Health begins at home

ISRCTN	ISRCTN96259142
DOI	https://doi.org/10.1186/ISRCTN96259142
Protocol serial number	FM0001
Sponsor	Family Mosaic
Funders	Family Mosaic , Economic and Social Research Council

Submission date: 08/02/2018
Registration date: 13/02/2018
Last edited: 02/08/2019

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Other

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Background and study aims
The NHS scores well internationally on access to health care, but access has been measured on methods likely to undersample the more disadvantaged. Social landlords have access to more disadvantaged groups and may be able to improve health outcomes for their tenants and reduce their NHS usage by simple interventions. The aim of this study is to test whether provision of health information and signposting of services by housing association professionals to their tenants results in improved health and wellbeing outcomes.

Who can participate?
London social housing ‘general needs’ tenants aged over 50

What does the study involve?
Participants are given a health assessment then randomly allocated into a control group or one of two intervention groups. The control group receive no interventions. The 'signposting' group receive advice from the Neighbourhood Manager (a frontline staff member responsible for managing a group of properties). The treatment group receive an intensive 'hand-holding' service from a specialised team of health and wellbeing support workers to put them in contact with appropriate care and support providers. Participants are followed up over 18 months and changes in health outcomes and NHS usage are measured.

What are the possible benefits and risks of participating?
The interventions may support residents to engage with other services in their local area and offer general advice on health conditions aiming to help them understand and manage their health. No risks are anticipated as none of the services offered have any adverse effects on health.

Where is the study run from?
Family Mosaic (UK)

When is the study starting and how long is it expected to run for?
April 2012 to January 2016

Who is funding the study?
1. Family Mosaic (UK)
2. Economic and Social Research Council (UK)

Who is the main contact?
Prof. Stephen Gibbons

Contact information

Prof Stephen Gibbons
Public

London School of Economics
London
WC2 2AE
United Kingdom

Study information

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Study type	Participant information sheet
Scientific title	Trial of health information interventions for samples of housing association tenants in London
Study objectives	To test whether provision of health information and signposting of services by housing association professionals to their tenants resulted in improved health and wellbeing outcomes.
Ethics approval(s)	London School of Economics Research Ethics Committee, 01/02/2013
Health condition(s) or problem(s) studied	General health
Intervention	Participants were given a baseline health assessment, after which participants found to have serious untreated health conditions were withdrawn to receive intensive treatment. The remaining pool of 532 participants was randomised into into two treatment groups (intensive and non intensive) and one control group: 1. A control group which received no intervention 2. A 'signposting' group which received advice from the Neighbourhood Manager (a frontline staff member responsible for managing a group of properties) 3. A treatment group which received an intensive 'hand-holding' service from a specialised team of health and wellbeing support workers to put tenants in contact with appropriate care and support providers The entire process of random number generation and assignment was carried out through an automated function in the data entry system. A restricted randomisation was used, with stratification by age (over and under 70) and gender. No blocking was used. Participants were followed up over 18 months and changes in health outcomes and NHS usage were measured.
Intervention type	Other
Primary outcome measure(s)	Measured at baseline assessment, a 9-month intermediate assessment, and a final 18-month assessment: 1. Self-reported health outcomes: general health rating measured using a 5-point Likert scale, average health rating (asked at beginning and end of survey, average of these taken) measured using a 0-10 numeric scale 2. Mental wellbeing, measured using ONS Wellbeing measure, Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS), Loneliness on a 0-10 numeric scale 3. NHS usage: planned GP appointments, emergency GP appointments, planned hospital appointments, Accident and Emergency attendances, and nights in hospital in the last 6 months 4. Number of falls in the last 6 months 5. Self-reported activity and mobility ratings, measured on a 0-10 numeric scale 6. Health behaviours: completion of breast cancer tests, completion of cervical cancer tests, completion of bowel cancer tests, smoking levels, alcohol consumption, completion of blood pressure test
Key secondary outcome measure(s)	There are no secondary outcome measures
Completion date	01/01/2016

Eligibility

Participant type(s)	Healthy volunteer
Age group	Senior
Sex	All
Target sample size at registration	600
Total final enrolment	547
Key inclusion criteria	Tenants of Family Mosaic, over 50 years of age
Key exclusion criteria	Tenants found to have serious health conditions
Date of first enrolment	01/03/2013
Date of final enrolment	01/03/2014

Locations

Countries of recruitment

United Kingdom
England

Study participating centre

Family Mosaic

London
E1 2RJ
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	Yes
IPD sharing plan summary	Available on request
IPD sharing plan	The data is disclosive as it reveals residents' addresses and health conditions. Permission was obtained from participants for anonymised data sharing for research purposes. The data can be made available on request, in an anonymised format, by arrangement with Family Mosaic.

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/05/2018	02/08/2019	Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes

Editorial Notes

02/08/2019: Publication reference and total final enrolment number added.