Optimising Fire and Rescue Service “Safe & Well” visits to support detection and sign-posting for mental health problems in older adults
| ISRCTN | ISRCTN70286099 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN70286099 |
| Secondary identifying numbers | NIHR201967 |
- Submission date
- 12/04/2022
- Registration date
- 26/04/2022
- Last edited
- 28/06/2024
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims:
Mental ill-health is a leading cause of disability worldwide. One-in-four older adults (defined here as 60 years of age and over) experience symptoms of mental ill-health. Fewer than one-in-six older adults consult a healthcare professional about their symptoms of a mental health problem.
The proposed research aims to examine whether and how Fire and Rescue Service's (FRS) Home Fire Safety Visits (HFSV) can be optimized to include detection and signposting for mental health problems (anxiety and depression) in older people.
The study aims to explore the current delivery model and content of fire prevention home visits in Staffordshire and to examine the broad-level acceptability of plans to extend fire prevention home visits to include mental health checks and sign-posting. The study will develop, through consensus, resources to support delivery of the extended fire prevention home visits, including a new schedule of events and training materials, and refine a theoretical framework to explain the different components of the extended fire prevention home visits, how they would fit together, and key contextual factors.
The study team will be working closely with Staffordshire Fire and Rescue Service (SFRS) and all observation and interviews will take place in Staffordshire.
Who can participate and what does the study involve?:
The study will recruit FRS staff to join three focus groups to understand the role they play in delivering the HFSV and to capture the views on the acceptability of expanding visits to include mental health. Here, the study team will identify any training needs and other preparation required.
Through the SFRS we will recruit older adults and will observe the HFSVs to understand how the visits work. Interviews will be conducted after the observation to capture older adults' views on the acceptability of expanding visits to include mental health.
We will recruit health and social care providers (eg. social workers, GPs, psychologists, mental health support workers) to explore the acceptability of extending the FRS role into mental health, barriers and facilitators relating to integrated and collaborative working, local service infrastructure, and feasibility of implementation in the future.
What are the possible benefits and risk of participating?:
We do not expect participation to carry any risk. Information that is provided could inform healthcare service design, which could benefit others to access the care they need.
When is the study starting and how long is it expected to run for?:
From February 2022 to May 2023.
Who is funding the study?:
Keele University (UK), National Institute for Health and Care Research (NIHR) (UK), and the Midlands Partnership Foundation Trust (UK)
Who is the main contact?:
Dr Tom Kingstone, t.kingstone@keele.ac.uk
Contact information
Principal Investigator
School of Medicine Rm 1.76
David Weatherall Building
Keele University
Newcastle-Under-Lyme
ST5 5BG
United Kingdom
 ORCID ID |
0000-0001-9179-2303 |
|---|---|
| Phone | +44 (0)1782 734 791 |
| t.kingstone@keele.ac.uk |
Study information
| Study design | Single-centre multi-method observational qualitative study |
|---|---|
| Primary study design | Observational |
| Secondary study design | Multi-method (focus groups, observations, and interviews) qualitative research |
| Study setting(s) | Community |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a participant information sheet |
| Scientific title | The FIRESIDE Study: Optimising Fire and Rescue Service “Safe & Well” visits to support detection and sign-posting for mental health problems in older adults |
| Study acronym | FIRESIDE |
| Study objectives | To examine whether and how fire prevention home visits can be optimized to include detection and signposting for mental health problems (anxiety and depression) in older people. The following objectives have been set: 1. To explore the current delivery model and content of fire prevention home visits in Staffordshire 2. To examine the broad-level acceptability of plans to extend fire prevention home visits to include mental health checks and sign-posting 3. To develop, through consensus, resources to support the delivery of the extended fire prevention home visits, including a new schedule of events and training materials 4. To refine a theoretical framework to explain the different components of the extended fire prevention home visits, how they would fit together, and key contextual factors |
| Ethics approval(s) |
Approved 21/10/2021, Keele University Research Ethics Committee (Keele University, Newcastle-Under-Lyme, ST5 5BG, United Kingdom; +44 (0)1782 733 371; research.governance@keele.ac.uk), ref: MH210200 |
