-36的心理成分汇总评分，自我报告的跌倒，健康和社会护理资源的使用，健康相关生活质量（EQ-5D-5L），与社会护理相关的生活质量(成人社会护理结果工具包(ASCOT))，害怕跌倒(短期跌倒功效量表)，洗澡的独立性（Barthel指数洗澡问题），日常活动的独立性（Barthel指数）和洗澡的难度（0-100量表）。混合方法过程评估将包括与利益相关者的访谈以及对英格兰承担社会护理责任的地方当局的调查。
结论：BATH-OUT-2试验的设计目的是使研究结果能够为未来关于为老年人提供洗浴适应的决定提供信息。这次审判有可能凸显，然后减少，与洗澡适应等待时间相关的健康不平等，并影响老年人的政策。
背景：ISRCTN注册表ISRCTN48563324。于2021年04月09日登记。
