The PATCH study: Posture and mobility in care homes

Not Applicable

Completed

• Conditions: Specialty: Ageing, Primary sub-specialty: Ageing; UKCRC code/ Disease: Other/ General symptoms and signs; Signs and Symptoms; Aging

• Registration Number: ISRCTN50080330
• Lead Sponsor: Bradford Teaching Hospitals NHS Foundation Trust

Brief Summary

2018 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/30249295 protocol (added 01/04/2020) 2020 Results article in https://doi.org/10.1093/ageing/afaa046 results (added 05/05/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-03-27
• Study Completion: 2019-03-31
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 146

Inclusion Criteria

Care Homes:
1. A residential or nursing home with residents aged 65+
2. Care Home manager in post for at least six months and likely to remain in post for the study period (indicates a stable care home environment)
3. Care Home manager willing to release staff to receive the intervention training and contribute to data collection
4. Training in Manual Handling is provided to all direct care staff
5. Anticipate 15 eligible residents could be recruited to take part in the trial (sufficient number of residents for outcome assessment)

Residents:
1. Aged 65 years and over (male and female)
2. Permanent resident within the care home – defined as a person residing in the care home and not present for receipt of respite, day-care or short-term rehabilitation
3. Appropriately consented (in accordance with the Mental Capacity Act and clinical trials guidance on informed consent)

Exclusion Criteria

Care homes:
1. In the view of the research team, is not suitable for inclusion due to being subject to CQC improvements in areas relevant to the trial, enforcement notices / inadequate ratings, admissions ban, or relevant moderate or major compliance breaches
2. Is receiving other special support for specific quality concerns, such as being currently subject to, or have pending, any serious safeguarding investigations, voluntary or compulsory admissions bans, or local commissioning special support
3. Homes that have had physiotherapy training delivered to staff which involved postural management and physical activity in the last 12 months
4. A home where the SCTP has already been delivered
5. Homes taking part in other trials or initiatives which would conflict with the SCTP and / or with data collection required for this trial

Residents:
1. Residents who are independently mobile (for previous week) measured by score 5 or 6 of the Functional Ambulation Classification will be excluded as they will gain little from the care staff’s new skills and knowledge
2. Residents who are currently undergoing a course of NHS or private physiotherapy, occupational therapy or speech and language therapy
3. Expectation of less than three months’ survival

Study & Design

• Study Type: Interventional
• Study Design: Not specified