| Health condition(s) or problem(s) studied | Anxiety and depression in older adults |
| Intervention | Current interventions as of 04/01/2023: The study will observe how non-traditional providers of care may be able to support older adults in the identification and early detection of older adults through the Fire and Rescue Service's (FRS) Home Fire Safety Visits (HFSV). The study will use a multi-method approach, including four focus groups with FRS personnel who deliver HFSV, up to six interviews with FRS senior managers, 20 observations of HFSV with older adults, up to 20 interviews with older adults, and up to 20 interviews with health and social care persons (including but not limited to GPs, social workers, mental health support workers). _____ Previous interventions: The study will observe how non-traditional providers of care may be able to support older adults in the identification and early detection of older adults through the Fire and Rescue Service's (FRS) Home Fire Safety Visits (HFSV). The study will use a multi-method approach, including three focus groups with FRS personnel who deliver HFSV, up to six interviews of FRS trainers and prevention leads, 20 observations of HFSV with older adults, up to 20 interviews with older adults, and up to 20 interviews with health and social care persons (including but not limited to GPs, social workers, mental health support workers). |
| Intervention type | Other |
| Primary outcome measure | Exploring the current delivery model and content of fire prevention home visits in Staffordshire using non-participant observations of Home Fire Safety Visits recorded as field notes and thematically analysed at a single timepoint |
| Secondary outcome measures | Acceptability of plans to extend fire prevention home visits to include mental health checks and sign-posting measured using Semi-structured interviews with FRS staff, FRS managers, older adults, and health and social care stakeholders at a single timepoint |
| Overall study start date | 01/02/2022 |
| Completion date | 14/05/2023 |
Eligibility
| Participant type(s) | Mixed |
|---|---|
| Age group | Mixed |
| Sex | Both |
| Target number of participants | ~70 participants |
| Key inclusion criteria | Older adults participating in observations and interviews: 1. Aged ≥60 years 2. Living in the community 3. Capacity to provide consent (i.e. individual can provide a suitable explanation of the purpose of the home visit when asked) 4. English-speaking 5. To participate in an interview the individual will also need to have received a fire prevention home visit in the previous 6 months Fire and Rescue Service's (FRS) staff: 1. Currently employed by Staffordshire Fire and Rescue Service 2. Currently involved in the management and/or delivery of fire prevention home visits FRS trainers and prevent leads: 1. Currently employed by Staffordshire Fire and Rescue Service 2. Currently involved in the delivery of training to Fire and Rescue Service staff for fire prevention interventions Health and social care stakeholders: 1. Currently active in health and social care in the Staffordshire area (e.g. NHS, social care, local authority, third sector) 2. Identifies as a stakeholder with an interest in the research. |
| Key exclusion criteria | Does not meet inclusion criteria |
| Date of first enrolment | 11/02/2022 |
| Date of final enrolment | 14/05/2023 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Newcastle Under Lyme
ST5 5BG
United Kingdom
Sponsor information
University/education
Keele
Newcastle-Under-Lyme
ST5 5BG
England
United Kingdom
| Phone | +44 (0)1782 732000 |
|---|---|
| enquiries@keele.ac.uk | |
| Website | https://www.keele.ac.uk/ |
"ROR" |
https://ror.org/00340yn33 |
Funders
Funder type
Government
Government organisation / National government
- Alternative name(s)
- National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
- Location
- United Kingdom
No information available
Results and Publications
| Intention to publish date | 14/05/2023 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | The datasets generated during and/or analysed during the current study will be available upon request from Tamsin Fisher (t.e.fisher1@keele.ac.uk) or Tom Kingstone (t.kingstone@keele.ac.uk). |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol file | version 1.1 | 09/09/2021 | 12/04/2022 | No | No |
| Results article | 19/12/2023 | 28/06/2024 | Yes | No |
Additional files
Editorial Notes
28/06/2024: The following changes were made:
1. Publication reference added.
2. Individual participant data (IPD) sharing plan and summary added.
04/01/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 31/08/2022 to 14/05/2023.
2. The overall end date was changed from 31/01/2023 to 14/05/2023.
3. The intention to publish date was changed from 31/01/2023 to 14/05/2023.
4. The interventions were changed.
5. The plain English summary was updated to reflect these changes.
12/04/2022: Trial’s existence confirmed by the National Institute for Health and Care Research (NIHR).
