Division of Rehabilitation, Ageing & Wellbeing, University of Nottingham, Nottingham, UK
Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.
BMJ Open. 2020 Nov 9;10(11):e035701. doi: 10.1136/bmjopen-2019-035701.
We previously completed a nested qualitative interview study, as part of a feasibility randomised controlled trial with 21 older adults and five carers who had an accessible shower installed in their home. The objective of this study was to follow-up the participants approximately 24 months on.
This was an extended follow-up study comprising semi-structured interviews to explore the longer-term experiences of the older adults. To elaborate and add breadth to the findings these were supplemented with concurrent nested outcome assessment measures.
The study was conducted within one local authority City Council housing adaptations service.
Thirteen older adults (mean age: 76; SD: 6.87) and three carers from the original study completed the extended follow-up study.
The intervention in the original study was the provision of an accessible showering facility either by immediate provision or routine 4-month wait.
Findings were presented thematically with three themes identified: and . Improvements in the physical and social environment combined with greater autonomy in personal care were reported to impact more widely on older adults' occupations including other self-care activities and leisure. These are consistent with domains underpinning social care related quality of life particularly personal safety, cleanliness and occupation. The results of the outcome assessments support the qualitative themes demonstrating sustained improvements in quality of life, independence in daily living and reduced fear of falling.
This research suggests the positive lived experiences reported immediately after the installation of the accessible shower are still evident up to 28 months later in this cohort of older adults. Future research should investigate medium to longer-term outcomes with a more diverse sample.
ISRCTN14876332; Post-results.
我们之前完成了一项嵌套式定性访谈研究，作为一项可行性随机对照试验的一部分，该试验纳入了 21 名老年人及其 5 名照顾者，这些老年人的家中安装了无障碍淋浴设施。本研究的目的是在大约 24 个月后对参与者进行随访。
这是一项扩展随访研究，包括半结构化访谈，以探讨老年人的长期体验。为了详细阐述和拓宽研究结果，我们还补充了同期嵌套的结果评估措施。
该研究在一个地方政府市议会住房适应服务机构中进行。
13 名老年人（平均年龄：76；SD：6.87）和 3 名来自原始研究的照顾者完成了扩展随访研究。
原始研究中的干预措施是提供无障碍淋浴设施，要么立即提供，要么按照常规的 4 个月等待期提供。
研究结果以主题的形式呈现，确定了三个主题： 和 。环境的物理和社会改善以及个人护理方面更大的自主权被报告对老年人的职业产生了更广泛的影响，包括其他自我护理活动和休闲活动。这些与社会关怀相关生活质量的基础领域一致，特别是个人安全、清洁和职业。结果评估的结果支持了定性主题，表明生活质量、日常生活独立性和跌倒恐惧的减少持续得到改善。
这项研究表明，在为这组老年人安装无障碍淋浴设施后立即报告的积极生活体验，在 28 个月后仍然明显。未来的研究应该用更具多样性的样本调查中等至长期的结果。
ISRCTN81407261；post-results。
