ArticleAge and ageing2020
Do home modifications reduce care home admissions for older people? A matched control evaluation of the Care & Repair Cymru service in Wales.
Article in Age and ageing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Do home modifications reduce caregiver burden? A cross-sectional analysis of factors associated with caregiver burden and resilience in Hong Kong.Innovation in aging · 2026Article
- Understanding Inequalities in Adult Social Care in Wales: Protocol for the CARE Lab Linked Administrative Data Study.International journal of population data science · 2026Article
- Models of care across settings supporting ageing in place: a narrative review.The Medical journal of Australia · 2025Review
- Housing adaptations and older adults' health trajectories by level of initial health: evidence from the English Longitudinal Study of Ageing.Age and ageing · 2025Article
- The relationship between home modifications and frailty among older adults: a scoping review protocol.PloS one · 2025Article
- Home modifications and disability outcomes: A longitudinal study of older adults living in England.The Lancet regional health. Europe · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundhome advice and modification interventions aim to promote independent living for those living in the community, but quantitative evidence of their effectiveness is limited.
aimassess the risk of care home admissions for people with different frailty levels receiving home advice and modification interventions against a control group who do not. STUDY DESIGN AND
settingmatched control evaluation using linked longitudinal data from the Secure Anonymised Information Linkage (SAIL) Databank, comprising people aged 60-95, registered with a SAIL contributing general practice. The intervention group received the Care & Repair Cymru (C & RC) service, a home advice and modification service available to residents in Wales.
methodsfrailty, age and gender were used in propensity score matching to assess the Hazard Ratio (HR) of care home admissions within a 1-, 3- and 5-year period for the intervention group (N = 93,863) compared to a matched control group (N = 93,863). Kaplan-Meier curves were used to investigate time to a care home admission.
resultsthe intervention group had an increased risk of a care home admission at 1-, 3- and 5-years [HR (95%CI)] for those classified as fit [1-year: 2.02 (1.73, 2.36), 3-years: 1.87 (1.72, 2.04), 5-years: 1.99 (1.86, 2.13)] and mildly frail [1-year: 1.25 (1.09, 1.42), 3-years: 1.25 (1.17, 1.34), 5-years: 1.30 (1.23, 1.38)], but a reduced risk of care home admission for moderately [1-year: 0.66 (0.58, 0.75), 3-years: 0.75 (0.70, 0.80), 5-years: 0.83 (0.78, 0.88)] and severely frail individuals [1-year: 0.44 (0.37, 0.54), 3-years: 0.54 (0.49, 0.60), 5-years: 0.60(0.55, 0.66)].
conclusionsHRs indicated that the C & RC service helped to prevent care home admissions for moderately and severely frail individuals. The HRs generally increased with follow-up duration.
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