Evidence map›Paper›PMID 30477474›Full record

Trial reportBMC public health2018

Bathing adaptations in the homes of older adults (BATH-OUT): results of a feasibility randomised controlled trial (RCT).

Phillip J Whitehead, Miriam R Golding-Day, Stuart Belshaw, Tony Dawson, Marilyn James, Marion F Walker

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

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  4. Use of the adult social care outcomes toolkit (ASCOT) in research studies: an international scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

6 authors at 3 institutions in 1 country.

Phillip J WhiteheadDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Room B018, Coach Lane Campus, Benton, Newcastle-Upon-Tyne, NE7 7XA, UK. phillip.whitehead@northumbria.ac.uk.ORCID http://orcid.org/0000-0003-1310-4020
Miriam R Golding-DayDivision of Rehabilitation and Ageing, University of Nottingham, The Medical School, Derby Road, Nottingham, NG7 2UH, UK.
Stuart BelshawDivision of Rehabilitation and Ageing, University of Nottingham, The Medical School, Derby Road, Nottingham, NG7 2UH, UK.
Tony DawsonAdaptations and Renewals Agency, Nottingham City Council, Loxley House, Nottingham, NG2 3NG, UK.
Marilyn JamesDivision of Rehabilitation and Ageing, University of Nottingham, The Medical School, Derby Road, Nottingham, NG7 2UH, UK.
Marion F WalkerDivision of Rehabilitation and Ageing, University of Nottingham, The Medical School, Derby Road, Nottingham, NG7 2UH, UK.
University of Nottingham · GBNorthumbria University · GBNottingham City Council · GB

Funding

Department of Health DRF-2012-05-131
6 · The paper itself

Abstract

backgroundHousing adaptations have been identified as an important environmental and prevention intervention for older adults, which may improve health and quality of life. The onset of disability in bathing can act as a warning for further disability in other activities and may therefore be a judicious time-point for intervention. The aim of this study was to determine the feasibility of conducting a Randomised Controlled Trial (RCT) of bathing adaptations, to evaluate whether they improve older adults' perceived health status and quality of life, prevent further functional deterioration, and reduce the use of other health and social care resources. This study was conducted in preparation for a powered RCT.

methodEligibility criteria were aged > 65 and referred to local authority housing adaptations service for an accessible flush-floor shower. Participants were randomised to either usual adaptations (3-4 month wait) or immediate adaptations (no wait). Outcomes were assessed at 3, 6 and 9 months and included perceived physical and mental health status, health and social care related quality of life, independence in activities of daily living (ADL) and bathing, and falls. Data on costs and the use of health and social care resources were collected during follow-up in order to inform a definitive health economic evaluation.

resultsSixty participants were recruited and randomised, 31 to immediate adaptations and 29 to waiting list control. Mean age was 77(SD8), 58% women and 58% living alone. Follow-ups were completed with 90, 85 and 72% at 3, 6 and 9 months respectively. Adaptations were delivered to 65% of participants within the requisite timescales as there were delays with some privately owned properties. There were improvements from baseline in both groups on all outcome measures following the completion of the adaptations.

conclusionsThis is the first RCT of housing adaptations in the UK. We demonstrated the feasibility of using a waiting list control, subject to minor alterations to the timescales for privately owned properties. A powered trial would evaluate the impact on older adults' quality of life and investigate the impact of waiting times on functional outcomes and health and care resource use.

trial registrationISRCTN14876332 Registered 12 July 2016.

Indexed as

BathsHome Care ServicesAccidental FallsActivities of Daily LivingAgedAged, 80 and overCost-Benefit AnalysisDiagnostic Self EvaluationFeasibility StudiesFemaleFollow-Up StudiesHumansMaleOutcome Assessment, Health CareQuality of LifeUnited KingdomAdaptationsBathingHealth economicsHousingOlder adultsPreventionRandomised controlled trial

Identifiers

PMID30477474
PMCPMC6257950
OpenAlexW2903165234

What OpenQuestion 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 OpenQuestion graph.