Evidence map›Paper›PMID 30249295›Full record

ArticleTrials2018

PATCH: posture and mobility training for care staff versus usual care in care homes: study protocol for a randomised controlled trial.

Liz Graham, Robert Cicero, David Clarke, Bonnie Cundill, Alison Ellwood, Amanda Farrin, Jill Fisher, Madeline Goodwin, Rebecca Hawkins, Karen Hull and 4 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Liz GrahamAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK. liz.graham@bthft.nhs.uk.
Robert CiceroClinical Trials Research Unit, University of Leeds, Leeds, UK.
David ClarkeAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Bradford, UK.
Bonnie CundillClinical Trials Research Unit, University of Leeds, Leeds, UK.
Alison EllwoodAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Amanda FarrinClinical Trials Research Unit, University of Leeds, Leeds, UK.
Jill FisherLeeds Neurophysiotherapy, Rawdon, Leeds, UK.
Madeline GoodwinClinical Trials Research Unit, University of Leeds, Leeds, UK.
Rebecca HawkinsAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Bradford, UK.
Karen HullLeeds Neurophysiotherapy, Rawdon, Leeds, UK.
Claire HulmeAcademic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Dominic TrépelTrinity College Dublin, Dublin, Ireland.
Rachel WilliamsAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Anne ForsterAcademic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Bradford, UK.
Bradford Teaching Hospitals NHS Foundation Trust · GBUniversity of Leeds · GBTrinity College Dublin · IE

Funding

Chartered Society of Physiotherapy Charitable Trust (GB) OPA/14/03
6 · The paper itself

Abstract

backgroundResidents of care homes have high levels of disability and poor mobility, but the promotion of health and wellbeing within care homes is poorly realised. Residents spend the majority of their time sedentary which leads to increased dependency and, coupled with poor postural management, can have many adverse outcomes including pressure sores, pain and reduced social interaction. The intervention being tested in this project (the Skilful Care Training Package) aims to increase the awareness and skills of care staff in relation to poor posture in the older, less mobile adult and highlight the benefits of activity, and how to skilfully assist activity, in this group to enable mobility and reduce falls risk. Feasibility work will be undertaken to inform the design of a definitive cluster randomised controlled trial.

methodsThis is a cluster randomised controlled feasibility trial, aiming to recruit at least 12-15 residents at each of 10 care homes across Yorkshire. Care homes will be randomly allocated on a 1:1 basis to receive either the Skilful Care Training Package alongside usual care or to continue to provide usual care alone. Assessments will be undertaken by blinded researchers with participating residents at baseline (before care home randomisation) and at three and six months post randomisation. Data relating to changes in physical activity, mobility, posture, mood and quality of life will be collected. Data at the level of the home will also be collected and will include staff experience of care and changes in the numbers and types of adverse events residents experience (for example, hospital admissions, falls). Details of NHS service usage will be collected to inform the economic analysis. An embedded process evaluation will explore intervention delivery and its acceptability to staff and residents. DISCUSSION: Participant uptake, engagement and retention are key feasibility outcomes. Exploration of barriers and facilitators to intervention delivery will inform intervention optimisation. Study results will inform progression to a definitive trial and add to the body of evidence for good practice in care home research.

trial registrationISRCTN Registry, ISRCTN50080330 . Registered on 27 March 2017.

Indexed as

ExerciseHomes for the AgedNursing HomesPhysical Therapy ModalitiesPostureSedentary BehaviorAgedAge FactorsAgingEnglandFeasibility StudiesFemaleGeriatric AssessmentHealth PersonnelHumansInservice TrainingCare homesCluster randomised controlled trialFeasibilityMobilityNursing homesOlder peoplePhysiotherapyPostureProcess evaluationStaff training

Identifiers

PMID30249295
PMCPMC6154918
OpenAlexW2892056663

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.