NCT05487482

Brief Summary

Background: The elderly are a vulnerable group for health problems as they age. Safe care is essential when caring for the elderly at home because adverse events can happen there, such as falls, pressure ulcers, injuries, or dangers caused by medication errors. Safety culture for the elderly at home needs to be developed so that they can avoid unexpected events. This study aimed to develop the model for safety culture among the elderly called Aging Safe from the Risk (ASRi) to improve the safety culture in elderly care at home. Methods: This exploratory sequential mixed methods study will consist of three stages. Stage 1, a qualitative descriptive study, will be conducted to explore the perceptions of families, nurses, and school administrators for the elderly regarding the safety of the elderly at home. Data will be collected by interviews and focus group discussions. Stage II will involve developing The ASRi model using the modified Delphi method. The list of elderly safety culture indicators will be assessed by experts and then further developed into a model. In stage III, a model test will be conducted with a non-equivalent control group using a quasi-experimental design. The investigators will provide interventions in the form of education and training to families regarding the safety culture for the elderly at home. Findings: There is a crucial need for studies assessing the safety culture in elderly care by empowering families at home to improve safety for the elderly. The results of this study will help fill the knowledge gap in this research and can aid in developing public health policy and programs for the elderly. .

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
136

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jul 2021

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 20, 2021

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

July 10, 2022

Completed
25 days until next milestone

First Posted

Study publicly available on registry

August 4, 2022

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

August 4, 2022

Status Verified

August 1, 2022

Enrollment Period

1.3 years

First QC Date

July 10, 2022

Last Update Submit

August 2, 2022

Conditions

Keywords

Safety cultureElderlyHome careFamilyIndonesia

Outcome Measures

Primary Outcomes (2)

  • Rate of safety culture

    Rate of safety culture will be measured by instrument of safety culture that modified from the Nursing Home Patient Safety Culture and the results of Delphi at stage 2.

    16 weeks

  • Incidence of adverse events

    Adverse events will be measured by the type and frequency (no events, 1-2 events, \>3 events) experienced by the elderly at home before and after the model trial.

    16 weeks

Study Arms (2)

Intervention Group- Receiving intervention by educating, training and homevisit

EXPERIMENTAL

For the intervention groups, planning will be done to provide education and training. Families will be given modules on Safety Culture in the Elderly and will also receive home visits to check and monitoring the condition of the elderly at home related to adverse events and the home environment.

Other: Ageing Safe from the Risk (ASRi) Model of safety culture

Control group

NO INTERVENTION

Thisi control group will only monitoring every 4 weeks by home visit. After 16 weeks, researchers will evaluate perceptions of the elderly's safety culture at home and adverse events at home

Interventions

For the intervention groups, planning will be done to provide education and training. Families will be given modules on Safety Culture in the Elderly. Materials provided about the safety of the elderly include changes in the elderly, the concept of safety in the elderly, the type of danger to the elderly, how to prevent harm in the elderly, the first handling in case of accidents, and the role of the family in the efforts of elderly safety. The material will be delivered by experts in elderly health and patient safety (professionals from health centers, social services, and academics). In addition to education and training, families will also receive home visits to check and monitoring the condition of the elderly at home related to adverse events and the home environment. Measuring will be done every 4 weeks by using a monitoring book.

Intervention Group- Receiving intervention by educating, training and homevisit

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may not qualify if:

  • family did not continue the study, elderly were hospitalized, and died during the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

School of Elderly

Bandung, West Java, Indonesia

Location

Related Publications (1)

  • Solihin AH, Probosuseno, Effendy C. Evaluating a caregiver-focused safety culture model: Effects on caregivers' safety perception, older adults' quality of life, and the incidence of adverse events in Indonesia. Belitung Nurs J. 2025 Oct 5;11(5):637-647. doi: 10.33546/bnj.3650. eCollection 2025.

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: We will consist of two gorup. Control group and intervention group
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Invesigator

Study Record Dates

First Submitted

July 10, 2022

First Posted

August 4, 2022

Study Start

July 20, 2021

Primary Completion

November 1, 2022

Study Completion

December 1, 2022

Last Updated

August 4, 2022

Record last verified: 2022-08

Locations