Co-producing a Novel Model an Outcome Framework for the Implementation of Falls Management in Care Home Settings.

NCT06947915 | Completed

• 1 other identifier: 22011
• Study Type: observational
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

AIM: To co-produce a novel model for implementation of falls management for older people living in care homes SECONDARY OBJECTIVES Component One Objectives: Primary :To co-produce a novel model for the implementation of falls management in care homes Secondary

• To facilitate a series of co-production workshops with representation of key stakeholders
• To co-produce a novel implementation model for falls management
• To co-produce an outcomes framework to evaluate the implementation model
• To explore the feasibility of delivering the model and using the outcomes framework across Nottingham and Nottinghamshire Integrated Care Systems (ICSs) Component Two Objectives:
• To evaluate how and the extent to which co-production occurs during the process of developing a novel model and an outcomes framework for the implementation for falls management in care homes
• To reflect on challenges and facilitators of using co-production approaches in this context
• To evaluate how care home residents can be supported to voice their priorities within the process.

Conditions

Old Age; Long Term Care Facility; Fall Prevention

Keywords

long term care; falls management

Outcome Measures

Primary Outcomes (1)

• Key features of the falls management implementation model and outcomes framework using thematic analysis from the co-design workshops through study completion anticipated at 18 months

  The data collected to address this primary includes: * The number of workshops, location, duration and range of stakeholders attending * Summary of key themes from each meeting drawn together from flipcharts, online flipchart programmes such as padlet and field notes * Cross-comparison of themes between the stakeholder groups * Record of between meeting activities to describe the types of information and activities undertaken * List of problems and potential solutions * Facilitator maintained notes on the decisions made in developing the model and the factors influencing the decisions * Description of the key features of the model Description of outcomes framework

  From enrolment to the end of the co-design workshops at 12 months

Study Arms (2)

Stakeholder

Stakeholder across the ICS: Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways residents living in care homes relatives of residents living in care homes

Other: Co-design workshop

Care home staff

Any member of staff working in the case study care homes

Other: Survey; Other: Interview

Interventions

Co-design workshop OTHER

Co-design workshops to develop the implementation model

Stakeholder

Survey OTHER

Survey of care staff knowledge and confidence

Care home staff

Interview OTHER

Interview to explore care staff experience of the falls management support

Care home staff

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Care home staff, residents and ICS stakeholders

You may qualify if:

• \- Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways, residents living in care homes relatives of residents living in care homes
• years and over (no upper age limit)
• Any member of staff working in the 10 case study care homes in Nottinghamshire

You may not qualify if:

• Unable to read and understand written English
• Lack of capacity to give informed consent

Sponsors & Collaborators

• University of Nottingham: lead
• Nottingham University Hospitals NHS Trust: collaborator

Study Sites (1)

University of Nottingham

Nottingham, United Kingdom

Location

Related Publications (1)

• Hallam-Bowles F, Kilby A, Gordon A, Timmons S, Logan P, Rees L, Lawry W; CHAFFINCH stakeholder group; Robinson K. A Qualitative Evaluation Exploring Co-Production of Falls Management in Care Homes. Health Expect. 2025 Dec;28(6):e70500. doi: 10.1111/hex.70500.

  PMID: 41261769 RESULT

Related Links

• Study webpage

MeSH Terms

Interventions

Surveys and Questionnaires; Interviews as Topic

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Katie Robinson

  University of Nottingham

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2025
• First Posted: April 27, 2025
• Study Start: March 2, 2023
• Primary Completion: March 18, 2025
• Study Completion: March 18, 2025
• Last Updated: November 24, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)